335 Sailfish Dr Roof 2014 CITY OF ATLANTIC BEACH
s! 800 SEMINOLE ROAD
J
v� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
0A
Application Number
14-00000547 Date 4/09/14
Property Address . . . . . . 335 SAILFISH DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7800
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Application desc
reroof
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Owner Contractor
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CHAILLE, SUSAN M GREAT WHITE CONSTRUCTION INC
335 SAILFISH DRIVE 4320 DEERWOOD LAKE PWY
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 838-1659
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Permit ROOF PERMIT
Additional desc Plan Check Fee . 00
Permit Fee . . . . 90 . 00 7800
Issue Date Valuation
Expiration Date . . 10/06/14
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----------- 2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2 . 00
_ ________ ----
Fee summary Charged
Paid Credited
_ _ ------ --
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- . 00
Permit Fee Total 90 . 00 90 . 00 00 . 00
Plan Check Total • 00 . 00
Other Fee Total 4 . 00 4 . 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: 5-�>5 SL%Tns)n C)(1- C qC," t-,3-ZWermit Number:
Legal Description 90\ C(1, k0-Az- jT 0249 Parcel #
—T oorrea fa o sq.Ft. Sq.Ft
Valuation of Work$ –1 gb0, `2` Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration (9;; Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial est enti
If an existing structure,is a fire sprinkler system installed? (Circle one): es N/A
Florida Product Approval # t b 1 • LO
For multiple products use product approval iform
Describe in detail the type of work to be performed: a-
Property Owner Information: 2�
Name: S CYC \\Vtl Address:
City StateVLZip 37,233 Phone 2'�1- X145
E-Mail or Fax# (Optional)
Contractor Information:
Co Name: G(WU-� WWL P& � � Qualifying Agent: T VAQ\S S\O�-�lQ �l�=
Ad s._ Jr A0� City_ State Zip2.1
Office Phone 11CA k IK- L(9 RI ;Job Site/Contact Numbera VAb0
State Certification/Registration# CUT ` 3a-109:1
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 at hpermit to do the work and installatioo
ns as indicated. /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 of all laws rpegulating construction in thpis jurisdiction. This permit becomes null
i
Ten
work is�o menced.ot/understand that separate permitsomu t be secured for Electrical Workl Plumb ng, Signs,aWells�PoolsXuinaces, Boi[erys,Heat rs,
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 BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereb certify that I 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 o work will be complied with whether sped 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 of O ne Signature of Contractor "
Print Name K-.. VI.I..tl.. ........................................................ Print Name � V...l�.._S�AUrG( ..............................................................
Sworn to and subscri d befo e m rn, o and subscrib
this Day of 20 th _t Day of
/..u�a a YRIO�EWAY =o� �`�
\ iF Notary PubliC-Statc of Florida
_ Notary Public State of Florida _ ,e5 gun 20.2011
Uri 20,201
Notary Pu tC `'�F Commis n cc 29966
Commission r FF 29966N ry Public „
�, �� VMeU
Doc # 2014077617, OR BK 16743 Page 2484 , Number Pages: 1, Recorded
04/09/2014 at 10:49 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
NOTICE OF COMMENCEMENT
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