Permit Roof 1595 Linkside Dr. 2011 c -- ` � CITY OF ATLANTIC BEACH
0 800 SEMINOLE ROAD
,<<. ' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
JJ3lDr"
Application Number 11- 00002609 Date 9/12/11
Property Address 1595 LINKSIDE DR
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 3608
Application desc
SOFFIT AND FACIA
Owner Contractor
MUTH, FREDERICK BETTER HOME IMPROVEMENT (ROOF)
538 PARK AVE
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073
(904) 278 -0810
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 70.00 Plan Check Fee .00
Issue Date Valuation . . . . 3608
Expiration Date . . 3/10/12
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 70.00 70.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 74.00 74.00 .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: J 595 LM e6i d Q ( P it tuber•
Legal Description <- 7 -g5 17 - r2� � �'3'
a Floor Area of t. �i �r ' Parcel # /7e3
Valuation of Work $ &o& . o tY Proposed Work h /cooled n - heated /cooled
Class of Work (circle one): New Additio Alteration Repair Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial Restden
If an existing structure, is a fire sprinkler system installed? (Circle one : es N /A
Florida Product Approval # p` HO( ( i .3
For multiple products use product approval form
Describe in detail the type of work to be performed: v'ri
Property Owner Information:
Name: �oJ(`it� Address: / J �S �`�iK� C- r
City 4.; _ k_ Stated, -Zip a.2 -X 33 Phone Lie? gt o
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: 4-Ln rev e,? Qu alifyin �Agent: ��i vi - 4-1U r/-€ y
Address: -573 $ y y 0 State
Office Phone 4 - 0270 Job Site/ Contact Number lig
State Certification/Registration # C i c o5-9/4-7.;.? �/G —�r�/l '`T Fax #
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 if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod ofsix 6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical TVork, 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.
I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type 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
provisions of any other federal, state, or local taw regulating construction or the performance of construction.
Signature of Owner . ,,, Signature of Contractor c =�
Print Name f r1
' Print Name 60 'r /4
Sworn tc and subscribed before me Sworn so and subscribed before me this 1d,' Day of 404apnot2t4 , 2011 this Ja Day of / , 20` /
ry 4 a � , SUZANNE LEAVER •tart' ' s i �� Yp �
_. 4%A Notary Public • State of Florida a% SUZANNE LEAVER
0 4 My Comm. Expires Dec 17, 2012
• ? ttotar I�G' tate of Fl orida
Commission # OD 846362 '- E "►" u
�''O,',� �.°k`' ' + ��� e,•' ec 17.2012
'�,�;; ;°,':•� Commission # DD 846 362