Permit Roof Unit 28 - 1010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001163 Date 9/22/10
Property Address . . . . . . 2233 SEMINOLE RD UNIT 028
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4200
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Application desc
reroof
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Owner Contractor
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LUCKIE MULLIGAN CONTRACTING, INC.
2233 SEMINOLE #028 6542 PARVIN DRIVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210
(904) 838-9868
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4200
Expiration Date . . 3/21/11
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Special Notes and Comments
NEED NOC AND GEN LIA BEFORE INSPECTIONS
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 75 . 00 75 . 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
Job Address: 0?933 5 4R
a4g_& cm,��le )-c�a Permit Number:
Legal Description n'? -,�l .5 - 9 F 6�-.-, ,j Z.//a 3,
,
k1oor Area ot Sq.Ft Sq Et
Valuation of Work$ Yd 00. Proposed rk heated/cooled no'n-heatec]Vcooled
Class of Work(circle one): New Addition Alteration Move Demolition poolispa window/door
Use of existing/proposed structure(s) (circle one): Commercial esidentia
If an existing structure,is a fire sprinkler system installed?(C_ircle one):gizRSNO
Florida Product Approval 4 jc'L 3),�t f.S.1-c JA 1�6
For multiple products use product approval form
Describe in detail the type of work to be performed:
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Property Owner Information:
Name: ZD241z""'D —Address: ZD
City__,4 IP
,&d�//e� < A --iL State e K
E-Mail or Fax#(Optional 2-z 33i o n -Z 7 7
Contractor Information:
Company Name:
Ille- _-Qualifying Agent: 1107telcIz—, 'd- A/./'!zz/"*
city State. I-
Nddress: LUW PX11_1Z1,R5 I ZA -zip
Dffice Phone Job Site/Contact Number gig/"- ?Ep-4?2,�,F Fax# ft4 - 5'z d
State Certification/Registration4
Architect Name&Phone#
Lngineer's Name&Phone#
Fee Simp I c Title Holder Name and Address
Bondin-Company Name and Address--
�Torf,gage Lender Name and Address
*Ipplication is hereby made to obtain a permit to do the work and installatiors as indicated. I certify that no work or installation has conzinencedprior to tile
ssuance ofa permit and that all work will be pe?ybrmed to ineet the standards ofall laws regaLating construction in thisjurisdiction. This,permit becomes null
ind void if work is not commenced within six(6)months,, or if construction or work is suspended or abandoned for a period ofsix(6)mo,ahs at any time after
vork is commenced. I understand that separate permR3 must be securedfor Electrical Work,Plumbing,Si&s, Wells,Pools, Fitrnaces,BoileiE,Heaters,
ranks andAir Conditioners,eta
WARN-UNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESU1,T IN YOUR PAYING TWICE FOR UAFROVI!fM[ENTS
TO YOUR PROPERTY. ]IF YOU' INTEI',P)) TO OBTAIN FINANCING, CONS-ULT WITH
YOUR LENDER OR AN ATTORN TE I( BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
-hereb that1have read and examinedthis applical[on andknow th,�,-,,ame to be tru(,�indcorrect. Allprovision
cerz zly s and ordincinces governin,�,,�l tl�ns
-k will be compliod with whether specijTed her,�,,in or not. The granting of a j,_)ermit does not presume t q.�v authority to violate or cal", the
ype o wo;
wovivions ofany otherfederal,state, or local law regUlaling construction or the perfor,�',�tznce ofconstruction.
11griature o F Owner Signati-iro of Contrae
10,
'rintN,q.mo Priiii Name FRI 4: .... .............
............. .. ....................... ................. . .................. . ..........
)woi-i.-i to and sul-scribed befowc,me S
"woul)t0o] d
1)is Day of 20 this—<-4) 20
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Revised 01.26.10
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