Permit Roof 972 Ocean 2011 '\ 1,
CITY OF ATLANTIC BEACH
r)
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002960 Date 12/02/11
Property Address . . . . . . 972 OCEAN BLVD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 475
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Application desc
roof repair
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Owner Contractor
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ARONECK H&K ROOFING
972 OCEAN BLVD. 1540-8 MONUMENT RD.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
(904) 642-5100
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 475
Expiration Date . . 5/30/12
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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 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 59 . 00 59 . 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:
�) Permit Number:
Legal Description W-2S -2-qc )r-j
TVU -10343 -
Parcel# 0 C)C)0
Floor Area of Tq.Ft. Sq*Ft
Valuation of Work$ Proposed V e i/cooled non-heated/cooled
--' -C7\
Class of Work(circle one): New Addition Alteration Repa�) Move Demolition pool/spa window/door
Use of existing/proposed structureQ) (�ircle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval# 31�(03
For multiple products use product approval form
Describe in detail the type of work to be performed:
,Pat,- - _2-
Property Owner Inforinnati
Name: III] Address:
City te Zip Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:_ K 60h�2s Qualifying A ent: A�(�s�
Address: I t�40 -A CAQV\y-on&ii CA city ---- --State Zip
Office Phone- n0q)�4z-MoD —,Job Site/Contact Number q0�--jk,,-45Ik& Fax# �z -5:,2-14
State Certificatl&r�Registration#- ( �1(I n
Architect Name&Phone# P1
Engineer's Name&Phone cl I
Fee Simple Title Holder Name and Address il
Bonding Company Name and Address ki /
Mortgage Lender Name and Address. 41
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 thisjurisdiction. This permit becomes null
and void ifwork is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period ofsi*x months at any time after
work is commenced I understand that separate permits must be securedfor Electrical'Work,Plumbing, Signs, Wells, Pools, P"rnaces, 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.
]here certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type 1�work will be co�nplied 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 otherfed ,state, or local aw regulating construction or the performance of construction.
Signature of Owoer I Signature of Contractorl, J-,o
Print Name . ....... Print Name Au�. w. .......Ko.(�,-.(.....................................................................
SM/orn tQ and subs i e re me p-and subscnib d bef1pre me
this -MA J/ . 20a 1 f AA , 20
-1-3 12-1�011�10 A .A
4ary Public Notary
OMMISSION#EE126475 ----�y COMMISSION*EE1126475
il, EXPt%M"j#W.,jq.q0
"I EXPIRES August 30 2015
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