Permit 1582 Ocean Boulevard X,
SS\
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number
Property Address 09-00002008 Date 12/15/09
1582 OCEAN BLVD
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation 1620
----------- ----
Application desc-------------------------------------------------------
fl 2533 . 1
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Owner
------------------------ Contractor
BECK, MARGERIE ------------------------
1582 OCEAN BLVD. NELIGAN CONSTRUCTION & ROOFING
ATLANTIC BEACH FL 32233 PO BOX 49249
JAX BEACH
--------------------------- (904) 247-3777 FL 32240
Permit ROOF-PERMIT---------------------------------------
Additional desc . .
Permit Fee 60 . 00
Issue Date Plan Check Fee
Valuation
6/13/10 1620
Expiration Date . 00
--- -------
------- ----
Fee summary Charged--------Paid---------------------------------
----------------- ---------- Credited Due
Permit Fee Total ---------- ---------- ----------
Plan Check Total 60 . 0o 60 . 0o . 00
Grand Total . 00 . 00 . 00
60 . 0o 60 . 00 . 00 . 00
. 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
09-
CITY OF ATLANTIC BEACH
Date: 0 9 ROOFING PERMIT APPLICATION
Job Address:
Owner of Property:
Address: 15 9-e2— Q (2L) 20relephone: 12 -70 -
RoofContractor: . k64 tate License Number: CCC 113 2S9'?T
Contractor's Address: P,
Telephone: Fax: Emaill)Q I
Scope of Work:11 Ad A"1=Ak M PW& Roofin2 Material 04f V'101Akj.1 Flm 06W h;c.:,
FL Product Approval# Valuation of Work:
Required Inspections: Sheathing/In Progress-Dry In /Final
if re-roof: Assessed Value of Structure:_<$300,000/_>$300,000;Roof-to-wall improvements required?
(Applies to single family structures only)
'WARNING TO OWNER: YOUR FAILURE TO RECORD 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 COMMENCEMENr
SIGNATURE OF OWNER. /,g jq
Date:
AS TO OWNER:
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval
Notary's Signature: is
0 Pe(so4ally known
V-Produced identification
Type of identification produced (�-ebo5n 7cow
SIGNATURE OF CONTRACTOR: Date: Z ()q
AS TO CONTRACTOR:
Sworn to and subscribed before me this ILI_day of 20 0 ocl
State of Florida,County of Duval
Notarj(s Signature:L
Personally known W
- - - - - - - - - - 0 Produced identification
NAM GOMEZ Type of identification produced
Nwry Pda-ma of Rod"
My Comm.EVkn jon 1,gol 3 800 Seminole Road-Atlantic Beach,Florida 32233-5445
9(14"sk. Cwff&"#W M940 Telephone: (904)247-5800-Fax:(904)247-5845 F:\roof permit applicaton.docx 7/28/09