52 Lewis St ERES20-0203 Elec Repair PermitOWNER:ADDRESS:CITY:STATE:ZIP:
MILLER NETTIE REE 52 LEWIS ST ATLANTIC BEACH FL 32233-1918
COMPANY:ADDRESS:CITY:STATE:ZIP:
DAVID GRAY ELECTRICAL
SERVICES INC 6491 POWERS AVENUE, SUITE 1 JACKSONVILLE FL 32217
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172228 0500 DONNERS R/P
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
52 LEWIS ST ELECTRICAL RESIDENTIAL ELECTRIC REPAIR - 16
FIXTURES $2000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 16 $9.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $68.60
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 8/27/2020
PERMIT NUMBER
ERES20-0203
ISSUED: 8/27/2020
EXPIRES: 2/23/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 8/27/2020
PERMIT NUMBER
ERES20-0203
ISSUED: 8/27/2020
EXPIRES: 2/23/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ERES20-0203
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $68.60
ERES20-0203 Address: 52 LEWIS ST APN: 172228 0500 $68.60
ELECTRICAL $64.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS, INCLUDING
FIXTURES 455-0000-322-1000 16 $9.60
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R13001 $68.60
Printed: Thursday, August 27, 2020 9:07 AM
Date Paid: Thursday, August 27, 2020
Paid By: DAVID GRAY ELECTRICAL SERVICES INC
Pay Method: CREDIT CARD 356701926
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R13001