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Permit 475 SturdivantCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000916 Date 7/21/10 Property Address 475 STURDIVANT AVE Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation 2250 ---------------------------------------------------------------------------- Application desc reroof fl 1956.3 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ROGERS, MARK DAVID MERRITT CONSTRUCTION 475 STURDIVANT AVE NUE 1930 RIVER OAKS ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 858-9400 -------------- ------------ ----------------------- Permit --------------- ROOF PERMIT ------------ Additional desc . Permit Fee 65.00 Plan Check Fee .00 Issue Date Valuation 2250 Expiration Date 1/17/11 ----------- ----------------------- Fee summary --------- - --------------- Charged ---------- -- -------------------------- Paid Credited -------- ---------- ---- - Due ------ ------ - Permit Fee Total 65.00 65.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 65.00 65.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERM:[T APPLICATION CFTY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904} 247-5$26 Fax (944} 247~~545 Jab Address: r ~ 1 ~ ~~1 /~L~~" ~{~f Permit Number: Legay Description Parcel # vo Valuation of Work $,~~ - oor a Proposed Work heatedlcooled non->aeatedJcaoled Class of Work (circle oae): New Addition Alteration R.ep~air Move Demolition pooUspa window/doar Use of ezistiag/proposed structure(s) fcircle one): Commercial ' If as existing structure, is a Hre sprlnl~ler spstem installed? (Circle one): Yes No N /A Florida Product Apppproval # ~ ~ [ For multiple prodact~s use p act approva arm Describe ixt detail the type of work to be performed: ~ Property Owner Information: Namc>• 1111 ~,tr k ~n ~ et''S City E-M Coatracbor Information: Company Name: V i~, ~~tr Office Phone " i7 ~~ [a `f State CertificationlRegistrafiion #~~ Architect Nanne & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Ad~ Bonding Company Name and Address Mortgage Lender Name and Address .lpplieation is hereby made to oGtaln a permit to do the wor,E and installations as indicated I certify that no work ar urstallaiion has commenced prior to the issuance of a permit and that all work will be perforated to meet the standards o, fal! la•.~s regulating construdian in thtsjurisdich'on. ?Trio perneit becomes twI! and void i}'work !s not commenced within srx (6} months, ar if cons~t action or wor,E is sus nded or abandoned for a~ ~~eertod oj'sax (6) »ionths at arty fuse ~?er work is commenced. I understand that separate permits must be secured for ElecCrict~Work, Pltrrnt-ing, Signs, i~ells, Pools, Ftcnracts, Boilers, 8 , Tanks analAir Condit7oners, etc WARNING TO OWNER: YOUR. FAILURE TO RECORD A NOTICE OF COIVIlVtEl~ICEMENT MAY' RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PitOPERTY. IF YOU II~TEND TO OBTAIN FINANCIl~iG CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO~JR NOTICE OF COMMENCEMENT. f hereb certify that I have read and examined this plleatio~ and know the same to be true and correct, A.tl provisions of laws and arditrances governing thGs type c~work will be complied with whether spec~ed herein or naL The granKng of a permit does not presume to gyve authority to violate or cancel the pro-isians of any other federal, state, or local 1Rw regulcutng constrrcctlon or the performance afconrtrtcction. _._ _._ _ Signature of Owne _ ~ = -'`~ ~~c Print Name ..._...~'~:- :q ` ~ _,_.._._.___ ............... Swo to and subscri d ~fo a me this Day of ~,.~~~~~ t~ I t, 20 r ' ~ ---DAVID E MERRITT lic =*; '**? MY COMMISSIQN # DD9288T7 %, p,,~'*' "k"";3F5 September 20, 2013 ~~,,,,~~ /407)39D-(11"': ;'aN©9arvService.rAm L'd 5tr89-LbZ-b06 or Fax # (Optional} - - __. StatefiJf~Zin 3z-2 City ~.J State vim- Zip 3 2~.~c Jab Site/ Contact Aitunber - j % Fa7c # Signature of Contractor L O hll Osuae}s~(S uol~euaao}ul eLO~ 6 6 O L OZ Inf