89 NICOLE LN ERES22-0155 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
WILLIS JOHN R III 89 NICOLE LN ATLANTIC BEACH FL 32233-5979
COMPANY:ADDRESS:CITY:STATE:ZIP:
CRAFT ELECTRIC 2211 ALICIA LN ATLANTIC BEACH FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169519 0840 TIFFANY BY THE SEA
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
89 NICOLE LN ELECTRICAL RESIDENTIAL ELECTRICAL FOR INTERIOR
REMODEL $8000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $8.00
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 24 $14.40
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: $81.40
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: 7/11/2022
PERMIT NUMBER
ERES22-0155
ISSUED: 7/11/2022
EXPIRES: 1/7/2023
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 7/11/2022
PERMIT NUMBER
ERES22-0155
ISSUED: 7/11/2022
EXPIRES: 1/7/2023
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ERES22-0155
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $81.40
ERES22-0155 Address: 89 NICOLE LN APN: 169519 0840 $81.40
ELECTRICAL $77.40
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $8.00
ELEC LIGHTING OUTLETS, INCLUDING
FIXTURES 455-0000-322-1000 24 $14.40
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: R20056 $81.40
Printed: Monday, July 11, 2022 4:29 PM
Date Paid: Monday, July 11, 2022
Paid By: CRAFT ELECTRIC
Pay Method: CREDIT CARD 666520160
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R20056