452 Whiting Ln roof 2012 l- f
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
� _� ATLANTIC BEACH,FL 32233
In, INSPECTION PHONE LINE 247-5814
.1 c
Application Number . . . . . 12-00000797 Date 6/27/12
Property Address . . . . . . 452 WHITING LN
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO 13E UPDATED
Application valuation . . . . 2050
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Application desc
reroof
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Owner Contractor
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CAVANAUGH, PATRICIA ANN JOHN GILMORE ROOFING, INC.
452 WHITING LANE 11647 GWYNFORD LANE
ATLANTIC BEACH FL 32233391 JACKSONVILLE FL 32223
(904) 880-8044
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2050
Expiration Date . . 12/24/12
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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 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 69 . 00 69 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
w CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 45Q `►f1 Permit Number:
Legal DescriptionParcel#
Floor Area o q. t. sq.Ft
Valuation of Work$ a0so Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration' Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fires rinkler system installed? (Circleone): Yes No N/A
Florida Product Approval# -�
For multiple products use product upproval form
Describe in detail the type of work to be performed:
Property Owner Information:
Nam Address: -Q
City Pt_=C L�,� StateGV�Zip Phone a
E-Mail or Fax# (Optional)
Contractor Information:
Company Name: 'JV/% @ Qual' g gent:
Address: City State Zip 32;P23
Office Phone — Job Site/Contact Number Fax#
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
Application is hereby made to obtain a permit to do the work and installations as indi ated. 1 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 this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is us ended or abandoned for aWeriod of six r6)months at any time after
work is commenced. I understand that separate permits must be secured for Electri al Work,Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILUIkE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO O TAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFO E RECORDING YOUR NOTICE OF
COMMENCE ENT.
1 hereby certify that I have read and examined this application and know the same to b true and correct. All provisions of laws and ordinances governing this
o
type work will be complied with whether specified herein or not. The granting o a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the perfor nance of construction.
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Signature of Owner i nature of Contracto _
Pry .....:. ... .. G ,.. .............................. Print Name
...........................
Swo nd su ri ed�be,ore me S o d subsered before me
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Notary N ° Notary Public-State of Florida
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