Permit 370 8th Street CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
19
Application Number . . . . . 10-00000492 Date 4/22/10
Property Address . . . . . . 370 8TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8S50 ---------------
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Application desc
reroof
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Owner Contractor
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SILLS MULLIGAN CONTRACTING, INC.
370 STH STREET 6542 PARVIN DRIVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210
(904) 838-9868
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Permit . . . . . . ROOF PERMIT
Additional desc . -
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 8550
Expiration Date . - 10/19/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 95 . 00 95 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
-BUY-LDING PERAM APPLICATION
CITY OF ATLANTIC BEACH
800-Seminole Road,Atlantic Beach,FL 32233
Office (904).247-5826 Fax(904)247-5945
)b Address: 3 7 0 7TH ST Permit Number:
egal Description 2 1,6' Parcel 9
Valuation of Work 5-0.
lass of Work(eircle one): New Addition Alteration Repair Move Demolition pool/spa window/door
%e of eAsting1proposed stractnreQ)((�rcle one): ' Commerciar Residential
an existing struciure,is d fire sprinkler gysteiii installed? (Circle one): Yes No N/A
.orida Product Approval It Q , OwIO67,9� lao 0 ,34q,2 .
)r multiple products use product approval form
escribe in detail the type of work to be performed: eC, RO 0-1C
roverty Owner Wormation
ame:j2d
.Z,92�SA - :57/U5 Address: 17 10
ity zrzf�;04N State/LZip 5;?23�3 Phone 75 62 ?,3
Mail or Fax#(Optional)---
Dntractor Information;
:)mpany Name: //VW-1 14-A0 c-OZ17"c LLN4-' ZAIK- Qualifjing Agent:
idress: .5's,3' City —54 it- state /-72 zip
Fax# ?af-
fficePhone Job Site/Contact Numl�er
ate Certification/Registration#
-chitect Name&Phone#
igineer's Name&Phone#
le Simple Title Holder Name and Address
)nding Company Name and Address
.ortgage Lender Name and Address
�pa or installation has commencedprior to the
ca " is thisjw�Fdfction. This permit becomes null
pi "OL re.
'ml' aWeriod ofs� at any time after
,an o ap
�V,id work is es,Boilei-s,Heaters,
rk is, encd I dwh,P601s,
nks andA!r Conddoners,etc.
WARNING TO OWNER: YOUR FAI[LURE TO RECORD A NOTICE OF
CoMaMNCEMEENT MAY RESULT IN YOUR PAYING TWICE FOR EqTROVEMIENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITII
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOM NOTICE OF
CONEMNCENIENT.
!re�certr _pp
fy that I have read and examined this a _lz'cati*on and know the same to be true and correct. Allpr
=iopa
.!aws and ordinances governing.this
work will be co�nplfed with whether speciffed herein or not. The granting of a permit does not pre authority to violate or cancel the
Yvisions ofany otherft�ral,sWe� or local law regulating construction or the peFformance ofconsfruction.
ru
patio of Owner Signatare of Con
ntName PrintName ............. ...
1
.......... ----------------..............
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ro t subscr* be mr--�q, o to'and su cribed efore 0
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efc IE
o 0
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s of 20 /
No&t
�tary Pub Not bIr Revised 0 1.2 6..10