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965 Sailfish Dr 2014 Roof N C, 'S f CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 " INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000743 Date 5/08/14 Property Address . . . . . . 965 SAILFISH DR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2200 ---------------------------------------------------------------------------- Application desc fl 10124 . 1 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WOODS, CAROLYN & JEFF DAVID MERRITT CONST. CO. (ROOF) 303 6TH ST 108 FLORIDA BLVD ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 993-1697 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2200 Expiration Date . . 11/04/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 69 . 00 69 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. WF\b BUILDING PERMIT APPLICATION *Pursuant to F.S. 553.721 & F.S. 468.631, a surchargefee will be collected on any permit regulated under the FBC. Job Address: �J Cl tU�� /1l Sk 41- Permit Number: Legal Description Project Valuation $ i Class of Work: ❑ New ❑ Addition ❑ Alteration ❑ Repair ❑ Move ❑ Replacement j Use of existing/proposed structure(s): ❑ Commercial Residential If an existing structure, is a fire sprinkler system installed? ❑ Yes ❑ No ❑ N/A 53)- Roofing Materials: Main Material FL Approval # F 101 a4. l _ Underlayment FL Approval# J Describe in detail the type of work to be performed: n cw 1 Sh,rz 5 I e s of) n f.u1 L'Od ds Property Owner Information: Name: S Registered Agent (If Applicable): Address S City � - State FF County-0Zip Phone E-Mail Contractor Information: _ Company Name: av d / t�n co Name of License Holder: d�5 Sa /A w✓ tf 3 Address: 1744 Ff— (ryt r� i2 oa City s State i Zip 3 Z 2 Office Phone a x`371 1 Office E-Mail or Fax# - - t 1 State Certification/Registration# CCC 137-M l Job Site Contact Name/Number 4 3-1(o Or � Architect Name, Address & Phone Engineer's Name, Address & Phone Application is hereby made to obtain apermit 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 work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,Tanks and Air Conditioners,etc. Owner's Affidavit:I hereby 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 ty e of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions oany other federal,state, or local law regulating construction or the performance of construction. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. SA NTICE OF COMMENCEMENT MUST ITE BEFORE THE FIRST INSPECTION.BE RECORDED AND POSTED ON THE JO IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFO )RE ORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owner. 1 Signature of Contraac/tor Print Name .........t 'C � 0.. ... .n........ . .. ..o... ................................. Print Name........... �(1 S.S4Owl— .7��............................................................ STATE OF FLORIDA, COUNTY OF DLUra-� STATE OF FLORIDA, COUNTY OFy Sworn to(or affirme and subscribed before me this. !6��ay (or affirmed and subscribed before me this day of 20 pf . 20Lq Notary' ublie Signat ��tTYtI Dwo° � of Public S ature (Print or Type Commissioned Name Below) (Affix Seal Belo,v� ♦ .L My Qfmm. OC1��7aryftsn. (A i eal Below) E [04............ ..................................................................................... IJPersonall 'non°� �d�o8i Identification/Type DO NOT WRITE BELOW THIS LINE: OFFICE USE ONLY Applicable Codes: 2 R F ori a Bui ing o e Review Result(circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: Development Size DCA/DBPR Surcharge$ Habitable Space Non-Habitable Impervious Area Total Area 1 st Floor 2nd Floor Garage _ Lanai Porches/Patios/Balcony— Miscellaneous Information Conditions/Comments: Occupancy Group Type of Construction Number of Stories _ Zoning District # Parking Spaces Max. Occupancy Load Fire Sprinklers Required Flood Zone 11 North 3rd Street Phone (904) 247-6235 Fax (904) 247-6107 FBC 2010 Revised 3/15/12