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1768 Beach Ave TEMP20-0027 temp pole permitOWNER:ADDRESS:CITY:STATE:ZIP: OLEARY DEREK 1758 BEACH AVE ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: HART ELECTRIC COMPANY 11084 Ker Del RD JACKSONVILLE FL 32218 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169602 0000 OCEAN GROVE UNIT 02 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1768 BEACH AVE ELECTRICAL TEMP POLE TEMP POLE $1500.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00 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: $94.00 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: 10/19/2020 PERMIT NUMBER TEMP20-0027 ISSUED: 10/19/2020 EXPIRES: 4/17/2021 ELECTRICAL TEMP POLE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 2 of 2Issued Date: 10/19/2020 PERMIT NUMBER TEMP20-0027 ISSUED: 10/19/2020 EXPIRES: 4/17/2021 ELECTRICAL TEMP POLE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 TEMP20-0027 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $94.00 TEMP20-0027 Address: 1768 BEACH AVE APN: 169602 0000 $94.00 ELECTRICAL $90.00 ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 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: R13851 $94.00 Printed: Monday, October 19, 2020 3:17 PM Date Paid: Monday, October 19, 2020 Paid By: Crystal Blackburn Pay Method: CREDIT CARD 387619123 1 of 1 Cashier: JJ Cash Register Receipt City of Atlantic Beach Receipt Number R13851