Permit Roof 1220 East Coast Dr 2013 JNJ
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
lilt
Application Number . . . 13-00002032 Date 1/22/13
Property Address . . . . . . 1220 EAST COAST DR
Tenant nbr, name . . . . . . FL 15839 R1
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7000
----------------------------- -----------------------------------------------
Application desc
INSTALL METAL ROOF ON ADDITION ABOVE GARAGE
---------------------------- -----------------------------------------------
Owner Contractor
------------------------
------------------------
DREXIER, MICHAEL THORNE METAL SYSTEMS INC
1220 EAST COAST DR 2072 BELLE GROVE TRACE
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32003
--- Structure Information 0 0 000 METAL ROOF ON GARAGE ADDITION
---------------------------- -----------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . - METAL ROOF ON GARAGE ADDITION
Permit Fee . . . . 85 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 7000
Expiration Date . . 7/21/13
----------------------------- -----------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ----------- ---------- ---------- ----------
Permit Fee Total 8S . 00 85 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 89 . 00 89 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE V ITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH 00c,
800 Semin:)le Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 C roe
JobAddress: 1 ), 0 tFA�L C0AN-E �2-- Permit Number:
Legal Description - I Sq.Ft. Parcel 9 -Sq Ft
Floor Area o
Valuation of Work Sr 2000 Proposed Work heated/cooled non-heated/cooled
f
Class of Work(circle one): New (]���:�Alteration Rep:Zir Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one : Commercial sidentia
repprinkler systel installed? (Circle one S 0 N/A
If an existing structure,is a ri
Florida Product Approval# PL 15-01
For multiple products use�roduct approval orm
Describe in detail the type of work to be perforined:
6)2 ove� G^R44
If
Propertv Owner Information:
Name: P1 irhi ACL, 1)9e- Address: lc—� cet� cT—AIL
C -AjLn��,, &;' k- stat i7p-j4. ),2,-'Phore-
ity _ &r- e I'(Z
E-Mail or Fax 4 (Optional)_
Contractor Information:
Company Name: &&n: L4n!(_ Qualify�ing Agent:
Address: 0 ---City State Fl- Zip ��o
1 20�"S ie L11
Office Phone Job She/Contact 1�ef _r4j Fax 4
7,
State Certification/Registration 9 4:X,C- 31
Architect Name&Phone 4 0,j 9!,e
Engineer's Name&Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication is hereby made to obtain a permit to do the work rind installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be pe�jbrmed to me t the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
' )months, or iftonstruction or i aWeriod of six(6)months at any time after
and void if work is not commenced within six(6 vork is suspended or abandonedfoi , I I
work is commenced I understand that separate permits must be securedfor Electrical—Work,Plumbing,Signs, el s,Poo s, Flirnaces,Boilers,Heaters,
Tanks andAir Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESU T IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
L"IOMMENCEMENT.
Ihereb certify that I have read and examined this a lication and know the same to be true and correct. Allprovisions of laws and ordinances governicneg this
-anting of a permit does not presume to give authority to violate or can I the
g
type ollowork will be complied with whether eci ie herein or not. The gi
provisions of any otherfederal,state, or localsf,w regulating,.onstruction or the performance of construction.
Signature of Own Signature of Contractor 1W),
Print Name
pi.)J
Print Name AU .......... 41..... ..... ..........
....... ..... .................. ........................
Before me Before me
this " Day of 11 11,11,11 1�0� 210S Day of Z31no 20 1:3
Notary Public
Notary Public zi :. YCOM ISSION#DD878196
SO of Fbft 1, Zq N?A4�2013
CMTnWM#EE 2= (407)398-0153 FloridallotaryService.co�
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