322 Royal Palms Dr 2014 Roof CITY OF ATLANTIC BEACH
SS
800 SEMINOLE ROAD
r, y� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
v� l� y►
14-00000379 Date 3/13/14
Application Number � 322 ROYAL PALMS DR
Property Address . . • • •
Application type description ROOF PERMIT
Property Zoning
TO BE UPDATED
5832
Application valuation . . . -----------------
---------------------------------------------------
Application desc
f110124 . 16 ----------
---------------------------
Contractor
Owner ---------
-------
WILTISON, DEREK GREAT WHITE CONSTRUCTION IN
13820 JEREMIAH RD 4320 DEERWOOD LAKE PWFL 32216
JACKSONVILLE FL 32224 JACKSONVILLE
(904) 838-1659
----- -_--
------ -
Permit , , ROOF PERMIT
Additional desc - . Plan Check Fee . 00
Permit Fee 80 . 00 5832
Valuation
Issue Date . • . ' 9/09/14 _
Expiration Date - ----
2 . 00
Other Fees
• . . STATE DCA SURCHARGE2 . 00
• � STATE DBPR SURCHARGE ----------------
----
--------------
-------------
--------------
------------------ Credited Due
Charged Paid _______
-----------------Fee summary g . 00
----------
80 . 00 ----- -80 . 00 . 00
Permit Fee Total 00 00 . 00
Plan Check Total 00 00 . 00
4 . 00 4 . 00 . 00
Other Fee Total . 00
Grand Total 84 . 00 84 . 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: VWCAI mS V Permit Number:
�t 1 arce(6
Legal Description 12 1 0 d arce
o r Area of q. t. Sq.Ft
Valuation of Work$.5 9 301- T Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration I®Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s) (circlse stem• Commercial installed? Circle one�Re_
a N/A
If an existing structure,is a fire sprinklery
Florida Product Approval # l a I JA I&
For multiple products use product approval form
Describe in detail the type of work to be performed: rra fib( ISG S
Property Owner Information:
Name: J 1'1 J 0 h Address: -3a-3-
City State ip 7, 3 S
3 Phone �'ON —� �I -1�1-
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: ^d n Qualifying Age t: a1����C1l�G�l((1
Address:
M"I
City StateZtp r a-2I
Office Phone ontact Number CU - lO Fax#
State Certification/Registration# e 1Z 132 6
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 installationslsrikn dicated. 1 certify that no work or installation has commenced prior et
o the
issuance of a permit and that all work will be performed to meet the standards all laws rpegulating construction in this jurisdiction(. This permit becomes null
work isd o menced.ot I understand that separate permits must be secutred for Electricual Workl Plumbing,Signs,aWellsoPoolsXFuinaces BoilerystHeaters,
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 ENTE ERECORDING YOUR 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 owork 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 oo
Signature of Owner 1. �/� - f Contractor
I_
Print Name Print Name S�..G4�(15... !(.\ ��r................................................
r .F' . . ......... r..(... j .b..f'1.............................................
r � #•w�a ' ' 3 `y ig Sworn t and subscribe b o e me
Sworn o and subscrtb before me �� f
this � Day of 20 I this �Day of
"III" SHLEY RIDGEWAY
��111111"` ASHLEY RIDGEWAY
�.`�4Pav Pfip ..0 IC
Not nPublic-State of FI bYI ubli =
Notary Publ = = .i.Expires Jun 20,2017
My Co, .'a.Expires Jun 20,2017 ,�41FOFF���`I(eV] ;@0s
.fCVF 29966
Commission#FF 29966 ��111111��•'
IIII IIID
Doc # 2014055523, OR BK 16716 Page 645, Number Pages: 1 , Recorded 03/12/2014
at 02:56 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
gra
be me*qw
maws""hw1by.10401
.rtlh743plerlda 1b rlsd R► 1
R/P of PT of Roval Palms Unit 94-4911951k 25
.... . . .. .. . ... . .. . .
322 Royal Palms Dr Atlantic Beach, FL 3223 ,.
..:..
a�wr�t,dw�p�► ..
..:.:. ... .:. .
..... ... ..
Derek Wiltison
....:..:.. ....
...........
,�,,, 322 Ro al Palrtns Dr.Atlantic...each FL 32233 :.
00
t ft.ite.Con.son
x,4320 Deerwood Lake Pkwy#403 Jax, FL 32216
PeMeHo; > cNa,. 1-8..�.6-746-1.840
a�faR�t)
-Aid* 1i
_ �_AgpQlillEt�fblded
:ll�iatia. ..
! ILIIR✓ ®�11 111YG$ Glf�lfdE.dr4rl at ttd'Ei7e f1 ONRIOf t S'�1�i vE IOf
• „ A��*MG..�....Mr��� .. :��"'I�..�.w•w..w�..-�.�...r+..•i.��iY...+.�rwri�ii�ir.►'
pow
id
kriiv-
'{M; ls,SFr.kAiieagy+of+b.atii�lr�.Ak�Me.a.n+a�.+.i*
r•
. erNtl�a��}�wr�araarr�Mpar
aNw �w.+�a• •�:
'4