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360 Seminole Rd 2014 roof ri r��JfJr� CITY OF ATLANTIC BEACH \ ss1 l 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �J13 Application Number . . . . . 14-00000115 Date 1/27/14 Property Address . . . . . . 360 SEMINOLE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4482 ---------------------------------------------- Application desc REFOOF, FL 10674 R8 ---------------------------------------------- Owner Contractor - ------------------------ ----------------------- HANCHAR, SHERYL CARLSON ENTERPRISES LLC 360 SEMINOLE RD 932 CANDLEBARK DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 370-4180 -------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . . 00 Permit Fee . . . . 75 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 4482 Expiration Date . . 7/26/14 --------------------- ---------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 79 . 00 79 . 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: 0 /< 11d�� ¢���/' (, C(�Z 2 Permit Number: Legal Description lv+ -L61 elt,4- j-tr--b6 7f%k:, edy, If P reel# Valuation of Work S y FIo�rea o q• t• D 2 onn heated/cooled 2? ��- Proposed Work heated/cooled Class of Work(circle one): New Addition Alteration Reair 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 # FL /D C (111 F For multiple products use product approval form Describe in detail the type of work to be performed: Property Owner Information:,,,,// Name: `�� I Gh�4�l Address: lOd J&dw, la City L State_ i Phone_�D Tei— 1qLZ� E-Mail or Fax# (Optional) Contractor Information: / Company Name: Cobs Fiiueriw11,C Qualifying Agent: a.-/J'0 Address: Bffi&�Ia bdura a =16 City State Zip Office Phone Job Site/Contact Number Fax# State Certification/R gi tra ion# 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 hereb} 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 this jurisdiction. This permit becomes null and 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 ork is commenced. /understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners,etc. kr .....................»» e 'r +: ,t e. uoVfMllAwW f ;x 7 "»"»'�j�noEX'tunoGJ ' i f...,e6t,,.1 #k�S'a5t81 iQ�lwr+d livlQN © v" ? S. u!a ! 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