2233 Seminole Rd #36 window permit renewal i!•
1 1
AT- HOME
Permit#- 16-WIND-246
Contractor–Ed Guillory
Customer Name–Karen Nasrallah
Address–2233 Seminole Rd,#36
The Home Depot Job# 8925877
Please extend/renew the above permit in order to obtain the final inspection, inspections
were not completed before permit expired due to scheduling issues.
If you should have any questions,please contact Tim O'Malley at 727-637-8400 or
Tim.OMalley@expeditepetmit.com.
Contractors Signature-
Swornto and subscribed before me this day ofe�o 5���7 by
who is X personally known to me or
produce as identification.
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Notary Signattu — ' ++vcamussioN+ oerdm
�' ,�` EMPIRES.January29.2018
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CITY Of AT1av TIC BEACH
800 SEKNOLE RD
ATLANTIC BEAC,R 32233
01,107/200 08:5731
CREDIT CARD
VIS.SALE
Card a XkODOYR%%X%A6773
SEQ k: 2
BaNh u: 296
INVOICE 2
Approval Code: 007274
Entry MeW Martial
Mode: Online
TaxARmt. $0.00
Gat Code:
Card Code M
SALE AMOUNT $830
CUSTOMER COPY
CITY OF ATLANTIC BEACH
800 SEMINOLE KORO
ATLANTIC BEACH, FL 32233
PHONE (904) 247-5826
Cashier Id: atlbcld\atlbbja
Receipt Date: 2/7/2017 8:50:51 AM
Receipt Number: OS-72372
Job ID: 16-WIND-246 - WINDOW REPLMNT - per
mit reinstated 02/07/17 - paid 50% mf origi
nal permit fee BLDGFEE - BUILDING PERMIT FE
E $48.30
Amount Due: $48.30
Tender Information: Cash $48.30
Tender Type: CC
Tender Amount: $48.30
Change Due: $9.00