Permit Roof 357 Ahern 2012 ems? LiJ .I ,,,`, J � lik 11 CITY OF ATLANTIC BEACH
. 800 SEMINOLE ROAD
- "
ATLANTIC BEACH, FL 32233
i_ �.. INSPECTION PHONE LINE 247 -5814
r"'� r * ji .9"
12- 00000533 Date 5/03/12
Application Number
Property Address 357 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 . Plan Check Fee 00
Permit Fee . . . . 90.00 7500
Issue Date . . . . Valuation . . .
Expiration Date . . 10/30/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
.00 .00
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00
.00 .00
Other Fee Total 4.00 4.00 . .00
Grand Total 94.00 94.00
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 A . ar,..t 5-+- / 6,4 c L ems` � 2.Z— ? Permit Number:
Parcel #
Legal Description Floor Area of Sq.Ft. Sq.t''t •
Valuation of Work S `? 5 G o. ' Proposed Work heated /cooled
non - heated /cooled
Class of Work (circle one): New Addition Alteration
- ) 1V4ove Demolition pool /spa window /door
Use oen (s) (circ Commercial
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: j iG , Y 2 °..
Property Owner Information:
Name: 14" S L--L-C Address: (t 3$ gGS(€ hoe Lc. e 1 t.
City e vv ''.o S 1 � A State Fl Zip 12.0c- Phone clo •-1 Z- i---'s
E -Mail or Fax # (Optional)
Contractor Information:
21 - lo
o-3
an Name: ' (...0 (QN .- uv c -.% yr Qualifying Agent: � I )
Company �� ti ��,. City Cs f , (d,re Sp. / f State ... l Zip `'S i
Office e Bit' t'- Job Site/ Contact Number 6 16'-i - -) I a ' 2._(-16 Fax # H - . loo-3 Office Phone °1 U - o� , B�'h''
State Certification/Registration #
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address to the
Application uacef is hereby made to obtain a permit to or t1ed to and the stan ds of as indicated. I all laws regulating construction in this ju This perms'! becomes s mull
is of w a permit and that all work will be p f me alier
work D is co commenced. I commenced within six understand that separate permits or must be secured for Electrical - Work, Plumbing, Sig a Wells, Po o z Fu r naces, s Boilers, t � Heaters.
Tanks and Air Conditioners, etc A NOTICE OF
WARNING TO OWNER: IY,rO N YOUR PAYING TWICE COMMENCEMENT MAY RESULT FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEYD OBTAIN YOUR NOTICE OF WITH
YOUR LENDER OR AN ATTO COMMENCEMENT.
type s hereby certify that I have read and h whether eciaed or not. The granting of of a permit a correct. All
not pr gi laws and authority to governing
cancel this the
t i work a n be
y oth e rfe r a l wit p
provisions of any hr federal. state, or local law regulating construction or the performance of construction.
�.�-� ...0111.• Signature of Contractor
Signature of Owner ��
Print Name . _� ...- , , - - -- ,'
Print Name '�t - Cti�- �.�- ..
Sworn to an. ubscr_ i .:,I • - • - is - Sworn to and s i bsc 'b- d before me 20 4,
/ 20 t / tor /1 , _ 4
this ,►1a , of /�L .J - • • •. . 1.....14 /
tip '-v ., N Public State of Ronda
r y , i in. o ; am
® } o a �� ,,nu,,,.
N ota r �',,;, , C omm i ss i on Expires 9.2 -2013 ; .‘, r Notary Rub, i� m
" "�, � Commission No. DD 922164 Re Vise ,
0 , Vi „ omm'ss!on Expires L J - - 13 ,
No. DD 922164