390 Garden Ln ERES23-0229 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
RUSSELL NANCY 390 GARDEN LN ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
PANCHO MG ELECTRICAL
SERVICES LLC -AGENT BENJAMIN EDWARD SMITH JACKSONVILLE FL 32246
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172020 5030 SELVA MARINA GARDEN
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
390 GARDEN LN ELECTRICAL RESIDENTIAL ELECTRIC FOR GARAGE &
CARPORT $4000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $5.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $0.00
ELEC HEAT 455-0000-322-1000 0 $2.00
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 10 $6.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
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: 9/26/2023
PERMIT NUMBER
ERES23-0229
ISSUED: 9/26/2023
EXPIRES: 3/24/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $72.00
2 of 2Issued Date: 9/26/2023
PERMIT NUMBER
ERES23-0229
ISSUED: 9/26/2023
EXPIRES: 3/24/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Electrical Permit Application ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: E Q['ST--b2n
JOB ADDRESS: C41 0 !