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Permit Roof 716 Ocean Blvd Bull Park Pavilions st CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD -41 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002005 Date 1/24/13 Property Address . . . . . . 716 OCEAN BLVD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4100 ---------------------------------------------------------------------------- Application desc Reroof Bull Park Pavilions ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CITY OF ATLANTIC BEACH C. STERLING QUALITY ROOFING 800 SEMINOLE RD 4211 SHOAL LINE BLVD ATLANTIC BEACH FL 322335428 WEEKI WACHEE FL 34607 (904) 465-2183 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4100 Expiration Date . . 7/23/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: Permit Number: Legal Description oor Area of --Sq.Ft. Parcel �Sq.tt Valuation of Work$ 41 Troposed 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 fire sprinkler system installed? (Circle.one): Yes No N/A Florida Product Approval 4 For multiple products use product approvaTTo-rm 1A t- 7— Describe in detail the type of work to be performed: Propertv Owner Information: 1 0 _:!�I -in 6 Name: 14-V Address: city I 'State Itaip .2-33hone E-Mail or Fax#(O"ptiona Contractor Information: Company 7Narne: Qualifying Agent: State L Zip Address: city -3460 Office Phone Job Sije/Contact_.Vurn r�� -ir �F�ax o. State Certification//Reggistration Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 4pplication 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 of a permit and that all work will be pe�jbrmed to meet the standards of all 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 abandonedfoi a period of sixp�)months at any time after work is commenced. I understand that separate permits must be securedfor Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters, Tanks andAir Conditioners,etc. 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I here certify that I have read and examined this application and know the same to be true and correct. Allprovisions of laws and ordinances governing this work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the type .)1V provisions of any otherfederal,state, or lo a I re ulating construction or the pe�jbrmance of construction. $�nature of Owne Signature of Contractor PrintName IA Print Name ............ I..........a............44 .............................*........................ ................. ..................I............................................................ .................................. Bef Before me ,A�qpORY A 13ARR t rt—ay of 20 /S this I ly C %j F)(PIRSS WOW FlWideNate Notary PLI ic Notary Public PIRES-Wayu 21, 15 4 153 rwril- Elo Vot�j Public Underwrit Revised/10.24.12