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2220 Beachcomber Tr 2013 roof CITY OF ATLANTIC BEACH ss� 7 800 SEMINOLE ROAD r� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003587 Date 10/28/13 Property Address . . . . . . 2220 BEACHCOMBER TR Application type description ROOF PERMIT Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 19250 --------------------------------------------- Application desc reroof ------------------------------------------ Owner Contractor ----------------- ------------------------ KAPLEY KENNETH K LEV-CON GENERAL CONTRACTORS 2220 BEACHCOMBER TRAIL 11435 BRANAN FIELD ROAD ATLANTIC BEACH FL 322334677 JACKSONVILLE FL 32222 (904) 237-2366 ------------------------------------------ Permit . . . . . . ROOF PERMIT Additional desc . . . 00 Permit Fee . . . . 150 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 19250 Expiration Date . . 4/26/14 --------------------- -------- Other Fees STATE DCA SURCHARGE 2 . 25 STATE DBPR SURCHARGE 2 . 25 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -- Permit Fee Total 150 . 00 150 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 50 4 . 50 . 00 . 00 Grand Total 154 . 50 154 . 50 . 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:AWO j32uC'_dfi1,&/_ lfad Permit Number: Legal Description '4-1-1 09-d S-JqE 094S- 9& Parcel# PQoo�-Sq. t. Sq.Ft Valuation of Work$ O Proposed Work heated/cooled non-heated/cooled a e- eotrn Class of Work(circle one): (] ew Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# .S0,0 -,_4aA4rje4 For multiple products use pro uct approval form Describe in detail the type of work to be performed: Re- ro0P e� e_x;s�;nj te.5-,,'c1e 'Y;01 S4rlic1aite Property Owner Information: Name: &IOrlLA i�. Ku Al eu Address: eZZZO 8lY,tC17C:aly &,r 7mlY City Af la l t ea cb StaterZip. a Phone E-Mail or Fax#(Optional) Contractor Information::+ --// / Company Name: - Co f dQi e Qualifyin Agent: S�41e Y C- Le Derr ck J/'• Address: 1�3s' �w r►a�, �-e 1 ®a City q S'QP7 Ul 1l e State_Zip 3d0ua. Office Phone 24- '772, �[>S(� Job Site/Contact Number�p�•023 7 o7.3GG Fax# 05A 77Z--(?a3 G' State Certification/Registration# C C'(:" 1 S!?Sy3 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 This permit becomes null and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a pmol of six6)months at arty time after work is commenced I understand that separate permits must be secured for Electrical Rork,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters, 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 BEFORE RECORDING YOVIi NOTICE OF COMMENCEMENT. I hereby certify that 1 have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether sppeei ted 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!aw regulating construction or the performance of construction. Signature of Owner Signature of ContractorC��, � Print Name -�,� /� Print Name Tf4 �'��r dG/� /� �._. /U� '. Sworn to and subscr� e (�efQre me / '20 ' S d subscribed _ this Day of X�CQ�l1-i�l is a of 2013 otary Pub DENA R.COLLIER "= i 9577 MY COMMISSION#DD 998420 �P1PES:February 14,2C; EXPIRES:June 7,2014 F 3onded 7hru N�f�y Publi 'nd rte -(1�V1sed U 1.26.l U pF c Bonded Thru Notary Publk Underwrhers CD 2 c K M A _ » e o = 3 2 0 o o k o c § e n 2 R = r 7 CL 2 ƒ A g q n ? § \ \ \ k C) k / l = / ^ nm r Cl. 9 � / R B % CDc o 0 2' \ G k E R §° ¥ n n _ A \ R 9 } y 7 � q o . � \ ƒ � � ƒ f-r- l § «� � -Tj o jr- � a » � o � r � \ & $ f � q � � � 6 ■ ft � r R � # |