2044 Duna Vista Ct 2013 Roof .fey,��•L�I J'
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isCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002710 Date 5/22/13
Property Address . . . . . . 2044 DUNA VISTA CT
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13420
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Application desc
REROOF
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Owner Contractor
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ARMEL BRUCE E & JENNIFER S SHORE ROOFING COMPANY
2044 DUNA VISTA CT 914 7TH AVENUE SOUTH
ATLANTIC BEACH FL 322334534 JACKSONVILLE BEACH FL 32250
(904) 241-8842
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . 120 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 13420
Expiration Date . . 11/18/13
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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 120 . 00 120 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 124 . 00 124 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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MY ComMISSION#EE039997
EXPIRES December 18,2014
Doc#2013129823,OR BK 16379 Page 1950, 10f•CO1"
Number Pages:1 tlorrfyPrisaectasesemd
Recorded 05/22/2013 at 11:27 AM, sw
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
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CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date:
lob Address:
Trvlc
OwnerofiProperty' 1 t
Telephone: .(9-
Address: (9-Address:
Roof Contractor.
llr/YC RO(� State License Number:
,J � �� ZsU F ,Y �
Contractor's Address:^ ti
Telephone:
��',�C��� Fax Email:
Scope of Work:
R � Roofing Material
FL Product Approval# �G
Valuation of Work: 5
Required Inspections: Sheathing/in Progress-Dry In /Final
If re-roof: Assessed Value of Structure: -11"<-$300,00o/__>$300,000;Roof-to Wall improvements required?
(Applies to single family structures only)
FAILURE TO RECORD NOTICE"WARNING TO OWNER: YOUR YOUR PROPERTY!A NOTICE OF COMMENCEMENT COMMENCEMENT MUST BE RECORDED AND POSTED
TWICE FOR IMPROVEMENTS TO
ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER ATTORpEYg CORDING Y R N ICE OF COMMENCEMENT"
-- - -- --- -----
- --- ---- ------- - -- ------ ---- - Dare.
X SIGNATURE OF OWNER:
AS TO OWNER: �day°f �, 200-
Sworn to and subscribed before me this
State of Florida,County of Duval Notary's Signature:
'"'•'•''' MELANIE ❑ Per ally known
. N E ALLICE PARSONS
- '= MY COMMISSION#EE039997 Produced identification
Type of identification produced�L
EXPIRES December
(407)3Ba-0753 FtoridsNotarysemce.com Date: --
-
SIGNATURE-OF-C ---AS TO CONTRACTOR: day of 20
Sworn to and subscribed before me this ,
State of Florida,County of Duval Notary's Signature.'
..
erso ally known
MELANIE ALLICE PARSONS
❑ Produced identification •
MY COMMISSION#EE03M7 Type of identification produced
EXPIRES December 18,2014
IsOr 398 01 s3 Floridallo 9emice.w sW ieminole Road•Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800•Fax:(904)247-5845
F:\roof permit appticaton.doa 7/28/09