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Permit 300 Garden Lane (2) �'r CITY OF ATLANTIC BEACH 07- '' -- • �'' f, 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 • ` ry OFFICE (904)247 -5826 • FAX NO.:(904)2 -5845, BUILDING- DEPT @CO AB.US J DUVAL COUNTY v p "iii r PLUMBING PERMIT APPLICATION ,_ �,,,, ..;. c, e -7 � ❑ NO DES PERMIT # FL 32233 x .. Atlantic Beach r :. e+v .YS;`� �� ,v--- "`, a' e i �;g�a�" 6. PHONE: �� _ `t as 5. ADDRESS IF DIFF RENT FROM JOB ADDRESS: 4, NAME: - � .� ll A s L 111 4 : a,�i "( t,k mm's -e3 =, 8. 7. E OMPANY: uMsOfF oCOlK a th0;0 7,j' '1� —333�- G � 10. C LL PHONE. G - 9. STAT OFFLORIDA fz ,j J7r7 /(Jv' 9'5-'7 y` 13. OFFICE PHOrJ 12. EMAIL ADDRESS: � ©. O yt� -/ Application radr s hereby made to obtain a permit to do th jurisdiction. This installations as l permit becomes null l and void f is not commenced within e six t (6) i is is commenced. standards i f a o laws regulating is s uspend in this months, or if construction or work is suspended or abandoned for a period of six (6) men �, at any time ' CONTRACTORS SIGNATU'I ❑ NEW ❑ RE —PIPE V✓ BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS — DISPOSAL SINK DRINKING FOUNTAIN >/ WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE — HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): SEE BACKFLOW AND IRRIGATION PROCEDURE SHEET ROOF DRAIN — P x .ri 1 l4l.B.fl! ,°.., 7,7777-277.75 t au `�fi�s, a mo:.. ,` ''` 3 � .,�s , *. i + x F es - . PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: _q__-__ x $7.00 (PER FIXTURE) + $35.00 = COAB FORM BLDG03: REVISED: 8/13/2007 • „c';'? CITY OF ATLANTIC BEACH �` ; ' ' ss 800 SEMINOLE ROAD r ATLANTIC BEACH, FL 32233 r ,,,„ ' INSPECTION PHONE LINE 247-5826 * 011 sfr* 08- 00000419 Date 4/01/08 Application Number 300 GARDEN LN Property Address Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . • • 8300 Application desc reroof Owner Contractor FANIN FORD METAL ROOFING, INC. 300 GARDEN LANE 6045 A1A, SOUTH ATLANTIC BEACH FL 32233 ST.AUGUSTINE FL 32080 (904) 471 -2819 Permit ROOF PERMIT Additional desc . Plan Check Fee .00 Permit Fee . . . . 71.50 8300 Issue Date . . . . Valuation . . • Expiration Date . . 9/28/08 Fee summary Charged Paid Credited Due Permit Fee Total 71.50 71.50 .00 .00 .00 .00 Plan Check Total .00 .00 Grand Total 71.50 71.50 .00 C - ki 66 � b �I � ti PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ,;,.� CITY OF ATLANTIC BEACH ( ------..„ ;,, _,.9� 8 00 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 r j OFFICE: (904)247 -5826 • FAX NO.:(904)2 -5845 BUILDtNG 08- __111_1_1 __111_1_1 DEPT�COAB.US DUVAL COUNTY � p? ;t 9 M BUILDING PERMIT APPLICATION 3. SC FT. UNDER ROOF 2. VALUATION • F WORK 1. JOB ADDRESS: / - 7 36o d � t_ USE OF STRUCTURE: W I• S. CLASS OF WORK: 0 RESIF STRUCTURE: 4. LEGAL DESCRIPTION: ❑NEW BUILDING LOT BLOCK SUB DIVISION S yam Memo - /G' ❑ ADDITION ❑ CONVERTING USE ❑ •MMERCIAL p/ a ALTERATION ❑ ACCESSORY BLDG. 0 IM c 7. DESCRIPTION OF WORK ❑REPAIR ❑POOL / SPA ❑ NO 1:1 MOVE ❑ OTHER _ . --. •n?- .a - 23. COMPANY NAME: 15. / M MANY NAME: ayd/°s�5 � 9. NAME: 7 iiiiii 18. NAME: M 940 r AivJ i(/ AU / /� r 25. STATE OF FLORIDA LICENSE NO.: S) 17. STATE t..I/ � I � � E �� J I ° �/ 10. ADDRESS: 28. ADDRESS: 3 00 4fh '' 18. v as, IQO Armerrt go . 32.33 57 . 4 6 0 -`ZI'op a 3.x9 6:z 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: 70/ 4 6 'en / , • . /.. - /r 29. CELL PHONE: 7° E- ll I f. 1 I 13. CELL PHONE: 21. CELL (� 30. EMAIL ADDRESS: n. EMAIL ADDRESS: ��` C , 74. EMAIL ADDRESS: F ' ..� & - BONDING COMPANY: MORTGAGE LENDER. IIINIIIIIIIIIIIIIIIIIHMIIIIIIIIIIIIIIII 38. ADDRESS: 34. ADDRESS: 32. ADDRESS: Application is hereby mss no o ln of a ermit and thataalt work will installations no work or installation has be performed to meet the standards of all laws co regulating construction in this commence T p the issuance p suspended or jurisdiction. o a permd f six becomes months void time after work is commenced. six understand thatfseparate apermit w must s be secured for ab for a period of six (6) Electrical Work, Plumbin ! , Si ! ns, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. applicable OWNER'S AFFIDAVIT - I certify ton. the foregoing information he refe encced building or any part he of, until alt i spections with are l finaled and laws regulating construction and zoning. I will l not occ cupy yor prior to obtaining a certificate of occupancy completion issued ARNING building official, as required lk law. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT A NOTICE RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. OF COMMENCEMENT MUST BE RECORDED AND POSTED ON NG THE JOB SITE W BH YOUR THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FIN LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNE - • AGENT / .: / CT Power of or Agency Lettet Rerndred) Alr /,/ 1 ` Date: / ! 0 Si gned: /►� �po the county of • Signed: . s "�� �' �' �' �'`�` J / V �: this 1 day • l m� , 20w t Before me this /. day of �IQ� , 200Vin the county of Befo Duval, State of Florida, has personally appeared Duval, State of Florida, has personally appeared Duval, r in .t k" ray►✓ harm by himself / herself and affirms that all statements and declarations are true himself / herself and affirms that all statements and declarations are cc true and accurate. �y County of L - / L , C ounty of �� Notary Public at Large, State of Notary Public at Large, State of l�Peraoneuy Known 0Perd Known CI Produced Identlficabon - ❑ Produced identification - / _ � - -�J, Notary Signature: �Iv Notary Signature: AF∎ ���� J. , r . or • .:* z GREGORY J BARTHOLOMEW GREGORY J BARTHOLOMEW ' `' =� �, . '�+ " =•� • ,,, 'e MY COMMISSION #DD755924 co/e •� ; ;.,• �v�s eN # D D755924 ' ? EXPIRES February 06, 2012 E February D OS D �`� (4 ridallolaryServicr.cn o (407) 3!8.0133 FkxWaNeia o m Sarvicr.coni 07)398.0153 Flu