Permit Roof 824 Cavalla Rd 2010 IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001170 Date 9/23/10
Property Address . . . . . . 824 CAVALLA RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
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Application desc
reroof
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Owner Contractor
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LONERGAN CENTURY CONSTRUCTION INC
824 CAVALLA RD 6871 TAMMY LANE
ATLANTIC BEACH FL 32233 ST.AUGUSTINE FL 32095
(904) 669-8411
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2000
Expiration Date . . 3/22/11
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 60 . 00 60 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BLiLDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address: m 9 6ei va Permit Number:
Legal Description T�t- eAS4- 16,q 0 C�t- c,1��e Ldd+ 3fo?4A' IoH Parcel#
Zt,
Floor Area ot Nq.P't. Nq'k't
Valuation of Work$ —Proposed Work heated/cooled �,M non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition poollspa window/door
Use of existing/proposed structure(s) circle one): Commercial Residential
If an existing structure,is a fire sprinMr system installed?(Circle one): Yes No N/A
Florida Product Approval#—R. 3ec-?' o
For multiple products use product apliroval form
Describe in detail the type of work to be performed: 1e-
Property Owner Information: ;lve
N
CiT
E-Mai
Contractor Information:
CompanyName: QualifyingAgent:
Address: &3?7 / /.qii-4v -L Ifil,
Citv State Zip 770
if ClIf Fax
Office Phone Job Site/Contact Number
State Certification/Registration 2ef 2
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
a he �ade b an a ermi d ork and i t a,a �ns a ind� or installation has commenced rior 0
w �;ta ' Sa thisjurisdiction. This permit bpcmets nt 11
7r
f k S, aWeriod of s�P5)months at any time a
0
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and k en d thin s on 0 t' I fter
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or I c c s ul
is 7 0 1 d a e, b ed Ee e Pools, urnaces,Boilers,Heaters,
"rk f 'ced nde
is co me
T ,Con . 0 rs
anks andA, Olt n ,eta
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EWPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOVIi NOTICE OF
COMMENCEMENT.
dth*
1here cer!ify that I have read and in us iplication and know the same to be true and correct. Allprovisions of laws and ordinances govern*n
,Lg this
exaT e sfecitd herein or not. Ae granting of a permit does not presume to give authority to violate or ca el the
type.111work will be co�nplied with whi ther ft
provisions ofany otherfederal,state, or local a w regulating construction or the peT�`brmance ofconstruction.
Signature of Owner --r-eia-p— Signature of Contractor-z�
Print Naine ,0q)CV F- 4-61JER61k Print Name .....................
............ .....
Swj j4d su b scr i b e Swo d subser' be e me
Day of �-D of 20/0
thi 2V this
Xotary Public Notary Public
Revised 01.26.10