5500 Fleet Landing Blvd 2014 ROOF Nancy House CITY OF ATLANTIC BEACH
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J 800 SEMINOLE ROAD
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ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . 14-00000976 Date 6/17/14
Property Address . . . . . . 5500 FLEET LANDING BLVD
Tenant nbr, name . . . . . . NANCY HOUSE
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 228000
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Application desc
REROOF
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Owner Contractor
-
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NAVAL CONTINUING CARE BARBER & ASSOCIATES, INC.
RETIREMENT FOUNDATION, INC DBA:ROOF DECKS LLC.
1 FLEET LANDING BLVD 1514 BERNITA ST
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 744-4067
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Permit . . . . . . ROOF PERMIT
Additional desc .
Permit Fee 864 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 228000
Expiration Date . . 12/14/14
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 12 . 96
STATE DBPR SURCHARGE 12 . 96
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 864 . 00 864 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 25 . 92 25 . 92 . 00 . 00
Grand Total 889 . 92 889 . 92 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATIONi6e ,;Ii3-oovo �3
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904) 247-5826 Fax(904)247-5845
Job Address: j FLLZ_1 LArJ_61,d(� —Permit Number:
Legal Description F&a7 LaAr,>�Ac) IJAAK:r- ttnvs= Parcel#
oor Area ot SO.Ft. Sq.Ft
Valuation of Work -�— Proposed Work heated/cooled ?dam non-heated/cooled
Class of Work(circle one): <-Lem—' Addition Alteration Repair Move Demolition pooUspa window/door
Use of existing/proposed structure(s) (circle one): Com�irc
Residential
If an existing structure,is a fire sprinkler system nista a ne): Yes No N/A
Florida Product Approval# Zgfdli'� -- 9 4.
For multiple products use product approva orm .RME 1dC^-
Describe in detail the type of work to be performed:::Z.-k
.sm1
Property Owner Information:
Name: VAVAsLC ��i,c� „��C fig Ll+u�,�ti Address: l FL-ZE " j.,6Aj-'t W6 a z v-_"�o
City 1ra_Av%rc 2Fhclf State dZip 5,2a33 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:2(Z_btr_ _Ascom uv--,65 Qualifying Agent: '-Jo"?J
Address: 6U,,,-;-A <-,t CityLeC1,JV)4-,Lj- State FL- Zips=� ) �
Office Phone& -744-400,7 Job Site/Contact Number Fax#
State Certification/Registration# LCGaS 784��
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 he performed to meet the standards ofall 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 fora period of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, t 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.
/hereb certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions o aws and ordinances governing this
type o work will be complied with whether specified herein or not. The granting of a permit does not presume t rve uthority to violate or cancel the
provisions of any other federal,state, or local lay regulating construction or the performance of construction.
Signature of Owner Signature of Contractor /
` � Print Name ......................... ............ ^.._: `-Scr_.........
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Print Name //t rte,✓ % w D e7t .............._._.._.._._._. _D........ __...._.
Sworn to-and subscribed before me Sworn to and subscribed before me ZO 1
this%G�Dgay of J�rN 20�¢ this `' Day of
Notary Public J * * MEXPIRE&. jm 10,201
SHARI R QUEST
sq �' Bandodfitu9u4etNob^9ed 01.26.10
MY COMMISSION#FF06A947 X01
EXPIRES November 4.?017
(407)398-0153 FloridallotaryServlce.com