2059 SELVA MARINA DR WINDOW / DOOR CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NE)iT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-1031
Job Type: WINDOW ANDIOR DOOR
Description: WINDOW REPLACEMENT
Estimated Value: $16,723.00
Issue Date: 511/2015
Expiration Date: 10/28/2015
PROPERTY ADDRESS:
Address: 2059 SELVA MARINA DR
RE Number: 169506-1072
PROPERTY OWNER:
Name: CLIFFORD, WILLIAM F
Address: 95 -76 LANIRAA ST
GENERAL CONTRACTOR INFORMATION:
Name: THID THE HOME DEPOT AT HOME
Address: 2690 CUMBERLAND PKWY STE 300 EDWARDOESCLIZA
Phone: - -
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $133.62
PLAN CHECK FEES $66.81
Total Payments: $204.43
PERJUIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Doe 4 2015097214, OR BE 17148 Page 1090, Number Pages: 1, Recorded
04/29/2015 at 12:12 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
COPY
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Cit Atlantic Beach APPLICATION NUMBER
3zd�,f Department (To be assigned y I a ulding Diap��nent.)
ng
800 Seminole Road
Atlantic Beach, Florida 32233-5445 Nit 0/7
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-clept@coab.us Date routed
City web-site: httin:f/www web us
APPLICATION REVIEW AND TRACKING FORM
,94S-9s DiItpatiment review required Yes Ao
Property Address: c- J-6t's, &I n.77 it
Applicant: Planning&Zoning
Tree Administrator
Project: -7;!*L') 4PAQJEftnT PublicWcrus
IF Public Utilities
Public Safety
Fire Services
Review fee $
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept.of Environmental Protection
Florida Dept.of Transportatim
St.Johns Rver Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
_D�ivjsron of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Ey<pprlved. E]Denied.
(Circle one.) Comments:
(E�
PLANNING&ZONING Reviewed by: Date: -1�0_
TREEADMIN. Second Review: ElApproved as revised. E]Denilff.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRESERMCES Third Review: ElApproved as revised. DDenied.
Comments:
Reviewed by: Date:
itirvilited=7110
BUILDING PERMIT A4LICATION f1w t C.I I-woo-4ttew;A 0
FILE COPY CITY OFATLANTIC BEACH -7)7-632, 9-YOU
900 Suralreole Road,Atlantic Deauh,FL 32233
OM.(9D4)247-5826 F.X")247-5845
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WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYINGIVICE FOR IMPROVEMENTS
TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y6bW NOTICE OF
COMMENCEMENT.
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RONALD AL REEUY
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EXPIRESJor-NO-2018
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BUILDING PERMIT APPLICATION owt
CITY OF ATLANTIC BEACH -7;7-632, kYW
800 Seminole Road,Atlantic Beacit,Fl,32233
Office(904)247-5826 1.(904)247-5945
JobAdd,..:a(4.TCi 3.k%c, ZV\ t Permit Number:
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Florida Product Agponval 1 � r.-7.tO
For multiple pro note,on
Dmcribe in detail the type ofwork w be porformaed:&*k�ti& ;!'z,
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WAR NING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING V61&NOTICE OF
COMMENCEMENT.
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RONALD ALLEN REEDY
NOTARY PUBLic El
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