Permit 831 Bonita Rd P
IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
............. INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000205 Date 2/24/10
Property Address . . . . . . 831 BONITA RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3800
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Application desc
REMOVE AND INSTALL NEW SHINGLE ROOF
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Owner Contractor
------------------------ ------------------------
MCDANIEL JOSEPH WHITES ROOFING
831 BONITA ROAD 14262 PLEASANT POINT LN
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
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Permit ' ' * * * * ROOF PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3800
Expiration Date . . 8/23/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
J9-
P7 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826 e FAX NO.:(904)247-5845
BUILDING-DEPTOCOAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
1,JOB ADDRESS: 2.VALUATION OF WORK 3.SO.Fr.UNDER ROOF
831 Bonita Rd Atlantic Bch, F1 3,800.00
4.LEGAL DESCRIPTION: -5.CLASS OF WORK 6.USE OF STRUCTURE:
1111tt 1 0 NEW BUILDING 11 DEMOLITION �FRESIDENTiAl-
LOT_BLOCK-SUB DIVISION 03120 Royal Palms 0 ADDITION 0 CONVERTING USE 13 COMMERCIAL
7.DESCRIPTION OF WORK I Oy,$LTERATION 11 ACCESSORY BLDG. 8.FIRE SPRINKLER:
I ErR.EPAIR 11 POOL/SPA 0 YES 0N/A
Remove existing roof, install new rpflL',, 11 OTHER 11 NO
PROPERTY OWMER: CONTRACTOR: ARCHI[TECT I ENGINEER:
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:
White' s Roofing Co. Inc
Joseph McDaniel 16.NAME:Tim White 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
831 Bonita Rd CCC058017
Atlantic Bch, Fl 18.ADDRESS: 26.ADDRESS:
14262 Pleasant Pt Ln
Jax. Fl. 32225
14.TFIMOIE: 12.FAX NO.: 19.OFFICE PHONE: 120.FAX NO.: 27,OFFICE PHONE: 28.FAX NO.:
9 - 220-5546 743-3677 1
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
FES SIMPLE TITLE HOLDER: BONDING COMPANY* MORTGAGE LENDER:
OF OTHER TK4N OVW4EM
31.NAME: 33.NAME: 35.NA E:
36.ADDRESS: U
Application is hereby made to obtain a permit to do the work and 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 performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OVMER or AGENT CONTRACTOR
(If Agent Power of Attorney or Agency Letter Required) Ip-sittieronty)
Signed: Date: Date: ?-a y
i&9 in the county of Before me this of IC 10 1 2009 in the county of
Before me this fjq 'day of
Duval,State of Florida,has personally appeareg Duval,State of Florida,has personally appeared
herin by himself/herself and affirms that all statements and declarations are herin by himself I herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,State of Fi County of Notar
y Public at Large,State of Countyof /1-zz
0 Personally Known El"Personally Known
11 Produced Identification- 0 Produced Identification
ALMNotary Signature: I Notary Signature:
DEBBIE J RITTER
DEBBIE J RITTER
DD920 172
My 17
EX 12,2013
MY COMMISSION#DD920172 MYCOM 172
MISSION#DD920
A
EXPIRES December
EXPIRES December 12,2013
BLDG01 Permit Application *;W&W 2J'820oPIoridallot,ryService.corn E(407)398-0153 m