Loading...
309-325 7th St Roof Over 2014 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: 14-00000215 Description: REINSTATED 10/27/17 - roof over Estimated Value: 1200 Issue Date: 2/13/2014 Expiration Date: 8/12/2014 PROPERTY ADDRESS: Address: 313 7TH ST RE Number: 1699170108 PROPERTY OWNER: Name: IGD 7TH STREET LLC Address: GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Address: Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. Cash Register Receipt Receipt Number City of Atlantic Beach R3300 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $64.00 14-00000215 Address: 313 7TH ST APN: 169917 0108 $64.00 BUILDING $64.00 BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $64.00 TOTAL FEES PAID BY RECEIPT: R3300 $64.00 Date Paid: Friday, October 27, 2017 Paid By: RED STAG CONTRACTING INC Cashier: LE Pay Method: CREDIT CARD 4 A Printed: Friday, October 27,2017 3:20 PIVI I of 1 10 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC REACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000214 Date 2/13/14 Property Address . . . . . . 309 7TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 1200 ---------------------------------------------------------------------------- Application desc roof over ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ IGD 7TH STREET LLC RED STAG CONTRACTING INC 9857 OLD ST AUGUSTINE RD STE 5 2908 INDIAN HILL DR JACKSONVILLE FL 32257 JACKSONVILLE FL 32257 (904) 226-4477 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1200 Expiration Date . . 8/12/14 ---------------------------------------------------------------------------- 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:301, sis,31� 3 2.k,­r_325 Permit Number: r e Legal Description 'loor Area of q Ft. Parcel 9 1q,Ft - frig vtiv roposed Work e�ted/cooled-A//A non-beated/cooled-4040-0_F Valuation of Work$4060.0 -arl -1111t,00-tOlp, " 'too F�- R6pair Move Demolition pool/spa windoNv/door Class of Work(circle one): New Addition Alteration (E�) Use of existiug/proposed structure(s) circle one): Commercial e identia If an existing structure,is a fire sprMer system installed? (Circle one): es o N/A Florida Product Approval# For multiple products use prod-u—ctapprova[fbor Describe in detail the type of work to�e performed: Exa U Properjy Owner Information-. Name:_A46rvt- - o %EA/ —Address: -r vf ir a:-r-- City_&&Amrze� 5Lr-yc_.k ._Statef0tZjp3, t133 Phone Of 0 94 q 0 q. 6 E-Mail or Fax 9(optional Contractor Information: Company Name: el C_ Qualifying Agent-. Y�CeA =IL�� 1-41-1 1 Address: tate_F L zip_J�k� 7 Office Phone iO4-no-4aft Job Site/Contact Number 1kq-;tX0--4cf-7 Fax# %q-jrQ( State Certification/Registration#CC-C. 1%.13ilL( ICBC 1AG519S Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage,Lender Name and Address by de a a td ki,d n dic ;�d ha or installation h as comazencedprior to the 'now r� thisjurisdiction. This permit becomes mill tructio�ln ow us 84 n a i _8 r c.ob,,d,,,d a,-a period of six I months at any time after jimbill is, ivens,Pools,firnaces, Boilds,Heaters, ce s so 0 or i 'a"a'iod d I law la ii an al ' I er I he t ork 1,su de� If b ed to n k I in i or I c 1 0 'ica'io i h r t a t r or I i P6 n n f 1"P", ' a P!km(not co. U d w thi i six 0 i; t ru 0 0, 'tri" I ork I and ,% 0 nce c ' is it rst n I iluit e ra pe, s In be cu'-d )'or'i jened. I unde a d s ra Ta, ,an ,C I ,k dA "is(one's,'ja 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 here certo that I have read and examined this application and know the same to be trite and correct. All Provisions laws an ordinances governing this Wing of a perniff does not presume to e out i to violate or cancel the r ision o ov s flawsan ordinances governing ,u e to e A o Via, ,h type ollwork will be complied with whether s 0,e or cance e I rZifTed herein or not. The grai provisions of any otherfe;jr-at,state,or toca regulating construction or the peFfo�mance ofconstruction. Signature of Owner signatum of Contracto r Print Nam .. ........ ............. .. Print Name .......................... Before me 1 -27 Before me this Day of 20 this Notary Public ER RICE PETE LOFn8 .el . E84371 vised 10.24.12 my COMMISS1 MY COMMISSION#FF 036606 -S octobet IS,2016 EXPIRES:August 15,2017 EXPIRIE Now0wo-coo (407)398-OiS3 FWdft Bonded Thru Mlivy Public Underwrillen; iiiiiaa�_ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000215 Date 2/13/14 Property Address . . . . . . 