Permit Roof 900 Plaza Bldg 7 2012 CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
J : ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001620 Date 11/02/12
Property Address . . . . . . 900 PLAZA
Tenant nbr, name . . . . . . BLDG 7
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 25000
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Application desc
reroof
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Owner Contractor
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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
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 175 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 25000
Expiration Date . . 5/01/13
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 63
STATE DBPR SURCHARGE 2 . 63
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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. 004/005
BUILDING PERMIT APPLICATION �L
CITY OF ATLANTIC BEACH /
800 Seminole Road,Atlantic Beacli. FL 32233
Office(904)247.5826 Pax(904)247-5845
Job Address: L r l6V `Z' �it Number;
Legal Aescri.ptionarc 1 t
aor ea o
Valuation.of Work S �Llo�—Proposed Work .beater)/cooled w noin-heated/cooled,
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of exisringJproppoosed structure(s) (circle orae): Commercial �SNoIf an existing structure,is a fire rmOr syste t installed?(Circle one):
Florida Product Approval
For multiple products use product approval form `
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Describe in detail the type of work- to be
Properly Qwner 1Mf_grm„ateon:
'game: Address: ..
city ip_33.%d. ,Phone TOM. ---
E-Mail or Fax#(Optional) Sig .rte._
CG»�rRc r'�nt'arm tst idn 1
Company r1 me: r /�") / y' gent: l C'
Address: ' City
Office Phone Sob Sit N bbum or Fax# 0
Mate Certif"icatiort/Registratian#
Architect Name&Phone#.
Engineer's Name&Phone# .
Poe Simple Title HolderName and Address
Bonding Company Name and Addres.�
Mortgage Lender Name and Address
Application is hereby made to obtain a perm:!to do the work and Installations as indicated 7 certify that no work,or install ion Sias commenced prior to the
issuance n a permh and that all work will he.performed to a m the standards of all laws regulating constr7cctIon iH this jurisdicliott, rhes permit becomes mill
c�nr!void{ work is not commenced iPithin six(S)months,or if oonctruetion a work is susppeended or abs+ ones for a_period of sik(e}months at arty time Qjler
work is commenced !understand that separate poi-nits mist be secured for Aredrlcid Work,Pl robin&Signs, Wells,Pools, Furnaces,Boilers, Heaters,
7441u,,and.41r Coatlltloaers,dr.
WARNING TO OWNER; YOUR FAILURE TO RECORD A NOTICE OF .
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR.PROPERTY, IF YOU INTEND TO OBTAIN FINANCINGCONSULT WITH
YOUR LENDER OIL AN ATTORNEY ]BEFORE RECORDING OUR NOTICE OF
COMMENCEMENT.
1.hereb certify that!hays read and examined this plication and know the same to be true turd correct, All provislow of laws and ordinances governing thhis
pe rr,Iwork will be complied wish whether speed herein or riot. 7'he granift of a perms does not presume to give anthorisy to violate or cancel the
"ovisi6m of,anv other federal.state,or local taw regulating construction or the performance of construction.
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Signature ofOwne Signature of Contractor
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Print Name , Print Name
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Doc # 2012244314, OR BK 16127 Page 625, Number Pages: 1, Recorded 11/01/2012
at 03:20 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF 400Wj?jMX4==jff
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The underawpnrtd hereby lege you#w b"rovommuf Will be* Ne MWO real property,aad in 1
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the public records of DUVAL COUNTY County,Florida
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