2299 N Fairway Villas 2014 Roof C, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SA
Application Number . . . . . 14-00000523 Date 4/04/14
Property Address . . . . . . 2299 N FAIRWAY VILLAS LN
Application type description ROOF PERMIT
Property Zoning . . . . . . . PLANNED UNIT DEVELOPMENT
Application valuation . . . . 7440 ----------------------
-----------------------------------------------------
Application desc
FL 5444 REROOF
---------------------------------------------
Owner Contractor--------------
----------
------------------------
FEDERAL HOME LOAN MORTGAGE PREPCO LLC
2299 FAIRWAY VILLAS LN N 541745 US HWY 1 FL 32009
ATLANTIC BEACH FL 32233 BRYCEVILLE
(888) 275-1651 (904) 257-9084 --------------
-------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc - - Plan Check Fee . 00
Permit Fee . . . . 90 . 00 valuation . . . . 7440
Issue Date . . . .
Expiration Date . - 10/01/14 -------------------------------
----- ---- - - - - - - - - - ----- --
Other-Fees STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
------------------- --------------------------------------------------------
Fee summary Charged Paid Credited- Due---
----- ----------- ---------- ---------- -------- ---
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 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: tJ Permit Number: 14-
Legal Description -3 7 -2-2 09�._4�5 _ 4Q"rwat/Vjllq�Parcel
Floor Area ot- Sq.Ft. ' Sq.Ft
7*�-O Proposed Work heated/cooled non-heated/coole 1
Valuation of Work$
Class of Work(circle one): r_N__e`w_) Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial <:::.::R� esidential
e). �
If an existing structure,is a fire sprinkler stem installed? (Circle one): (o N /A
Florida Product Approval # -,rZ _551eP
For multiple products use�_roduct approval form
Describe in detail the type of work to be performed.
20a I
C
14
Property Owner Information:
Nam Ma dba Lz-.p —Address: 0 0 P_�az,2_ "-D
City Stak_12/-tp J!Eo I n Phone
E-Mail`o�Yax#�Olitionil)_
Contractor Information:
A
Company Name: L Qualif ing -5
7t-t,9c_o L ��,A ent:
Address-57q/074(r7 L15 &ili&)Lea!4 ity jq�)O_A State Zip Q C�7_1
Z0_y_Y_
Office Phone(10!6 s,'!ff7 0 Job Site/Contact Number Fax#
State Certificatio"n/Registration C )45?j,3
Architect Name& Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A ca ereb ade a' a per""o do the work and insla or installation has commenced prior to the
r
f
rmit y t to ob' ink Vpe 0 med to m�_I t sta ihisjurisdiction. This permit becomes null
h r / J. I f six(6)months-at any time after
i PP'i c'io�ts It w a period o
a uan e o ap I a or
0 ,
id f k is" 'nced t s (6 1', or, c s rc
w' 0 Obe Wefls, Pools, Furnaces, Boilers, Heaters,
'k is co e'cd' I understand that se��rate permits must
Tanks and Air canxtioners,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 YOUR NOTICE OF
COMMENCEMENT.
ning this
I here certify that I have read and examine I ts.a once,
d h* pplication and know the same to be true and correct. All provisions of laws and ordinances gover
o work will be coTp �n or not. The granting of a permit does not presume to give authority to violate or c the
ope '�' lied with whether specyted herei
provisions ofany otherfederal,state, or local law regulating construction or the peifiormance ofconstruction.
Signature of Owner S' Signature of Contractor
Print Name Print Name
S t and subscAlbed be ore me
'w SwoMjo and subscribed before me
thilsWo Day ot,hapt 2
I be ore me
this IX Day of &j I
ANGELA SCHM'Ll
L
E -E
AVV�A 11 11
Notary Public - - j MY COMMISSION#FF053414
BRODRICK DUNCAN VotVaublic EXPIRES September 11�2017
Notary Public,State of Texas
My Commission Expires 1 (407)398-0 a3 141*U�jUrv,ce,c.m
Apr1122, 2014
ERA-r .0 -E LOAN MORTGAGE CORPORAT10-
VED m
CFpTWfC-ATR
OF
APPoRMWENT AND AUTHORITY
15y thr Mdgi-anal DDI(--9-4taom Of Aufhe"�l'es
to the au
thority v(_s� in me
,--aL I hereby appo�K I ABETT I PARSONS as k&i-gtag Tre-am
corporatim (Freddit Maz) for the solf-PMP.O-Sff-.Of
of the Fcdffrg Home, Loan M-DrttaP Gh ff�_ fc)reGjOSed or repil propch azqinlrod bY Am
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as mnH7
Carol R.-Bkatm-RI4
BRODRICK UNCAN
mffadgimg
Notary Public,State of Texas
M Commission Expires
y
April 22, 2014
D.atf-,: Apr-jj 2-�.,2-D13
-E LOAN MORTGAGE CORPOR'AT'ON
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btn=f and mAhoity bw=e pcvzdP-d 64 thIS 8001atmed ML8
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aLthc)rlty shall tj,-nti-D� uPoa ta= tiD'q Of t -PPC) nteI- P107Men
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,ity wt be,rectele-04ed-
7 'an&
Carol R-A'ah -Y
BROD ICK DUNCA
ra,COM
fT s NjandgingASO621d
Notary PubliC,state o exa r=zlf v
my commission Expires cyn-f
Apr!122. 2014
I�ELt.f-: Apr-,I 2�.,, 2-013