1031 OCEAN BLVD DOOR PERMIT CITY OF ATLANTIC BEACH
j ) 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
If
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-WIND-1426
Job Type: WINDOW AND/OR DOOR
Description: REPLACE DOOR
Estimated Value: $1,969.00
Issue Date: 6/23/2016
Expiration Date: 12/20/2016
PROPERTY ADDRESS:
Address: 1031 OCEAN BLVD
RE Number: 170253-1000
PROPERTY OWNER:
Name: BOSTWICK JR, WILLIAM COWAN VAL
Address: 1031 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: LOWES HOME CENTERS INC
Address: 4948 TELSON PL QA PETER ANTHONY CAFARO III
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $29.92
BUILDING PERMIT FEE $59.85
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $93.77
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
rSLy;yy, City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
•��� 800 Seminole Road �'N� _ I /,
4
Atlantic Beach, Florida 32233-5445 _
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: �p
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �3 I C.CiA Jy 2 Lir Q Department review required Yes No
ii wilding
Applicant: 1.0� c s, �roc_, C�t3T�� &Zoning
Tree Administrator
Project: REPLAO-E OO �— Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: RAepproved. []Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: 6�
TREE ADMIN. Second Review: ❑Approved as revised. ❑De ed.
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
OFFICE COPY
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