COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
STORY GRAHAM N 1835 HICKORY LN ATLANTIC BEACH FL 32233-4547
COMPANY:ADDRESS:CITY:STATE:ZIP:
SANDIFER DESIGN BUILD
REMODEL 4788 HODGES BLVD. B-102 JACKSONVILLE FL 32224
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172020 1438 SELVA MARINA UNIT
12C R/P
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1835 HICKORY LN
RESIDENTIAL ADDITION SINGLE
OR TWO FAMILY RESIDENTIAL
ADDITION
NEW BALCONY AND
REMODEL $140000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
BUILDING PERMIT 455-0000-322-1000 0 $600.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $300.00
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: 3/29/2024
PERMIT NUMBER
RESA24-0007
ISSUED: 3/29/2024
EXPIRES: 9/25/2024
RESIDENTIAL ADDITION PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
STATE DBPR SURCHARGE 455-0000-208-0700 0 $14.25
STATE DCA SURCHARGE 455-0000-208-0600 0 $9.50
ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $100.00
TOTAL: $1,073.75
2 of 2Issued Date: 3/29/2024
PERMIT NUMBER
RESA24-0007
ISSUED: 3/29/2024
EXPIRES: 9/25/2024
RESIDENTIAL ADDITION PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233