Permit 409 Mako Dr 2010 s } , J" CITY OF ATLANTIC BEACH
J
tl 800 SEMINOLE ROAD
- ATLANTIC BEACH, FL 32233
\\\._ INSPECTION PHONE LINE 247 -5826
Application Number 10- 00001398 Date 11/19/10
Property Address 409 MAKO DR
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 4800
Application desc
REROOF
Owner Contractor
BOYLES, ROBERT J. CARLSON ENTERPRISES LLC
932 CANDLEBARK DR
ATLANTIC BEACH FL 32233 (9CK)ON7ILLE80 FL 32225
Permit ROOF PERMIT
Additional desc . .00
Permit Fee . . . 75.00 Plan Check Fee .
Issue Date . . . Valuation . . . . 4800
Expiration Date . 5/18/11
Special Notes and Comments
NEED NOC
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 79.00 79.00 .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: Lf oq 4 K-c) 0 cc Permit Number:
Legal Description Y- CE:A. Q CV k, I Parcel #
L ' 1 ea f q N't. Sq.Ft
Valuation of Work $ LI a OD Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration R epair Move Demolition pool/spa window /door
Use of existing /proposed structure(s) (circle one): Commercial :_esid- 1
If an existing structure, is a fire sprinlder system installed? (Circle one): Yes No N /A
Florida Product Approval # t_ O, d ,1- -1 - 124
For multiple products use product approval orm ,�
Describe in detail the type of work to be performed: r� e,._ rte-(
Property Owner Information: ii II �f
Name: 0 e ip a A r Address: 14 0� C kD � 1 r
City CalMIWI NI RSTEW StateF L Zip , Phone (1 hi-1) A1 g 191p
E -Mail or Fax # (Option. )
Contractor Information:
Company Name: ` )c lr bon 'e n Y 5CC 5 Qualifying Agent:
Address: . 3 t� LADRI le )r �° ` . Cit4j State EL ZipeS�
Office Phone ('1 bN) ;310 N IN Job Site/ Contact Number ' D5 a 'Kt - 1505 Fax # (4 1)1 13 - 0l1
State Certification/Registration # C,C,G 1 3 `'1 LD
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 certify 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 f work is not commenced within six (6) months, or if construction or work is suspended or abandoned fora eriod of six 6) months at any time after
work is commenced I understand that separate permits must be secured for Electrical - Work, Plumbing, Signs, Wells, Pools, F urnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
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.
! hereby certify that I have read and examined this and know the same to be true and correct. All provisions of laws and ordinances governing this
. application
)pe of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
7rovisions of any other federal, state, or local law regulating construction or the performance of construction.
ture of Owner "mil
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� �� Signature of Contractor i �
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?tint Name &r v .� Bo � [ e S Print Name �jlQ � u,.! Caw (S.ltf-
Sworn to and subscribed before me 1 Sworn to andsnhcrriheri before me
his IT Day of /V•✓ , 20 to this 4_ Da k' n1 41MMCHNA PATEL , 20(0
f*.: .a •`_ MY COMMISSION # DD790288
Jotary Publi j/ : •
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MY COMMISSION # D D7 3 98 -0153 F�oridallotaryservice.com
..';,.:1414:0 90286
EXPIRES May 19, 2012 Revised 01.26.10
407 )398 1 0153
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CLERK OF COURTS 904 270 1512 TO: 924751345
NOTICE OF COCET
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:OURT CUVAL EXPIRES May 19. 2012
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NOTICE OF COMMENCEMENT
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To whom R may oatosnti
Eye endendened honey informs you used iaprowrwibs von bs mode to wide rad peopoly. and In
aooadeino with $.than 713 o f s an e M i d d l e s . Wheelie h is sieled in die NOR GE OF
Legal deacrld on or property bdno Improved: 12--9 : 1 `� / pct. j 4 it-j VL- -
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Name
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Adanes Amount d bond $
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Name and address at any pence mama non loran oonelmefon dew Imp ovement&
Name • '
Address
Phone No. • fax No.
Nome of moon *Nib the Slab of Ralik. oilier Inn Went. ds.ipnsled by mew upon wham notices or other
docienee t nay be oonrat
Name
Address
Phase No. Fax No,
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/Bodies 713.015(2)(b). Florida ambler. (Fl in at Owner's open).
Name
Address
Phone No. Fax No.
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. •''^r* * EXPIRES May 19, 2012
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