1745 ATLANTIC BEACH DR GSRS22-0062 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
CARROLL MARK 2234 OCEAN WALK DR W ATLANTIC BEACH FL 32233-4575
COMPANY:ADDRESS:CITY:STATE:ZIP:
AA SERVICE AND REPAIR PO BOX 57896 JACKSONVILLE FL 32241
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169505 1455 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1745 ATLANTIC BEACH DR MECHANICAL RESIDENTIAL GAS NATURAL GAS TO NEW
GENERATOR $10.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
MECHANICAL 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: $69.00
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: 9/16/2022
PERMIT NUMBER
GSRS22-0062
ISSUED: 9/16/2022
EXPIRES: 3/15/2023
MECHANICAL RESIDENTIAL GAS
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
GSRS22-0062
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $69.00
GSRS22-0062 Address: 1745 ATLANTIC BEACH DR APN: 169505 1455 $69.00
MECHANICAL $65.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
GAS PIPING OUTLETS 455-0000-322-1000 1 $10.00
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: R20940 $69.00
Printed: Friday, September 16, 2022 2:42 PM
Date Paid: Friday, September 16, 2022
Paid By: AA SERVICE AND REPAIR
Pay Method: CREDIT CARD 725746122
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R20940