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Untitled ` °W, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Buifding-dept@coab.us Application Number . . . . . 07-00000217 Date 3/02/07 Property Address . . . . . . 1356 LINKSIDE DR Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4000 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CHRISTENSON, BRIAN FLINT CONSTRUCTION SERVICES 1419 LINKSIDE DRIVE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 50 .00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4000 Expiration Date . . 8/29/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 50 . 00 50 .00 . 00 . 00 Plan Check Total . 00 .00 . 00 . 00 Grand Total 50 .00 50 . 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 a Fax: (904)247-5845 Job Address: �� L I �'b �' �� Permit Number: Legal Description JJ// Valuation of Work(Replacement Cost) $ 70�J4 • 0 D ■ Class of Work(Circle one): New Addition Alteration Move ■ Use of existing/proposed structure(s) (Circle one): CommercialReal ■ If an existing structure, is a fire sprinkler system installed? (Circle one): Yes W N/A ■ Is approval of homeowner's association or other private entity required? (Circle one): Yes No Describe in detail the type of work to be performed: �0 s,tm l2— Pro er Owner Inormation / n4h /P, Name: r, /t(U Address: L(�t CityA t1a., -C StatgaZip ZZZ9 Phone Lo 2-V - Z � Contractor Information: Name of Company: F( 4 ' aKs /t�c i�.� Sct�t�t 3 Qualifyin gent: Address: l�l�( Lig o,6 0<- City�� Xr&c7 State fL Zip f,;U33 Office Phone f 4- 9 94 . f6 aG Job Site/Contact Number State CertificationfRegistration# Office Fax# Architect Name& Phone# Engineer's Name&Phone# Application is hereby made to obtain a ermit 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 al!work will be perforated to meet the standards o{all laws regulating construction in this 'urisdlctlon. This permit becomes null and void if work isnot commenced within six(6)months,or if construction or wor/c is suspended or abandoned for a perioof six(6)months at any time after work is contntenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Sigtts,Wells,Pools,Furnaces,Boilers,Heaters,Tanks andAir 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. 1 hereby cert that I have read and examined this application and know the sante to be true and correct. All provisions oflaws and ordinances governing this type ofwor twill e complied with whether specified herein or not. The granting of a ermit does notpresume to give authority to violate or cancel the provisions o any other federal,state, or local law regulating constru tion or the performance ojconstruction. Xignature of Property Owner Xignature of Contractor: Sworn to and subscribed before me Sworn to and subscribed before me this Day of this Day of Notary *Pry Shb el�11e Notary Publ N Comn�rNon E�F�0 14, NoIIry l , D- - Comrnp�ion rK W 5116.0Bonded By NaUonai AIIn. 'k d mon t 00���"""t'" 8ottded 8 Neti0nel DO NOT WRITE BELOW THIS LINE: OFFICE USE ONLY Review Result(Circle one)