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1665 Beach Ave 2-013 roof CITY OF ATLANTIC BEACH i f 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Ito)It Application Number . . . . . 13-00002079 Date 1/31/13 Property Address . . . . . . 1665 BEACH AVE Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 19000 ---------------------------------- Application desc reroof --------------------------------- Owner Contractor -------------- ------------------------ ----------B. SMITH ROOFING, INC. OCEAN GROVE PARTNERS LLP 2263 RIVER BLVD 13525 SAWPIT ROAD FL 32226 JACKSONVILLE FL 322044647 (904)JACKS0378-8605 -- ------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 145 . 00 19000 Issue Date Valuation Expiration Date . . 7/30/13 -------------------------------- Special Notes and Comments need noc ----- -------------------------------- ----------- 2 . 18 Other Fees . . . . . . . . . STATE DCA SURCHARGE STATE DBPR SURCHARGE 2 . 18 _ ________ ----- Fee summary Charged Paid Credited _ --------- ---------- - . 00 Permit Fee Total 145 . 00 145 : 0000 00 . 00 Plan Check Total • 00 . 00 Other Fee Total 4 . 36 4 . 36 . 00 Grand Total 149 . 36 149 . 36 . 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: jb�s ge p,r�� I-1y� A�1 �� BcA�,R 3a3 Permit Number: larly Legal Description 15-ib Oci-Qs- 'if hbp* Pin, c, &A`h n4 I Parcel# Floor Area o e t non-heated/cooled $00 Valuation of Work$ 19j00rJ-0C) Proposed Work heated/cooled Class of Work(circle one): New Addition Alteration Repai Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial esidenti If an existing structure,is a fire sprinkler system Installed? (Circle one): es No N/A Florida Product Approval# F! lalay•1, •Kl. t��9 For multiple products use product approval orm Describe in detail the type of work to be performed: Re'lZoof N Squalc-5 A shnrlE5. G S>?Ual�s f �;od;�icd Property Owner Information: Name: Oczi3O 6tovf 9pP_yNtn.s Lu P Address: ; 43 City 'S Y.So ��1� State R Zip 3A1o44Phone 909 353— /S E-Mail or Fax#(optional)---el A Contractor Information: Company Name: B- 15'4\ R^-� (\6,•1 PC Qualifying Agent: Address: 1350L.5�5rL, ',- 9_4 _City SAc,ksoN•i�ur State I:L• Zip 3 6 Office Phone9q'4-3,1,C4405 Job Site/Contact Number 90y-a13-8-b02 Fax# qa4-373-104 State Certification/Registration# 13;.691): 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 of a permit and that all work will be performed to meet the standards of all laws regulating construction in thpis jurisdiction(. This permit becomes null or and work void[f o commenced commenced within six 1 understand that separate permits must be secured for Electricalconstruction or work is pWorkiPlumb ng,Sigor ns,or)Wells, Period o lsxFurnaces, Boilers,months at Heaters,Heal rs, Tanks and Air 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEOR ENTE ERECORDING YOUR NOTICE OF COMMEI hereb certify 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 type owork wall be complied with whether speci aed h ' or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other feder or local law regul ting nstruction or the performance of construction. Sgtur�Qf Qwr>,er Signature of Contractor �+ — Print NameQ�Ar+.. :....sn,. h....................................................................... PrintName ....... .....o IE 1. .............. ......... .............................................................. Swmnt nd cr e re me20 /,3 Swo ay bscri zd- ore Pe 20/3 No bl' ° NEWMAN A. ed 01.26.10 my co"SS10N I WWI 71 � my coMFIlSSION A Dpgg5171 EXpTM:Aprd25,2014 WMRPS:Apn125,2014 0 A.Nas7 pimour Asm Co. �� 11.11arf Dimas Aso.Co. �,y,pTAt7