313 7TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 1200 ---------------------------------------------------------------------------- Application desc roof over ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ IGD 7TH STREET LLC RED STAG CONTRACTING INC 9857 OLD ST AUGUSTINE RD STE 5 2908 INDIAN HILL DR JACKSONVILLE FL 32257 JACKSONVILLE FL 32257 (904) 226-4477 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1200 Expiration Date . . 8/12/14 ---------------------------------------------------------------------------- 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 T 11Sr A13, Fj Adress:3ot its 3j; .32.t,-r32s 7 Permit Number: gal Description 5-Vt 1 axi &1��U_k��jj Parcel , /24,20u,'Tloor Area ot Sq.Ft. Valuation of Work$21060. Wce!-1/proposed Wn-1- hpated/cooled.zlv�/� �T�Iupnted/cooled ,( 400 fZ- Repair Move Demolition pool/spa window/door Cla�s of Work(circle one): New Addition Alteration G�D Use of existing/proposed structure(s) ��ircle one): Commercial 4� Residentia If an existing structure,is a fire sprinkler system installed? (Circle one): Yes o N/A Florida Product Approval For multiple products use Fro—duct app`r_ov_aVUo_rm Describe in detail the type of work to be performed: Rl�_' in U 1-j Property Owner Information: N -TA*Ac ��LwKQ Address: -3(n 7 ame. __IfL "j EW City A!j&..Lv-rze_ 63irae_tA —State fL_Zip 3-11-3-1-Phone 961 67/1- S74pz E-Mail or Fax#(Optional) Contractor Information: r CJL'& Company Name: W II&C-.- -Qualifying Agent: �VI,100 Address198-4 61A -&A. City I-ekso-n I,*I- -State L Zip 3AIS7 Office Phone 1014-190-Lia-C-1 Job Site/Contact Number Jog- 4-4q,*77 Fax# jog-19,J-Hol State Certification/Registration#C lawq /cA I q g-S(9 S Architect Name&Phone 4 Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address ork and in a a n a indicated I certify that no work or installation has commenced rior to the Ap h re made ob arn a e m, d hew tio s s s i n�cat comes n. to t st ' d a w thisjurisdiction. Thispermitbp s fsLxp5)months at any time after 0 s iod o k aWer 1 11 i f t tthe tan ar d r Is er ormed 0 m s is ), I , or co t r ix(6 n 7 ns cto 0 p 'at, 0 r' t Urnaces,Boilers,Heaters, p " its must be s cur 0 C ric edf r0E e a e Pools, 'ica io s e by d t 0 1 k p be s P e"it an t a wo w 'u"c'0 a P t co cd thin s ,d'Oidif o k no me la work is co m"cd I understand t t sepa e e Tanks and Air Conditioners,e1c. 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. fl nd ordinances governing this is a nd know the same to be true and correct. A 11 provisions o pp ica ton a os&L ori to vio t I herelb certify that I have read and examined th' U t ting of a permit does not pre�sumeto give ority to violate or cancel the work will be coTplied with whether s ecified herein or not. The gran ,r provisions of any otherfederal,state, or loca aw regulating construction or the peiformance of construction. Signature of Contr ctor "r c,0 Signature of Owner ......... ...... .... ... . . Y_ko tj Print Name A.,rd.,............................ Print Name ................................................................................ Before me Befor�Lpe this A_jL_Day of m E 2013, this V;i D f 20 1 A sT E OF FLORIDA N, EXPIRES October 16.2016 Notary Public Debra A. PresgrOM Comir #EE047357 C TH INE PEA ission E047357 RCE .24.12 -.1- j L MI.- ires: DEC. COMMISSION h0iff&' 07 2014 f W B u ATLAN-nC BONDING CO-,01C- 'Aw L(407)398-0153 FweAsw*wvswvw-c- CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Wit Application Number . . . . . 14-00000216 Date 2/13/14 Property Address . . . . . . 317 7TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 1200 ---------------------------------------------------------------------------- Application desc roof over ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ IGD 7TH STREET LLC RED STAG CONTRACTING INC 9857 OLD ST AUGUSTINE RD STE 5 2908 INDIAN HILL DR JACKSONVILLE FL 32257 JACKSONVILLE FL 32257 (904) 226-4477 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1200 Expiration Date . . 8/12/14 ---------------------------------------------------------------------------- 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:30 1. a is 1�17 "S _3 2.1,-r-32 c, 7 -r.., A 1�, 0- Permit Number: Legal Description Parcel# --Sq.Ft (44aaci-Tloor 7&ea­of- Sq.Ft. -heated/cooled Valuation of Work$3oao- rwe.Aorr/Pro posed Work heated/cooled non Class of Work(circle one): New Addition Alteration (:9D Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one):. Commercial ntia If an existing structure,is a fire sprinkler system installed?