Permit 1731 Park Terrace E (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Buil ' -de t coab.us
Application Number . . . . . 07-00001335
Property Address . . . . . . 1731 E PARK TER Date 9/27/07
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation 8375
----------- ----
Application desc-------------------------------------------------------
REROOF FL 1956 . 1
----------------------------------------------------------------------------
Owner
------------------------ Contractor
HARRIS ------------------------
1731 PARK TERRACE EAST CB ROOFING
P 0 BOX 50935
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
---- ------
Permit ROOF PERMIT---------------------------------------
Additional desc
Permit Fee 75. 00 Plan Check Fee
Issue Date Valuation . . . . 00
Expiration Date 3/25/08 8375
--- ------- ------- ----
Fee summary Charged--------Paid---------------------------------
----------------- ---------- Credited Due
Permit Fee Total 75 . 00 -----75 . 00 ---------- ----------
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 75 . 00 75 . 00 . 00 . 00
. 00 . 00
t'UMUT IS APPROVED ONLY IN ACCORDANCE WrrH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 07-
OFFICE:(904)247-5826 9 FAX NO
(904)247-5845
BUILDING-DEPT@COAB-US
BUILDING PERMIT APPLICATION
2.VAL ATION OF WORK: DUVAL COUNTY
;F 3.SO.FT.U DER ROOF
1.LEGAL DESCRIPTION:
LOT !-1E,3:L,OCK 6-USE OF STRUCTURE:
_SUB DIVISION NEW BUILDING....... . ... ...... ........
v 0 ADDITION 1 1 DEMOLITION ESIDENTIAL
0 CONVERTING USE
/LI El ALTERATION El COMMERCIAL
gREPAIR 0 ACCESSORY BLDG. .FIRE SPRINKLER:
PROPERTY OWNER: 0 MOVE 0 POOL/SPA 0 YES El N/A
9 NAME: CONT TOR: 0OTHER NO
15.COMPANY NAME: ARCHITE I ENGINEER:
e--- '0 4 23.C Y NAME:
16.NAME OMPAN
10.ADDRESS: L cc� 24,LICENSEE NAME:
17,STATE OF FLOR
IDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.
c-C— e'
-5 18,ADDRESS:
26.ADDRESS:
11.OFFICE PHONE: 12.FAX NO.,
'2YI 19 OFF111 .............................
1 2`0' F',',A NO.:
CELL PHONE: RC(/ '� .OFFICE PHONE: 28,FAX NO.
ae, � 21.CELL PHONE:
14,E AIL ADD ESS: —?Cc/ �- CELL PHONE
CZ 22.ETIL ADDRESS:
tc_ C' I(ILI V-0 0
FEE SIMPLE TITLE HOLDER: V—k" - 30.EMAIL ADDRESS:
31 NAME: . (IF OTHER THAN OWNER) BONDING COMPANY:
�d 46/4 c 33 NAME: MORTGAGE LENDER:
32.ADDRESS: 35 NAME ---------
34.ADDRESS:
36,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 th
jurisdiction. This permit becomes null and void if work is not commenced within six (6) Months, or if construction or work is Suspended lois
abandoned for a period Of six (6) Months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work, Plumbing,Signs Wells pools, Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify th't all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not Occupy or use the referenced building or any Part therof, until all inspections are finaled and
prior to obtaining a certificate Of occupancy or completion issued by the buildin-g Offl c,i 11 a I I I as required by law.
WARNIN G" T 0.........0 W" N" E R':
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NnTlrl= nr-' COMMENCEMENT.
OWNER or AGENT
(If Agent,Power of Attorney or Agency Letter Required) CONTRACTOR
Signed: F---Date:- Signed: (Qualifier Only)
Before me thi day of 2007 in the county of Before me this da Date:
Duval,State of Florida,has personally appeared y of
IV e Duval,State of Flori a,has personally appeared 2007 in the count f
40 r r f,�- 5?4"
herin by himself/herself and affirms that all statements and declarations are 4-1 ciD
true and accurate. herinb himself/herself and affirms that all statements and dec Faat,.ns are
true and accurate.
Notary Public at Large,State of County ofluaj— Notary Public at Large,State of
0 Personally Known El Personally Known County of Va�,l
P.Produced Identification- DL, Pq Produced Identification
11�
Notary Siqna�dri— Notary Signature:
K. CUNNINGH K CUNNINGHAM
Public- late 0
State Floe& f Floricla
r S
o y 11D eb
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