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
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Application desc
reroof
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Owner Contractor
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CHRISTENSON, BRIAN FLINT CONSTRUCTION SERVICES
1419 LINKSIDE DRIVE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904)
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 50 .00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4000
Expiration Date . . 8/29/07
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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)