1464 Jasmine St 2014 roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . 14-00001146 Date 7/18/14
Property Address . . . . . . 1464 JASMINE ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4500
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Application desc
REROOF FL 10674 . 1
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Owner Contractor
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RAMIREZ, JAMIE W & TERESA J HAMMER TIME ROOFING
1464 JASMINE STREET 627 AQUATIC DR
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 716-9149
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Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4500
Expiration Date . . 1/14/15
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Other Fees .
. STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited ----Due---
----------------- ---------- ---------- ---
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 79 . 00 79 . 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: h 3-2a 33 Permit Number:
i� ,XtSrh;r� 5v, ��T�C �c
Legal Description SeC # A XCAI Parcel#
�;�-, Floor Area o q. t. q.Ft
Valuation of Work$ L�_Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial esidential
If an existing structure,is a fire sprinkler syt installed? (Circle one): es o N/A
Florida Product Approval# ](-'C �]
For multiple products use product a proval form Ke-
Describe in detail the type of work to be performed: cj
Property Owner Information: _
Name:
)ta ',C_ Amt(c Z Address: 1�6 q ''"' '
City C, 1341 State Le Zip Phone ('%-I )3"7 'S
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: /�otyviwy 12 � Mme fii i✓'C� Qualifying Agent: h (3e 7tCM<
Address: 13Lj6S <-,01 ec40.6 Lt . City &c66,U1 P State LL Zip 30
OfficePhone `71(��(/ J Job Site/Contact Number SC:IA^e Fax#
State Certification/Registration# lti C C f� /3 9 9 8
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 thisjurisdiction. 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 perzod 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.
I here b certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type 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�of any other f�11,st��loc I la�reg ting construction or the perfo�ance�consiru�or},,
f3 J
502_
2 LJIJ �V 5 2 ( LJ
Signature of Owner Signature of Contractor/
Print Name .^.l�L..t. ......... Allt'�...�...1�..> ' Print Name '!f0Q.CCI.(rt.. ..............
Befgr � ` Befo e 2011 "1
this 1 ZJ Day of 20 `'I this of
•.Oti Yi� NN R r\
NOt ublic EXPIRES:April 24,2017 NO ry MISSION It FF 011,E
Bonded Thru Notary PuMk Un(WrW(l@fs PIRES:April 24,201,
".? Bonded Thru Notary PW ' 1.26.10