1739 Beach Ave roof 2012 CITYOF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001049 Date 8/13/12
Property Address . . . . . . 1739 BEACH AVE
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 17984
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Application desc
roof (old House)
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Owner Contractor
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CLEMENTS ROBERT M & ANN H PRECISION EXTERIORS LLC
4667 ORTEGA BLVD 162 SW SPENCER CT STE 104
JACKSONVILLE FL 322107633 LAKE CITY FL 32024
(386) 867-1439
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 140 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 17984
Expiration Date . . 2/09/13
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Fee summary Charged Faid Credited Due
----------------- ---------- ----------- ---------- ----------
Permit Fee Total 140 . 00 140 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 140 . 00 140 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, CITY OF 4TLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT AXPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic-,Beach, FL 32233
Office(904) 247-5826 Fix(904)247-5845
Job Address: 9 (-�>Cadb Permit Number:
Legal Description Parcel# 10(p(.sq- locloo
Yloor Area ot Sq.Ft. Sq.Ft -7 i-so
Valuation of Work Proposed Work heated/cooled -�Lj)o - non-heated/cooled
Class of Work(circle one): New Addition Alteration a* 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?(Circh one):Kqe;s;�� N /A
Florida Product Approval# IEL 101 Z4-&57
For multiple products use product approval form
Describe in detail the type of work to be performed: 9-e� Jk
Property Owner Information:
Name: eja� VVI, (Atwv,& —Address: 24(Ao-1
City -:T0.(k5z)n0;& Statefi-Zir)322--2� Phon,- 5"
E-Mail or Fax 4(Optional)—
Contractor Information:
'Company Name: Pirc a S06VA t;-- LL�- Qualifying Agent: Co�
Address: I(c'2- <uj '�;"rax- ' ' 161 --City Lt�Aw— C&'ItA State-FL- zip --�Zom
OfflcePfior�e- :�)ga- q022,,- Job Site/Contact Number 2,s?(c -k(c7- ;q3c# -Fax#--:Vk -15S-.qZZ2--
State Certification/Registration 4 C 4&1 2.3-715?
Architect Name&Phone# K->
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address_
Bonding Company Name and Address
Mortgage Lender Name and Address
A ca here 2de on a e , doheworkand installations as"nficated. Icertify that no work or installation has commenced prior to the
rm I I aws regulating construction in this jurisdiction. This permit becomes null
0 ds al . f si%)months at any time ofter
0 k,5 suspended or abandonedfor a period o
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WARNING TO OWNER: YOUR FAIL TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR AYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO BTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOVIi NOTICE OF
COMMENCE ENT.
lhere cerlffy that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
0 111work will be complied with whether sfecifted herein or not. The granting of a Permit does not presume to give authority to violate or cancel the
provi.st.ons ofany otherfederal,state, or local aw regulating construction or the per)brmance of construction.
��Ignature of Owner ignature of Contractor
)rint Name ............................................................
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rhe undersigned bereby infbms you that improvement will be made to 1 ertain real pmperty,and in accordwee wn Secdon 713 of
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jIM FULLER cLERK CIRCUIT CouRT DUVAL B , me is day in C DU
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PEcORDING S10,Q0 No lic 3t Largq State of Florida.County of Duval.
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