1021 ATLANTIC BLVD COMM23-0013 PANERA BREAD COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
EQUITY ONE ATLANTIC
VILLAGE INC 1600 NE MIAMI GARDENS DR NORTH MIAMI
BEACH FL 33179
COMPANY:ADDRESS:CITY:STATE:ZIP:
THOMPSON AWNING &
SHUTTER CO 2036 EVERGREEN AVE JACKSONVILLE FL 32206
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
177602 0040 SECTION LAND
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1021 ATLANTIC BLVD 961 COMMERCIAL ALTERATION
COMMERCIAL
PANERA BREAD - BAHAMA
STYLE SHUTTER $7500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $90.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $45.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.03
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
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:
PERMIT NUMBER
COMM23-0013
ISSUED:
EXPIRES:
COMMERCIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $139.03
2 of 2Issued Date:
PERMIT NUMBER
COMM23-0013
ISSUED:
EXPIRES:
COMMERCIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $139.03
COMM23-0013 Address: 1021 ATLANTIC BLVD 961 APN: 177602 0040 $139.03
BUILDING $90.00
BUILDING PERMIT 455-0000-322-1000 0 $90.00
BUILDING PLAN REVIEW $45.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $45.00
STATE SURCHARGES $4.03
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.03
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R22821 $139.03
Printed: Monday, April 3, 2023 4:39 PM
Date Paid: Monday, April 03, 2023
Paid By: THOMPSON AWNING & SHUTTER CO
Pay Method: CREDIT CARD 845428351
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R22821
COMM23-0013
JOB COPY
COMM23-0013NOT FILED
JOB COPY
Reviewed for code
compliance
CEP BU1699
02/27/2023 8:19:07 PM
Reviewed for codecomplianceCEP BU169902/27/2023 8:19:25 PM