(Circle.one�): e�so N/A Florida Product Approval #-- For multiple products use prod—uct approval form Describe in detail the type of work to be performed: Ri�!-- C941'(���,�e J U Property Owner Information: Name: L-rvoA W= Address: -3 7,1 7 *< City Aj&..%,v-rze- Earye-" State f __Phone E-Mail or Fax#(Optional) Contractor Information: Qualifying Agent: AV�,jf&.3 Company Name: �el&-�AA C=�r �.. , I16C Address: -4 ;,11 c..L 0 -I city I-Okso-nif Ale -—State FL zip 1XIS Office Phone iO4-1so-'. -rel Job Site/Contact Number U Aa.4-w-72. Fax# jcq-j-C1-8o9 State Certification[Registration R-C I q.6 5 1.1 S 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 commencedprior to the issuance oj.a permit and that all work will be pedbrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null fter and void If work is not commenced within six(6)months, or if construction or work is suspended or abandonedfol aWeriod ofsix(6)months at any time a work is commenced I understand that separate permits must be securedfor Electricaf Work,Plumbing,Sikns, ells,Pools, Airnaces,Boilers,Heaters, Tanks andAlr Conditioners,etr- 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. Ihere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this does not presum give a ty to violate or cancel the 1111work will be coTplied with whether ecift"ed herein or not. The rgranting of a permit m g&e Aar.1y.10 violate 6r...c,.,nce.1 3f, h provisions of any otherfederal,state, or local aw regulating construction o peFformance of construction. Signature of Owner Signature of Contractor . .... . . Print Nam Print Name . . . ....... e . ........ (,�.......... r............ ................................... ... ....�­ .. .... ... .......I.. Beforq_4e h: Before me eo4W I I Is a " DH .20 t this 144- ay of Notairy-Fiblic C-4ATHER TAYLOR C HE PEARCE vised 10.24.12 my COMMISSION#EF-8437116 e A' MY COMMISSION#FF01 1230 15,2016 EXPIRES April 23,2017 EXPIRES WOW I FloridallotaryService.com 4'7';'3" 153 FWWON Aw CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000217 Date 2/13/14 Property Address . . . . . . 321 7TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1200 ---------------------------------------------------------------------------- Application desc roof over ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ IGD 7TH STREET LLC RED STAG CONTRACTING INC 9857 OLD ST AUGUSTINE RD STE 5 2908 INDIAN HILL DR JACKSONVILLE FL 32257 JACKSONVILLE FL 32257 (904) 226-4477 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1200 Expiration Date . . 8/12/14 ---------------------------------------------------------------------------- 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: 361 3 t 3, 3 14 3.2-1 -T 3;Z -5 7 A I!>. r i- Permit Number: Legal Description Parcel # (,�Ir,zoo.--)Floor Area of Sq.Ft. Sq*Ft Valuation of Work$irao.2." rd mms-r/ Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration (�Kep�air Move Demolition pool/spa window/door Use of existing/pro osed structure(s) (circle one): Commercial esiden * If an existing structure,is a fire sprinkler system installed? (Circle one-C):]�4e�so N/A Florida Product Approval# For multiple products use produci approval form V Describe in detail the type of work to be performed: ffe A 6(W a C vt I-A Y/C C V-r- c�t- of r P L A C L 11/A—r-hi Al r- -V V1 10 0 i- -5 V 5 Property Owner Information: Name: Address: City Amomc 1�3cac" state r-L zip 322-3-3 Phone 302 5F2+ 44qQ E-Mail or Fax#(Optional) 0,QnC3CLC--CM6V(--S Contractor Information: Company Name: eirlo e-. Qual!f�ing Agent: kygrr& %,�l U^S$AL,/ Address: q603-1 0-p .57, A.&4,x& r--= Aj,!r -D —city �1 AC, State %5�1- Zip 32z.5 T Office Phone i o 4. S?It& -t Job Site/Contac Number 4wf. z 2.6. 4,4 7 7 Fax# 91v4. X 1. 