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1575 Selva Marina Dr 2013 roof s .a r3 CITY OF ATLANTIC BEA. , 800 SEMINOLE I ll� J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 J131> Application Number . . . . . 13-00003777 Date 12/04/13 Property Address . . . . . . 1575 SELVA MARINA DR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 ------------------------------------------------- Application desc FL 14724 . 1 ----------------------------------------------- Owner Contractor - - ------ ------------------------ ---------- ----- - HUTCHERSON, NORMA J ET AL ROMANO BROTHERS ROOFING, INC 1575 SELVA MARINA DR. 601 OLEANDER COURT JACKSONVILLE BEACH FL 322505613 NEPTUNE BEACH FL 32266 (904) 246-5649 --------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . . 00 Permit Fee . . . . 65 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 2400 Expiration Date . . 6/02/14 --------------------- ----------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 69 . 00 69 . 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 'le- 800 Seminole Road;Atlantic Beach,FL 32233 Office(904) 247-5826 Fax(904) 247-5845 JAL Address: 15�rJya— Permit Number:' Legal Description ea of Parcel# Z t7 J,� pror used Work heated/cooled n on-heated/cooled Valuation of Wo P Class of Work(circle one): New Addition Alteratio Re � 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# l �// 7 x`11 For multiple products use product approval form Describe in detail the type of work to be performed: '" Property Owner Information: 1 Name: &)/",C1 H,FC qrS P-.1 Address: S7 City / 'A I" r CLI State_Zip 2 9 Phone E-Mail or Fax#(Optional) i Contractor Infor on: - Company Name: Ol`'��^ f ''� �'fi Quali gent: �'►i) d �``� '� State Zip Address: 4, City Office Phone Job Site/Contact Number Fax# State Certification/Registration 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 becomes null k is and construction or wor work is commenced o tmenced.not I understand thatwithin separate permits s mor ut be secured for Electricuar Work,l Plumbing,Sigor ns,aWe11s, Pools,eriod xl�urnaces, Boile s months at any time iHeat sr Tanks acrd 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 ATTO ONN BEFOREIERREECORDING YOUR NOTICE OF I here b certify that 1 have read and examined this a plication 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 s ped herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other feder ,state, or local lot g construction or the performance of construction. Signature of OwneU r` '- Signature of Contractor r ��/�� Mrs Normal.Hutcherson Print Name 1575 Selva Marina Dr Print Name U S ............................................... Arlantic Beach,FL 32233 ............................................ - -n nie Sworn t a bscr'bed befor m Sworn tp aye subscribe tore this a of 20 this `( ay JOSEPH JUDE ROMANO SR. af:y Pub"e State el Nota P lic Nota 1C i My comm.Expires Mar 7,2017 �'' Notary Public-State of Florida �18��6�0 My Comm.Expires Mar 7,2017 %�of r� �•'• Commission#EE 981668.