730 Sailfish Dr roof 2012 OF ATLANTIC BEACH
CIT
800 SEMINOLE ROAD
BEACH,FL 32233
ATLANTIC
-5814
' INSPECTION PHONE LINE 247
Application Number . . . . . 12_�0001193 Date 9/11/12
Property Address . . . . . . 7301SAILFISH DR
Application type description ROOF PERMIT
Property zoning . . . . . . . TO
Application valuation . . . . 6000
_1E UPDATED---------------------------
-------------------------------------- ---------
Application desc
RE-ROOF
--------------------------------------- ------------------------------------
Owner Contractor--------------
------------------------ ----------
LAYSON, CAROLINE R ET AL C. STERLING QUALITY ROOFING
730 SAILFISH DRIVE 4211 SHOAL LINE BLVD FL 34607
ATLANTIC BEACH FL 32233 WEEKI WACHEE
(904) 465-2183
----------------------------------------------- ----------------------------
Permit . . . . . . ROOF PERMIT
Additional desc - - 80 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 6000
Issue Date . . . .
Expiration Date . - 3/10/13__
------------------------------------ -------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ------- ---------- ----------
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
8 0 00 . 00
Grand Total
q,lioo
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Doc # 2012195179, OR BK 16064 Page 1396, Number Pages; 1 , Recorded
09/11/2012 at 09:45 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
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EXPIRES.F4b=UN;0"
BUILDING PERMIT A PPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic I Beach, FL 32233
Office(904) 247-5826 Fax(904) 247-5845
JobAddress: '?30 SAiLCTrN Drz, &iAar,c- ZrA w Ft, 32?J-3 Permit Number:
Legal Description 19 PA�� VVV IT Parcel#
Floor Area ot Sq.kt Sq.Ft
Valuation of Work q 0 0 Proposed Work heat�d�cooled— non-heated/cooled
Class of Work(circle one): New Addition e atio Repair Move Demolition pool/spa window/door
C ommercial � -
Use of existing/pro osed structure(s) (circle one): (CLSidential.
ure,is a fire sprinkler system installed? (Circle ne): es N/A
If an existing strucr, 4�w
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: J�A-A, Q�F Avb bt-CPASE IQ f EKLFT—/� Rwr
!�;YSYTI'A Avb -'T1v--,+A-CC
PropeM Owner Information:
Name: C4^oQvr Address: 7 -0 c r.:
city /.I-r4,4,v r!c 13_gAe-N StateFc Zip 3A:Z93 Phone Z? cif-qSv'(
E-Mail or Fax#(Optional)_
Contractor Information:
CompanyName: 0-n-v ozoof. Qual!fying Agent: s7mll�v!�
Address: (12,11 5'1,OAL CIAI-c 01t/0 city State Zip
Office Ph-one 3C4-N� f'-111k Job Site/Contact Number -3� j�-j2 7' -- Fax#
State Certification/Registration# CCC-05; 7 qq f
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 indicated I certify that no work or installation has commenced prior to the
issuance ofa permit and that all work will be performed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor averiod ofsix(6)months at any time after
e
workiscommenced. I understand that separate permits must be secured for Electnicar Work,Plumbing,Sijns, ells,Pools, Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc
WARNING TO OWNER: YOUR FAILUUKXIVA TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO ) BT AIN FINANCING.) CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOUR NOTICE OF
COMMENCE , ENT.
Ihereb certify that I have read and examined th*s,a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
" ep'herein or not. The granting qf a permit does not presume to give authority to violate or cancel the
type ol"work will be complied with whether specITI .
provisions ofanyotherfederal,state,or lo I law�egulating construction or the peFformance of construction.
Signature of Contractor
Signature of Owner ure of Cont
Print Name a..p........ Print Name
........ . ....5
.. ........ ............ ............. ........................................ ...............
0
Sworn to and subscribed before me Swo to sub riUd before tpe
I
this 9"�Day of (1,�*[ 20).) this 5elvkmin� 2012
11-*—D,a,L;
N JAMESSTERU14G
MY COMMISSION#DD 933423 -------
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