Permit 436 Osprey Key SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000529 Date 4/30/10
Property Address . . . . . . 436 OSPREY KEY
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3400
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Application desc
reroof
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Owner Contractor
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CALLAHAN A TO Z REMODELING & HOME
436 OSPREY KEY REPAIR INC.
ATLANTIC BEACH FL 32233 131 S . WILDERNESS TRAIL
PONTE VEDRA BCH FL 32082
(904) 273-7042
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3400
Expiration Date . . 10/27/10
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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 ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
JobAddress: Permit Number:
Legal Description Ed v-e-,5' 6--o 7- Parcel#__Sq.1A
Valuation of Work k1oor Area ot Sq.rt. on-heated/cooled
Proposed Work heated/cooled n
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one): Commercial esidential
rele on giRo
If an existing strucCe,is a fire sprinkler system installed? (Ci e): e
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed:
Property Owner Information:
Name:�$U 5461 -C- C-4 C Address: 4 3(- 01 e a f i� *4 '1
City .4+1e,,V6,C of-14 State R. ZiP37-z f Phone 9vq—X'11 - 1,F65_
E-Mail or Fax#(optional)
Contractor Information:
Company NameX L-2 X&W&&-z--'^k-, V,-Lew, Qualitiing Agent:
Address: I�5 City /p2:, Z'
kJ/1-0 5S -7764 - — .4-- State 5ZC28
Job Site/Contact N;rber Fax
Office Phone 223_-2_0't 2- #
2,
State Certification/Regis ation# - -2- q 7--
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
-4 here ade an a e do the work and ns a nd or installation has commenced he
prior 0
to m i t "at'o as thisjurisdiction. This permit bcom,s n'
m,Z ��tan�ar al i mgod ofsixj6)months at any time after
f k aW
,fton 0 0 1 ul
c", 'w 'cirl e 's,Heaters,
tl r 1'' d�o,E e Pools, urnaces,Boiler
L 1 11't ' pi I be 0 ed to tt
P ca 's that a 0 'k
p 'i 0
,a c a e m rm ths, or
(6 it t
) 0 bes
Wd thin s
it 0
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0
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w ,v 'c' wo c, "d ta d ha e a a e e
7'� k is " d 's
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT 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
COMMENCEMENT.
I herelb cer!ify that I have read and exami.ned th' �plication and know the same to be true and correct. Allprovisions oflaws and ordinances governing this
11s a
work will be co�nplied with whether ecip1ped herein or not. The granting of a permit does not presume to give authority to violate or cancel the
sf,provisions ofany otherfederal,state, or local aw,regulating construction or the peiformance ofconstruction.
..............
Signature of Owner Signature of Contracto
... ...........
..................
Print Name Is t Print Name ................................................
I....................-ts'a-V I.............0
Sworn to and sub cribed before me S to and sub lbed before me 70 �o
this IqL Day of G,(N� 20\0 Zi.'sork- Day of
0 ub ORIE M.ADAMS44ANUO
hotary*uNOTARY PUBLIC NOTARY PUBLIC
STATE70F FLORIDA j Revised 01.26.10
STATE OF FLORIDA
Comm#D00933778
Cornm#00=778
X011
Expires 10/30MO13 Expires 10/30/2013