2239 N Fairway Villas Ln 2013 t
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . 13-00002322 Date 3/15/13
Property Address . . . . . . 2239 N FAIRWAY VILLAS LN
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5465
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Application desc
REROOF
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Owner Contractor
-
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ANCHETA IRMA B LEWIS WALKER ROOFING
4120 SHOAL CREEK LN E P O BOX 554
JACKSONVILLE FL 32225 LAKE BUTLER FL 32054
(866) 959-7663
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Permit ROOF PERMIT
Additional desc . .
Permit Fee 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5465
Expiration Date . . 9/11/13
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 84 . 00 84 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICA 10N
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
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ob Address: � a 3` ► Ft 1 (W(�.A.) V) I ��� (--o-ne N1 " Permit Number:
,egal Description 3R -a a G -aS -a C)e Fes),PZVV 6-/ V►i1&�arcel # (-c . _ i. GLQ
Floor Area o q. t. LL�T�I v q Ft
valuation of Work$ 7 4tr6 2 Proposed Work heat cooled1 3 l k non-heated/cooled 3�CG
:lass of Work(circle one): New Addition Alteration(::� Move Demolition pool/spa window/door
Jse of existing/proposed structure(s) (circle one): Commercialesident a-L
f an existing structure,is a fire sprinkler system installed? (Circle one). es No N/A
lorida Product Approval # 1 O( c`1 Lj t - C _,z_ hS Cor n')nc
or multiple products use product approvalorm J
)escribe in detail the type of work to be performed: y-C c>f \C 5�'1 �W�)�S C T( I l) J tl r
-iab 'sh i n oC c5 - F1tcLi, 3 i-:4 S *-La r C t 7
'ropertY Owner Information:
Jame: r L Pn ht Address: �q � �I►�W(A' -I VI 0S i"'I= /�b(tl'1
;ity State}:�t_.Zip 3QJd a- Phone 9 UC1 ---3F-
-Mail or Fax# (Optional)
.ontractor Information:
� k
:ompany Name: s- l`)-s� )aQualifying A ent:
kddress: 0 r City LLZ Ce__ P V State 1-� Zip
vice Phone _ ,(e A- -Q Job Site/Contact Number Fax#
'tate Certification/Registration# Ll
krehitect Name&Phone#
engineer's Name&Phone#
�ee Simple Title Holder Name and Address
3onding Company Name and Address
&rtgage Lender Name and Address
1pplication is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
ssuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
tnd void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six 6)months at any time after
vork is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, urnaces,Boilers, Heaters,
ranks 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 BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
'hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of l s and ordinances governing this
ype ojywork will be complied with whether specified herein or not. The granting of a permit does not presume to give uthority to violate or cancel the
)rovistons of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner 'J Signature of Contractor
Print Name � Gl/.�5...._. ..� .....
3rintName .........� .:....... � .� ......................_. _ ........................... .
Sworn to and subscribed before e , /� Sworn to and subscribed before me
:his Day of r H 20l-� this L 11'Day of Y1' YC�� 20�-'�
votary Pu is u u 1�ZBORAH D ASBELL
............., VIRGINIA M.MIANO _p � :
MY COMMISSION#EE11�1i ed 01.26.10
.:A.,
A Commission#DD 960770 -
• Expires February 11,2014 EXPIRES July 17,2015
itiQ.••• Bonded TMu Troy Fain Insurance 800.385-7019
Rt (407)39&0153 FbridallotaryService com
03/15/2013 10:09 FAX 3527593336 LEWISWALKERR00FING 2003/009
Doc # 2013063149, OR BK 16286 Page 2066, Number Pages: 1, Recorded
03/12/2013 at 01:34 PM, Ronnie Fua sell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10,00
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