Permit 1225 Selva Marina Cir 2011 ROOF CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
..............
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002275 Date 6/28/11
Property Address . . . . . . 1225 SELVA MARINA CIR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1613
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Application desc
reroof
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Owner Contractor
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BARKER GRASTON ROOFING CO INC
1225 SELVA MARINA CRL. 2680 FOX HUNT TRAIL
ATLANTIC BEACH FL 32233 ST JOHNS FL 32259
(904) 287-0298
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . . valuation . . . . 1613
Expiration Date . . 12/25/11
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 64 . 00 64 . 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
JobAddress: Ski-VA mftjoA c,10- kTLAr,%"1C- SLAM Permit Number:
Legal Description Xz.-Ll 16-as -XIF- SELvi makwA omz No I Parcel 9 17 N IA.-0000
P toor Area ot Sq.P't. Sq.P't
Valuation of Work$ 1 (613-A-:;' Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration (j�� Move Demolition pool/spa window/door
Use of existing/pro osed�structure(s) (circle one): Commercial esidenti
If an existing structure,is a fire sprinkler system installed? (Circle one)d: ��esNo N/A
Florida Product Approval# EL 979.13
For multiple products use product approval form
Describe in detail the type of work to be performed: c�p E:Ivo H
F-r- A-T 1vc MAP OF & IrJ
71VL LEAK , C.Lk-7A,,,flkh,6 FL1,1tt.4RiC- GTA KOINIC-AA likAftea')r.)
Property Owner Information:
Name: eeqA,,j &A,"*AL 1 UM SA-AN&= Address: (eiz &F-ACA Ayf-
City A7LAwmc- Qi�� - State r-L Zip jjAjj3 Phone--(jog) S'AX-3899
E-Mail or Fax#(Optional)_
Contractor Information;
Company Name: GgAsaoj ftoroFiNc. co tros- Qualif�ing Agent: a aw i F-L R GMS7c,-J.
Address: A(Plo Fmuawar-rAA jL City SAINn Togtis State F t� Zip .3:L;o
Office Phone Cjvq�-ak�-0 A.Cis —Job Site/Contact Number (�oy) Fax# (qoq�
State Certification/Registration# C-C-C-057AV
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
e d 'n a e nu to do he rk and ns alla ns a *ndicgd 'certify that no work or installation has comniencedprior to the
latingy construction in thisjurisdiction. This pernzit beconies null
aca n * re a e b f t wo t t s',�aws e�� fsi%)nionths at any tin7e ter
is n O't 1 r t dto m ta rods
a p
k Ss
u nd d oj abandonedfor aWeriod o afi
m t to w r 0 "e f ctric or Is
PP' ce io ape by d ha al wo k ep) r he 0
'ssu n 0 �It a t c'�a ire a k
0, �,
and d i o'k is m e�ced thin i'(6 mont or c n tru t on or 0 Plumbing, Signs, Pools, urnaces, Boilers,Heaters,
e "cur f
'o c "I' not 0 Z rta wi s it Ob es ed orwE
k ' n, d, I nd nd that separate Per ,M, t
a,ks atul�jr Con itinrs,'tc.
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I here certify that I have read and exanzined this application and know the sanie to be true and correct. All provisions of laws and ordinances governing this
type 111�work will be con7plied with whether specified herein or not. The granting of a perinit does not presuine to give authority to violate or cancel the
provisions of any otherfederal,state, or local 1 egulating construction or the performance of construction.
'flSignature of 0 n Signature of Contractor 41�2
Print Name ............
Print Name
................
S,worn to and subscribed before me Sworn to and subscyfbed efore me
this7A Day of E�)43 20 this ay of 120 /
t"Atoct r
�Notary Public P!, tlotarfl PL&Iic'ita�f of F�mda Pvbk-SW*
at 4W
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Tfflany X,4ust VjCWW"0EX0ftFqb2iM1
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1. -) Fxfmes Feb 21�
i r (�v�res(16/26/2012
a DD 751313
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