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1546 Ocean Blvd 2013 roof garage apt JSP CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002853 Date 6/12/13 Property Address . . . . . . 1546 OCEAN BLVD Tenant nbr, name . . . . . . GARAGE APT Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1740 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CAMPBELL, DONALD ROGERS SHORE ROOFING COMPANY 1546 OCEAN BLVD 914 7TH AVENUE SOUTH ATLANTIC BEACH FL 322335758 JACKSONVILLE BEACH FL 32250 (904) 241-8842 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1740 Expiration Date . . 12/09/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 64 . 00 64 . 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: ©CLuj MVy Permit Number: Legal Description Parcel# 0 Floor Area o q. t. S q.Ft Valuation of Work$ /7y�- '� 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/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# 151 11 For multiple products use product approval orm Describe in detail the type of work to be performed: I?b� d ✓ ' gym h�a •5�1,j"��� Property Owner Information: Name: 00d t"► Address: / SyetGr i3l�v� City State Zip aj4U_Phone -77`— E-Mail or Fax#(Optional) Contractor Information: Company N me: Aur CU Qualifying Agent: moo- Sha/C Address: V j y%` r9^'t City State/-/ Zip 3 2 2>� Office Phone y I-4SqJob Site/Contact Number 2 2G--.1 qi n Fax# State Certification/Registration# S tt/go 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. 1 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 this jurisdiction.. months at This permit becomes null and work void if o wmenced I understand that separate permits muor st be secuconstructred for Electrical Work,ion or work is Plumbing, Sigor ns,aWellseri,P olsxFurnaces,Boile s,tHeaiersr 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 RECORDINGMENTYOUR NOTICE OF COMME1 hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether 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,state,or local law regulating construction or the performance of construction. Signature of Owner . Signature of Contractor l � Print Name //�/F'S °rte PrintName lU 4 L.. ......... ........1...r` lj� ....� �-�:.... ...1.............................................................................................................................. Before nje Befor }�}� 20 )3 this Day of 20 13 this ADay of WYU Nota Pub i ;;� - oNs Not Public =$'' ' My COc:;jkAISSION#EE039997 °- MY CO rlh4RiS�SE'O�NP�#1cnE03 9 dF EXPIRES December 18,2014 ' �d F EXPIREjce";i4,, 1; (407)39&0153 rloridallotaryService.com (407)398-0153 FloridallotaryService.com