1 ?09 State Certification/Registration# e- 13 1 IT -S 5) cis 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 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 abandonedfor aWeriod of six(6)months at any time after work is commenced. I understand that separate permits must be securedfor Electrical Work, Plumbing,Signs, ells, Pools, Furnaces, 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I here certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this V k will be complied with whether specified herein or not. The granting of a permit does not presume to give auth rity to violate or cancel the wor ce of construction. ;-or� -4te-&r an provisions of any other federal, state, or local law regulating construction p Signature of Owner Signature of Contractor PrintName ......................................... Print Name . ............... .. ..... ... Sworn to and subscribed-1w -, 20 - - - -Sworn to and subscfibed before me this Id Day of f A, 2 MARGARET NIEMEYER N&2(y ic R-OT—af-Y Public-State of Florida f My Comm-Expires Nov 2,201 T ic ATH Commission #EE 39606 My COMMISSION#EW3716 16yis 01.26.10 r 15, (4 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Fit Application Number . . . . . 14-00000218 Date 2/13/14 Property Address . . . . . . 325 7TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 1200 ---------------------------------------------------------------------------- Application desc roof over ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ IGD 7TH STREET LLC RED STAG CONTRACTING INC 9857 OLD ST AUGUSTINE RD STE 5 2908 INDIAN HILL DR JACKSONVILLE FL 32257 JACKSONVILLE FL 32257 (904) 226-4477 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . - . 00 Permit Fee . . . . 60 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 1200 Expiration Date . . 8/12/14 ------ --------------------------------------------------------------------- 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:301, its 3. 7-- 2-t 7`��. A Permit Number: ll r _1 Parcel Legal Description 0 Sq.Ft c)r7Q�o �q.�t _ -;V oor eao q. -4 ro ted/cooled non-heated/cooled_4_ Valuation of Work$ rivic 140#.rr roposed Work hea lZoor 116pair Move Demolition pool/spa window/door Cla�s of Work(circle one): New Addition Alteration (9D le one): Commercial esidentia use of existing/proposed structureQ) irc le one6): :�Yes 0 N/A If an existing structure,is a fire sprinkler system instafled9 (Circ Florida Product Approval 4 For multiple products use prod ict approval form Describe in detail the type of work to be performed: Rq��. ?VAAA-"A A4,11 Property owner Information: Nam' Pv, IFA —I, -'-,-- -N - � Address: 7 City Ar&.AVrZe- 6LrAe_"._ State fA,_Zip j 21.�Phone E-Mail or Fax#(optional) Contractor Information: Qualifying Agent: Company Nlaime: el Address: City 3���..State FL Zip 3 AZS office Phone 104-1.90-440 Job Site/Contact Number Uq-.Za-4-YT7 7 Fax# %qAJ-1101 State Certification/Registration#LLL—t-laiia-q Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Addres Bonding Company Name and Addres Mortgage Lender Name and Address to do the work and installations as indicated I cert6 that no work or installation has commenced prior to the Application is hereby made to obtain a permit on. Thispermit becomes null 711 work will be pe?fiormed to meet the standards of all laws regulating construction in this jurisdicti,g)months at any time after issuance of a permit and that i work is s ended or abandonedfor aWeriod of six within six(6)months, or if construction or urnaces,Boilers,Heaters, and void ffwork is not commenced flWork,Plumbing,Signs, ells,Pools, work is commence& I understand that separate permits must be securedfor Electric Tanks andAlr conmioners,eta 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. h t* and know the same to be true and correct. All provisions of laws and ordinances governing this I hereb certify that I have read and examined this app ica ion to give aut ority to violate or cancel the I type o work will be coTP zed with whether ecified herein or not. The granting of a permit does not presume to give aut o 17, -1' . ri.ty to violate or canc.e,,,,ne r localsf,w regulating construction or the pe�formance of construction. provisions of any otherfederal,state, o ctor Signature of Owner g " Signature of Co�ntractor . .. ... .... ... 44 Print Name . ....... . ....... ... ......... ...................... .................... PrintName ..................................... Before me Before me .20 \1_1 this Day o 20 1 this I Day of tic 01-1 _wl ota Notary Public 11.1 PEARCE commission#EE 174048 CATHERINE a"4i3; d 10.24.12 Expires February 28,2016 MY COMMISSION*EE DwOed i�n MW Fain Insranoe BOMBS-7019 15,2016 EXPIRES 000bOr OOM F (407 325-053