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74 S Saratoga Cir 2013 roof C, � CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002311 Date 3/14/13 Property Address . . . . . . 74 S SARATOGA CIR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6160 ------------------------------------------------------ Application desc reroof ----------------------------------------------------- Owner Contractor - ------------------------ ----------------------- STOFFLE, DAVID E RON RUSSELL ROOFING INC 74 SARATOGA CIR S 4419 HUDNALL RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 714-1907 ------------------------------------------------------------- -------------- Permit . . . . . . ROOF PERMIT Additional desc . Permit Fee 85 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 6160 Expiration Date . . 9/10/13 --------------------- -------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 89 . 00 89 . 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: -711, �. c knr n r' Permit Number: Legal Description Parcel# Floor Area o q. t. ___Sq_.Ft Valuation of Work$ (o�j(o_Proposed Work heated/cooled non-heated/cooled_ Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proosed structure(s)(circle one): Commercial Residential If an existing structure,is a fires rinkler system installed? (Circle one): Yes No N/A Florida Product Approval# 4 79•l3 For multiple products use product approval form Describe in detail the type of work to be performed: Property Owner Information: Name: f N q., Address: Spam, aba te City State_Zip Phone q0(4 14 7 2 D l 7 E-Mail or Fax#(Optional) Contractor Information: Company Name:Rn n �y�s�� nC- Qualifying Agent: Tc r Address: q4/19 Il�cLr ll R<%4 City— X State -- Zip 3 2 Z o 7 Office Phone g0L1-71 H-I 4o7 Job Site/Contact Number joy-boo-88 3 Fax# State Certification/Registration# (_(_c 27 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 thisjurisdiction. This permit bectime omes null or and work void If mmencednot commenced within six 1 understand that separate permimonthsts must be secured for Electrical Work,construction or work is suspended Plumbing,Signs,or aWells P of xFurnaces,Boilermonths at ys,Heat after 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.R IF YOU INTEND TO OBTAIN FINANCING CONSULT AN ATTORNEY BE ORE RECORDING YOUR NOTICE F H YOUR LENDER OR COMMENCEMENT. I here b 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 ofywork w►Il be complied with hether speci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,sta r local law regulating construction or the performance of construction. ,J, Signature of Owner Signature of Contractor J Print Name �N �A............... SL.G............................................................. _ u. Print Name �.U...` ......�:..........s .l....Q ........./CL: .................. ...... ................ . Sworn to and subscribed fo�me Sworn to and subscribed before me ,201.3 this /3 ay of 20 3 this /-3 Day of WiWE CARS RIGiARD30N.8R D30N. Sg �6�, Pubi STATE OF FLORIpq otary 44 TA12V RI-101 In Public CComm#�EAF1��39 A �,,, Edey $d 01.26.10 k)PM,8/02014 Expires 8/12/2014