Permit Roof 885 Seminole 2010CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000972 Date 8/04/10
Property Address 885 SAILFISH DR
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation 1000
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Application desc
overlayment
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Owner
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DUREN
885 SAILFISH DRIVE
ATLANTIC BEACH FL 32233
Contractor
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A-Z ROOFING INC
1032 W EDGEWOOD AVE
JACKSONVILLE FL 32208
(904) 766-5758
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Permit ---------------
ROOF PERMIT ----------------- ---------------------
Additional desc .
Permit Fee 55.00 Plan Check Fee .00
Issue Date Valuation 1000
Expiration Date 1/31/11
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Fee summary
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Charged
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Paid Credited Due
-------- ---------- ----------
Permit Fee Total 55.00 55.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 55.00 55.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY 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
~~~ sf,Cl/L ~~~ ~/l~~ e!~c.%~ ~~~~ `~~.~~mit Number:
Job Address•
Legal Description Parcel #
oor ea o q. t. q. t
Valuation of Work $ ~G • a0 Proposed Work heated/cooled non-heated/cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa window/door
Use of existing/pro~osed structure(s) (circle one): Commercial Residential
If an ezisting strut ure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use pro uct approva orm
Describe in detail the type of work to be performed:
City
or Fax # (Optional
Contractor Information:
Company
Office Phone ~`'~1 f ~ Job Site/
State Certification/Registration # LC/3'~
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and -Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I cert~ 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 of work is not commenced within six (ti) months, or if construction or work is suspended or abandoned for a peraod of six (6) months at arty time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, 1~'urnaces, Boilers, Heaters,
Tanks and Air Conditioners, etG
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 FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereb cert~ that I have read and examined this a placation and know the same to be true and correct. All provisions o, f laws and ordinances governing this
type of work will be complied with whether sppec' aed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, sue, or local lgw~gulating construction or the performance of construction.
Signature of Owner
Print Name / f >~' if
Sworn to and subs abed before me
this Day of C~ , 20 ? V
i ~~
~'`tNo ry Public
.ZP~1~,:~L"~: James -. BQec~~,g`
E+ Commissio+ ~ t-}~j a =~ ''
,~~, ~, ; ~
=~; ,~~`~' expires ~c?onQr s- ~;
~~~iet~' ,9antled Troy Fa•~n rns rnnce !nr rSu(k 3A5 -~i~~~
City ~/ ' ` ,~' ~ State~~ Zip
Number f7/~=~/ -yle~''7 Fax # ~l~G~/) 1(d,,--5
Signature of Contractor G'' f /7~!~l~ t:1CC e~Y%bv
Print Name ~~ /~-~ ~~~
Sworn to and subscribed before me
this ' ay of ~ T~ ~:/ , 20 /O
~ •~~~~~
otary Pub is
~SR~,a Revised 01.26.10
irk ~`~usy Ja~~es fi. Beecher
Commission # DD598116
"9 . a`: Fvnirpc (lrtnher 27 2010