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1880 Live Oak Ln 2014 Roof
i CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Dile Application Number . . . . . 14-00000821 Date 5/20/14 Property Address . . . . . . 1880 LIVE OAK LN Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10500 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHNSON, DIANE L EXCEL ROOFING INC 1880 LIVE OAK LANE 5685 BEAVER BROOK ST ATLANTIC BEACH FL 322334549 COCOA FL 32927 (904) 514-6647 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 10500 Expiration Date . . 11/16/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 109 . 00 109 . 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: /!9Z4gd7`t _ A!�,�.w Permit Number: Legal Description LiT!Z S6t..t/I4 AFloor ' GrN�T 1.2-1 Parcel # l '7 91)-tO l 1'26 eat q. t, Tq7t Valuation of Work S /0,yrb d Proposed Work heated/cooled non-heated/cooled__ Class of Work(circle one): New Addition Alteratione a' Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial tiaV If an existing structure,is a fire sprinkler system installed? (Circle one): s No N/A Florida Product Approval#�If7If 7 For multiple products use product approval form Describe in detail the type of work to be performed: S - .t 1d D Property Owner Information: Name: © Address: 4kEo a Al- 4A4 06( City G StateF� ip as Phone E-Mail or Fax# (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: t L �y Z-wt; Qualifying Agent: 041"" Address: G 9l� �p /�,2Bw2ao,� ST City0ve—o ld State F,4 Zip�3�Z�1x7 Office Phone_�o y_7,�-f777 Job Site/Contact Number 9A IC74 —g777 Fax State Certification/Registration# CG e Sr 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 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, urnaces,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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereby certify that I have read and examined thisapplication 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 specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other f eral, ate, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contra or F)yuGL4S z He- Print ePrint Name Print Name `5b � �C. 1 \ Before me Before me this Day of �^v� his Da ?.r, :. MY COMMISSION#EE 121012 " GIAPIGRECO PIRES:September 17,2015 MY COMMISSION#EE 121012 Notary Public 'fw'' nden" " otaryP 1c ..... eonaearnS September 17,2015 NAY Pubk Underwiten; It evise Doc # 2014111119, OR BK 16785 Page 432, Number Pages: 1 , Recorded 05/19/2014 at 01 :24 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMM NCEMA` .. 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