410 GARDEN LN ELEC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0117
Description: ELECTRIC - 15 OUTLETS
Estimated Value: 2500
Issue Date: 4/12/2018
Expiration Date: 10/9/2018
PROPERTY ADDRESS:
Address: 410 GARDEN LN
RE Number: 172020 5208
PROPERTY OWNER:
Name: TOOMER CURTIS W
Address: 410 GARDEN LN
ATLANTIC BEACH, FL 32233-4528
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: COASTAL ATLANTIC INC
Address: 1639 BEACH BLVD APT 102 QA KENNETH ALAN MASSEY
JACKSONVILLE BEACH, FL 32250
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
' 1 ^ Ph(904)247-5826 Fax (904)247-5845 C g CS 18 - 0 ( 1 7
.TOB ADDRESS: 110 lc-rckorN Lr<e PERMIT# SA'11-om
JEA INFORMATION REQUIRED ON ALL PERMITS d0 AMPS VOLTS PHASE
VALUE OF WORK$ C25&1 c-)J
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential (Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELLREPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switch, _rll 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 115
OTHERELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. /�
Property Owners Name l OaSS Uk Qr11Gn�, Ktn nOga5eV Phone Number
Electrical Company s„*�r �\eck'r,L Office Phone 9y/a2(1F-%h6 Fax M"W7 3
Co.Address: l�ct it:, r RQ rCity Sc�c r.u;i� State R Zip aaS6
License Holder(Print): State Certification/Registration# Af aw a3S—tl
Notarized Signature of License Holder
REBECCA RUSH Before me this \� day o 20
Notary Public,State of Florida
My Comm.Expires 07/12/21 Signature of Notary Public
Commission No.GG101570