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Permit Roof 900 Plaza Bldg 11 2012 sI� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 3 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001621 Date 11/02/12 Property Address . . . . . . 900 PLAZA Tenant nbr, name . . . . . . BLDG 11 Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 25000 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SEA OATS LIMITED PARTNERSHIP CHAMPION ROOFING SERVICES INC C/O INTERSOUTH 3734 SPRING PARK ROAD 3 LOCKWOOD DR SUITE 303 JACKSONVILLE FL 32207 CHARLESTON SC 29401 (904) 396-4642 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 175 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 25000 Expiration Date . . 5/01/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 63 STATE DBPR SURCHARGE 2 . 63 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 175 . 00 175 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 5 . 26 5 . 26 . 00 . 00 Grand Total 180 . 26 180 . 26 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 11/02/2012 10:48 #3419 P. 003/005 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic'Beach,FL 32233 {Office(904) 247-5826 Fax(904)247-5845 Job Address: �� • .[ c�l!� eL& C 'Permit Number: Legal Descriptiioa� 'N, P rce �- oar Area o q. t, q Valuation of Work$. �a Proposed Work h eatedlcooled non-heated/cooled Class of Work(eircle one): New Addition Alteration Repair Move Demolitiotl pool/spa window/doer Use of existing/proposed structure(s;, (circle one):_ Com ntercial �Res' tis If an existing structure,is a lire spri:ald ystem msts�ged"(Circle Florida Product Approval# L t Far multiple products use lar ttct approve arm Describe in de%il the type of work to be performed; 4 ' Pro tt 0-w-ger In Name- rmstian: .� Address: 3 Stat6-zip^g.A l Plione I'tty. .. ..�.. -� -'Mail or Fax#(Optional)___jm&n,_o-�e i`a , a Arm - Contractor fo tats n: Company N n1e: 1_f ualifjn Agent. Address: City State zip f Offiaa Phone W Job Sit Ggn�t umber Fax# State Cartifieatioi lkel istration#,, .LC_ -- Architect Name&Phone# 'Engineer's Name&Phone#...._._._._ Fee Simple Title Holder Natne and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permw to da she work and installations as indlcatedl. I certify that no work or installation Has commented prior to lll+i wrtanee of a permit and that 411 work will be ba armed tomcat the standards of all laws regulating construction in this jatrisdiction. This permu becomes null a+tdt void f work is not commenced within six(6)mon*, or jfconstrxctiorr��or work is suspendod or abandoned fora eriod of six(6)manths at any Mne titter work iscommenced !understdaul tfurt sepe+rate perAnils nRrdSt be snouted fat Ltlet�r/cp�Work.pl urddoft,SPglt,r, Wells, PON& urane&I, Boilehx,Nep en. rants and AitCondlitioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF 4' COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPRO'V'EMENTS TO YOUR PROPERTY, IF YOU INTEND.TO OBTAIN FINANCING CONSULT'`WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. there cgny{ that X have read and examined this q*Apation and know the same to be true and correct. All provisions o laws u►►d ordir►axcas goi�rrning tl+is type n work will be complied with whether xpeoi ed herein or not. The granting of a permit does not preeuma to g ve authority a violate or cancra the P>ovistons of any other fedieral.state,or,loco+ aw rsgulattng construction or tlie+rserformance dfconstructiorc Signature of owner Signature of Contmotor ,Print Name.. �. � �d� 4`'p Print Name { f '�/lll CGS► ,�.... . _............. Sworn to and subsc 'b e e SwoMVy0y­V_0. subsafore me this y pf this Y BLI DA ;(,Tay 3'NB1.1C_''''..+:5'�0�t�0�t1]A � SCO U .G ` M1S Co m' sion#DD926176 ? CotazmiS } Expo: S tjl},7,2013 Om—'Ex ' s: SEP.17,2013 ,,,,,,.. sed 01.26-10 BONDED THRti ATLn\-TIC BONDLtiG CO.,INC. Maio A cS L Ole. Doc # 2012244313, OR BK 16127 Page 624, Number Pages: 1, Recorded 11/01/2012 at 03:20 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 N0"C3 OF COWURNMMUT t+ A+e N tr zc+aet Pornut No, Tex Folia No. 171 71;9,-? State of To wAommay marnsarn: The undarstW00 her*"igfarina"U lttat 1111raysnn"to Will be me&to ca take real protecty.and in 1 aeOrdifte wrist 50CW0 T13411 Me FtayMtNl Zai,itla*^00"U*""tlan is afated in this fto710E OF in � . LOO 6-mptron of property b1i SIA CATS ptAWATt0%$1990 PLAZA M 34.92 38.25-29E ROYAL PALMS ACRES FT TRACT 1 RECD OR 9212.266,171725-Oo©N (ftok:26469.#a"-.92,Datc,instrumentj.ATLANTIC BEACH,Florida:As recorded in the public records of 00VAd.CO4lW Y tgvnty,Florida r Address of pr 0009 improveM, Ganerei dtlwJ an of kl*Mti00WAS {wrw ---Address, Dumar's+raesesi kt aL'e of Ctrs imtxravatstextt Fee S+nmpto TletahaMtler(if other khan Owner) Noma Address Contrwim Atldmm r Phone No. _ y Surety Of anyt (9047 3964642 CCC 057402 Address urrcate. roof- oofs.corn ArntsAek©reonrta Phone No._ Fex N4, Nath and aticMS Of arty person+rtes#V4 tow fM the t orisbu n of ft+ arowmmts_ Namma iA9't A Phone No. Fax NO. Name of porion w2twn the State of Fktnda.other tlw Nwsaft.destpn W,,oy owrxsr UP"whom nou"or other doturnems may be served Name Addms Phone No. Fast No. In addiftDn to hknaelf.owrW deWOW ttfa> O+lr#ers t0 rd q e �o1we Lorws NCO"as proWlad+n Section 713.0$(2)(bh Ftotide 9tekitas,f€S in 8t on) Nems d%a 16 Addms a its QftftC. p Phan No. Fex Mn. Explrat on date of»oafs of Commwi"m e t(ft expirat z dit is one t 1 f yew flom the date of reo"nq unless s different dote is sp tcilia0l' Ttitt{tAC3 tk3i?"i2tti.YC► •; LATE n C`efuMyarO,x+t.lwM' tsN rr+beu�rwa� Commiwon#DD926176 Exp;res: SEF.17,2013 ' 90N"DiM•TII Yip ATL ANT P0. INc Co.,INC. MWY ROWM iry r tdYco�rrrNiwirr++r rm. _ P*rauraNY Knxsr n ci aaeuead+sotto