Permit Roof 349 Ahern 2012 CITY OF ATLANTIC BEACH
-, 800 SEMINOLE ROAD
A ; ; ,,, , ,," ATLANTIC BEACH, FL 32233
y ° ° ' INSPECTION PHONE LINE 247 -5814
J, ,k
Application Number 12- 00000531
Property Address Date 5/03/12
349 AHERN ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 7500
Application desc
ROOF REPAIR
Owner Contractor
BTMJS LLC K & G CONSTRUCTION CO INC
1635 EAGLE HARBOR PKWY SUITE 4 2180 AARON DRIVE
ORANGE PARK FL 32003 GREEN COVE SPRINGS FL 32043
(904) 509 -8888
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 90.00 Plan Check Fee .00
Issue Date Valuation 7500
Expiration Date . . 10/30/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .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: `'S ""k A k e r„i s 4 1L,,, , l,c_ .ec c
3 2 - 2 - 3 3 Permit Number:
Legal Description
oor A ea o q. t Parcel #
Valuation of Work $ 7 5 DG. �" Proposed Work heated /cooled t
non
Class of Work (circle one):
New Addition Alteration
citepir' Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No
Florida Product Approval # N /A
For multiple products use product approva orm
Describe in detail the type of work to be performed: - 2 ♦ c i
cis
Property Own Information
Name: T.M — [-L
City F`t e \ cl a Address: Jti S E"g 11 arty- "
State
E -Mail or Fax # (Optional) �1 Zip 23� _phone qc�1-t _ ,.
Contractor Information:
Company Name: w 4•- 6 0,, N c +�
Address: Z Ord �� �� � r Qualifying Agent:
Ad s: `(owl - S�q 0 -.J 1 City G C.,�S s State F
Job Si,--‘ Site/ Contact Number ,iv lQ „ Zy�). - Fax -# - --�- -- - Zip 3 Z °y
` o 'I- 6 ZI_
State Certification/Registration # ce c t 3 : y a 9 c
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 certibt 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 a period of six(6) months at any time after
work is commenced. / understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo 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 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL MENTS
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE
COMMENCEMENT. OF
I hereby certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authori. to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction. ordinances governing this
authority
Signature of Owner --"" AO.P
Signature of Contractor , �/�
Print Name re„..- (, ft i
Print Name Ai r A) bA-66L
Swam tp a d suiscri. -. before me
this D;� `��� 20 Sworn to d , ubs ;,:d before me
�: F this i�.y' •f /j
v- 4 1. - ����*�'-- ren T Higginhothnm ; -.-, - ,1t4 _._ . - ......�.� _ 20
Nota� Pu: "" � . • .: . , � abs • „maim rAve�/" / Kdr'nT,Hi
l No tary Pu t \ .
%,,,O h 1 ommission Expires 9-2-2013 + �.
Commission No. DD 922164 i, ;ommission Expires 2-2013