545 Clippership LN 07-00000142 Roof sS, CITY OF ATLANTIC BEACH
J 800 SElVIINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 07-00000142 Date 2/14/07
Property Address . . . . . . 545 CLIPPERSHIP LN
Application type description ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2240
--- -------------------------------- - ----------- - ----------------------- - ----
Application desc
re-roof/30 yr. archt . shng
----- --------- ----- --- ---------------- - - --------- ---------- - - - ---------- ----
Owner Contractor
---- ----- - ---- -- -------- - ------------ --- -- - - -- - -
BEATY, WAYNE DIBBLE ROOFING COMPANY
545 CLIPPERSHIP LANE 3525 MORTON STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217
(904) 731-2835
------ - ------ - -- --- ------- ------------- -- - - ------------------------------ ---
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 46 . 20 Plan Check Fee . 00
Issue Date . . . . Valuation 2240
Expiration Date . . 8/13/07
- ----- ------- -- - --- --- ---- - ------------------- - --------- -- - ------ - ----------
Fee summary Charged Paid Credited Due
---------------- - ---------- --- -- -- --- ---------- - - --------
Permit Fee Total 46 . 20 46 . 20 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 46 . 20 46 . 20 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
♦ 'rte-'�• ��
n. BUILDING PERMIT APPLICATION
- : CITY OF ATLANTIC BEACH
-��n►v� 800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 • Fax:(904)247-5845
Job Address: .S ys <f"/--;o j0 e e ,S4.P L 9Me. Permit Number:
Legal Description.3-%-- 6 Yl 7- 1 �t 9 E Sr,q So en,. 201
Valuation of Work(Replacement Cost)S .2 e fid,
• Class of Work(Circle one): New Addition alteration Repajr
• Use of proposed shvctwe(s) Circle one): Commerc'
If an• misting > wn�fire sprinkler system ? rPike): Yes o N/A
( =one approval
ofh �ciatnoroP qityeqN �
Yes
Describe in detat7 the type of work to be performed: Re- tro F dey-rn 3 0 -'e
NEED I*'C Fc P4f&^&r O tMra l i2
Property Owner Information ft Poo Rd V4 -11� Fe- lye
Name: Wr9 .?e Betlj�y Address: .f�S'
City 4HZ t--1ec e4c state�Zip Phone�'7(a &0.2 7
Contractor Information:
Name of Company: i3ibble ego o'F;,.'e Co, Qualifying Agent: f ti, 19r 6G/e
Address: 3.x1 f o't o." 9z 1, City—r-- State_fL Zip i'a�r7
Office Phone -73/ �s3 s' lob Site/Contact Number
State Certification/Registration# S� 6 Office Fax 4t--.2!0 K
Architect Name&Phone#
Engineer's Name&Phone#
Application is hereby made to obtain a permit to do the woo and inttailatioru as indicated 1 certlf j�that no wont ar Instdhation Am commenced prior to the
ssuame ofa permir and thar all>.orkw !�7 be perjomedm meet the standards Ball taws regular i cmnstmajon in thir ' fiction. 77risperwirbecomrettwll and
void ijwork v root eommeroced i.ithun six(6)mantle,or,r'constructiorr or norrk is suspended or abandoned jar a�erhod oficc(6)months at arty tame after war*is
commenced 'rX*':taredt/tatsrparatepermiw nmttbeaenrrcdjorEleotrAoa/WwlyPhtntbprg.Sr'gwr„Wdl% as j p�Cp�s,Be0er%TawkrandAa
Co»dttiomo.,etc
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR RAPROVEMENTS TO YOUR PROPERTY. IF YOU
ZqENU TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY
LICA KAY BE RECORDING YOUR NOTICE OF COMMENCEMENT.
4 Nobly Pubic-SOM of that l'Ime read and examined thus aBpllcation and know the some to be true and correct All provisions aflaws and ordinamcesg�rvsrmn rhe r
04Cm I In Exon comp spec�herernor"ot 77+egraruinga�apernutdoe.notpwumctogrreautharirytoriolateorcanx[therrovu"i.9:o
'+rye COIIM6W #DO 414981 e.or local law rfg`ar' o�rjthe perjorroaRee of eonsmucrion
8pided NMlotrNY
l— — — — — — — — roperLy Owner.
Signature of Contractor.
Swam to and subscribed before me Sworn W and su fore f
this l4 Day of�r�.1n_ �m-) this 14 Day of
Notary Public: N
uacV betoN hallaN' ,i ,uog o„' 3•. �P��,,, LftdDil KAY 6E00
l9srlr ao r � �••, N 01WY Public-Shue of Fbft
6002'Z Br►y 3 n �W - CamiMion Exp w Aug 2,2009
BDl�ld to Ml.S eloN Cpmflbn S OD 414981
00/r��/r�� e lu .SOF rt,A�
36 A� r/hNr f�V48d
DO NOT WRITE B 'p
Review Result(Circle one):
Approved Disapproved Approved w/Conditions Review Initials/Date:
Development Size
Habitable Space Non-Habitable Impervious area Total Area
Miscellaneous Information Conditions/Comments:
Occupancy Group
Type of Construction
Number of Stories
Zoning District
#Padang Spaces
lylax.Occu an Load
Fire S ers RequhvZ -
Flood ne
Revised 12!11106
L'd RbAC-/b7.-bf1� swetsi(e uoneunoiw EKrtM i in 71 nay