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497 WHITING LN 16-WIND-803 Replace Door 0 } CITY OF ATLANTIC BEACH I11 l sl 800 SEMINOLE ROAD ` #L` +' t, ATLANTIC BEACH, FL 32233 J INSPECTION PHONE LINE 247-5814 WINDOW AND/OR DOOR PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-WIND-803 Job Type: WINDOW AND/OR DOOR Description: REPLACE DOOR Estimated Value: $843.00 Issue Date: 4/14/2016 Expiration Date: 10/11/2016 PROPERTY ADDRESS: Address: 497 WHITING LN RE Number: 171431-0000 PROPERTY OWNER: Name: GUIRON TRUST, SHIZUE Address: 497 WHITING LN 497 WHITING LANE GENERAL CONTRACTOR INFORMATION: Name: LOWES HOME CENTERS INC Address: 4948 TELSON PL QA PETER ANTHONY CAFARO III Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $27.50 BUILDING PERMIT FEE $55.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $86.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. S1,An-.4.1 City of Atlantic Beach APPLICATION NUMBER J� aA Building Department (To be assigned by the Building Department.) .i. 800 Seminole Road. — /, J/�� _ (yO �e Atlantic Beach, Florda 32233-5445 / K/ d Phone(904)247-5826 • Fax(904)247-5845 ��j �? E-mail: building-dept@coab.us Date routed: U / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 9'9' 7/1)117.&) 177 Department review required Yes No (uilding� V- Applicant: CG &f S Planning &Zoning / Tree Administrator Project: ie F la 6. )44Q i< Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review Receipt Date of Permit or Verified By Florida Dept. of Environmental Protection Florida Dept.of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: C.-"UILDING PLANNING &ZONING Reviewed by: /771)-/-`t Date: < 'e R"/6 TREE ADMIN. Second Review: Approved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 • • le.g:40•4.40:: I;Plat: .4W4473317• •?:...: 1 5#102.000135i s, ETC -: ' PA3E 02,02 , .„... joeuxiANG1*RIY.tr.rAPPLICAtiON • Qtry•oFATLoi.HncarActi• .. ' -,3. FIL.E. COPY 9t44001909iotfpoo, t..004,14.,,,,.,, .,..,.._. _ ._ , _.,.. I . . ,., :., , _. ., '7.imiirlip■• LoganitiOtigitiirt 3.1.,,r..144,i.z.::. *-..2. ..•r. 4- ..-.1 - --' /.. / - , .Vloor Are.axir-T: f:$94$..: i _. .,, -- 14,,,, ., cii ,,:. .. Y*14094-:4•.V.Ork:S....r. ..,-., rroposed Work keilteditottled. - _ . k. ,- Ix00,beatedkooled . . •:',i 0. .- .. „ Cla#ag:;r00qe.#0#00).'. 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