250 S Nautical Blvd window permit 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)Cr DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-WIND-2263
Job Type: WINDOW AND/OR DOOR
Description: REPLACE13WINDOWS
Estimated Value: $5,741.00
Issue Date: 10/12/2016
Expiration Date: 9/9/2017
PROPERTY ADDRESS:
Address: 250 S NAUTICAL BLVD
RE Number: 170703-0402
PROPERTYOWNER:
Name: Barbato, Michael & Bridget
Address:
GENERAL CONTRACTOR INFORMATION:
Name: THE HOME DEPOT
,CGCIS07093
Address: 207KELSEYLN EDGUILLORY
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $78.71
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $39.35
STATE DBPR SURCHARGE $2.00
Total Payments: $122.06
PEHMff IS APPROVED ONLY W ACCORDANCE WITH ALL CHFY OF A�IC BEACH ORDWANCES A" THE FLORMA
BUILDING CODES.
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)Cr DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-WIND-2263
Job Type: WINDOW AND/OR DOOR
Description: REPLACE 6 WINDOWS
Estimated Value: $5,741.00
Issue Date: 10/12/2016
Expiration Date: 4/10/2017
PROPERTY ADDRESS:
Address: 250 S NAUTICAL BLVD
RE Number: 170703-0402
PROPERTY OWNER:
Name: FORBUS, HELEN M
Address: 250 NAUTICAL BLVD S
GENERAL CONTRACTOR INFORMATION:
Name: THE HOME DEPOT
,CGC1507093
Address: 207 KELSEY LN ED GUILLORY
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $78.71
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $39.35
STATE DBPR SURCHARGE $2.00
Total Payments: $122.06
PERMIT IS APPROWD ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be a, ad by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 -z-z(::,5
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@wab.us Date routed: I o/l oL1 0
Cityweb-site: hftp:1hv�wooab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ZSC) N)AU'Tte Qf! ant review required Y 'No
L Bul�
Idl
Applicant: &PoT Planning &Zoning
i ree Administrator
Project: LA Ole \Aj tApnocAaS Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Re le,!
v h=Pit
of Pe By Date
Florida Dept.of Emironmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: 03A'pproved. ElDenied.
(Circle one.) Comments:
(LU�IN G
PLANNING &ZONING Reviewed by: Date:–L(!L-/0�-/
TREEADMIN. Second Review: ElApproved as revised. ODenieV
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date*
FIRE SERVICES Third Review: []Approved as revised. DDemed.
Comments:
Reviewed by: —Date.—
Revised 05114109
BUILDING PERMIT APPLICATION OFFICECOFY
Can Tim for Pick Up 727-637-84M CITY OF ATLANTIC BEACH
8W Seminole Road,Atlantic Bauchi.Fl.32233
Offim(904)247-5826 FU(904)247-5945 itib- Zz6,3
Job Addirms: Pervilt Number.
Lepl Description 33'-re 4 1-7-,'�S `1 G t�p a,4�!4 &A- # 130-703 -60-a�-
%,*I"t,on OrWork S-71 j_ Am. aq.rL sq.Ff
PrOPOsed Work heated/cooled allia4mailedIenealed_
Clem of Work Icirele one): New Addillon Allinatina Repi, ftion poolfsps, vAndonadoor
imlcime�: counnercial
Ifantlisfieg"t,actomisaflnesprinte Intia iftmalled?(Circle one): Yes No NIA
Florida PmductAJPM�al 0 P47-tf Z,/.
Formaltiplepm uct!iw -
Dmribe in detail the type of wad,to be pfm,,d:-RLN�atL
EMBIM Owner Inforunnim
N. �ddress-
City
E-MaR or Fax if(Optio,w) --,69 -k
Co-unictorinformatim,
C-mpany Name Ho am fians d2m senim QualifyingAgam 7�" 90—�v-A
Address:— 9208 Flgdda I:= Cky... Tannin Staft FIL ZIP 11012
officernanc J0bSiafConWdNwnbcr_F,,#
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Engimeer's Name&phone it
Fee SimPle T'dle Holder Name and Addnaa
Bonding CAmpaay Name and Addro,
M',sAg,LCM)tr Name and Add�
WARNING To OWNER:YOUR FAILURE TO RECORD A NO`rICE OF
C0114MENCEMENT 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 YZAAi NOTICE OF
COMMENCEMENT.
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