Loading...
Permit Roof 2233 Seminole Rd Unit 4 2012 • � rJu� CITY OF ATLANTIC;► C BEACH 800 SEMINOLE ROAD v . ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Jli � Application Number . . . . . 12-00000701 Property Address Date 6/05/12 OLE RD UNIT 004 Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED -----Application-valuation . . 50 ---- Application desc-------------- --------- ----------- ------------------- roof repairs ------------------------------ Owner Contractor ------------------------ ------------------------ LA VACA INVESTMENTS LLC MULLIGAN CONTRACTING, INC 2139 LA VACA RD 6380 PHILLIPS HWAY ##'103 JACKSONVILLE FL 32217 JACKSONVILLE FL 32216 (904) 838-9868 ------------------------------------ - ------------- ------------ Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee Issue Date . 00 Expiration Date 12/02/12 Valuation 350 ------------- ----------------- ---------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 --------------------------- ------------------------ Fee summary Charged Paid Credited Due -------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 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. W BUILDING PERMIT APPLICATION CITY OF A'T'LANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904) 247-5845 Job Address: _ Z Z3 3 e 1- J �,ni T Y rmiit Number: . Legal Description Parcel# Valuation of Work$ oD oor ea o q. t. t Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition AlterationRepair Move Demolition pool/spa window/door Use of existing/proposed strurtum(s)(circle one): Commercial esidential If an existing structure,is a fire sprinkler system installed?(Circle one): s o N/A Florida Product Approval# For multiple products use product approva orm Describe in detail the type of work to be performed: Property Owner Information• Name: /Dawse- �r�P–A-�C Address: Z�J3 ���t�tc/QLE l City /L C t* Stat _Zip LZ; 3 Phone 70 3 - yL E-Mail or Fax#(Optional) Contractor Information: Company Name: P Y eZZ6e,f/ Go�i�'�rTy,�y /,rte Qualifying Agent: 1,10<r Address: >O�'"/��✓ �/ city ���,��/j StateOffice Phone��D Sfi 9,F1 Job Site/Contact Number —Zip� ZZ SCS State Certification/Registration#_ �c.i?z y�j – $� -`��' 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 her made to obtain a permit to do the work and installations as indicates: I cert that no work or installation has conzn:e:aced prior to the issuance of a permit and that all work will be performed to meet the standards of a111aws regulating construction in this jurisdiction.'' This permit becomes null and void if work is not commefsced within six(6)months, or if construction or work is suspended or abandoned for apertod of siz((5)naantlar at any time after work is commenced. I understand that separate permits must be secured for Plecirica! Work, Pluenbdng,Signs, Wells, Pools, Ftarnaces, Boilers, Healers, Tanks and Air Conrlitioners,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 INTENT) TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR I®TOTICE OF COMMENCEMENT. 1 hereby certify that 1 have read and examined t s a plication and know the same to be true and correct. A11 provisions o laws and ordinances governing this type of work will be complied with h ther eci ted herein or not. The granting of a permit does not presume to e authority-to violate or cancel the provisions of any other federal,stat , loc aw regulating construction or the performance ofconstruction. Signature of Owner Sm mature of Contra Mfr/ Print Nae l` ........................, /w�E Print Name ................................................................................... �r�s -......... ......... G.1....1. ... ...... ................ Sworn to and subscribed before me SwoFn to an s ed e re me this Day of 2® 20 ,•::�'rG SHIREY L GRAHAM Notary Public oMMIssI I<ocssnso *' EXPIRES:FedgqC Bonded Th.Notary Public Un e t ised 01.26.10 App ica e o es: 2 1R DAB NOT W Pd T E 1 ELOW OFFICE USE ONLY Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: Develoument Size Habitable Space Non-Habitable Impervious area Miscellaneous Information Occupancy Group Type of Construction Number of Stories Zoning District Max. Occupancy Load Fire Sprinklers Required Flood Zone Conditions/Comments: