75 W 8th St 2014 Roof CITY OF ATLANTIC BEACH
r ) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
!31t
Application Number . . . . . 14-00001180 Date 7/23/14
Property Address . . . . . . 75 W 8TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 9050
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Application desc
FL 10124 . 16
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Owner Contractor
--------------------
------------------------
GANEY JR, WILLIAM W GREAT WHITE CONSTRUCTION INC
P O BOX 331526 4320 DEERWOOD LAKE PWY
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 838-1659
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Permit . . . . . . ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 100 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 9050
Expiration Date . . 1/19/15
------------------------------
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 100 . 00 100 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 104 . 00 104 . 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: 1`� 1'h S�" pma&C Pc� ,h Permit Number:
Legal Description RrAo cif GtCVI SParcel#
F loor Area of Sq.Ft. Sq.Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration epair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercialesi
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes o N/A
Florida Product Approval #l bl�-q� I (p
For multiple products use pro uct approval form
Describe in detail the type of work to be performed:
Property Owner Information:
A Address:
Name:
City State Zip �'d''S Phone !96 u- 50u - ?8 frGl
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: A h Qualifying Agent: I_ria tC
Address: (< 03 citv i6k State_ Zip 3o-&I(v
Office Phone b - 3 — Job Site/CoactNumber QA V13 8 34—1(a 5_1 Fax#J"�L�(P'7�/l0"l il b
State Certification/Registration# 13
Architect Name& Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
:Ipplicaco
tio�Js hereymade toobain a permit todo the work andinsmIrtallations as indicated. 1 certify that no work or installation has commenced prior to the
e permitand that all work willbe performed to meet the standards of aI!laws rer
peegulating construction in thpisejurisdiction(. This permit bectime omes null
and work lid0 k is .of!unde nce that separate 'ismust
ma t be secutred for Electrlcua(Work, Plumbingor nSi�ysr aWe//s, P riod olsxFuinaces,Boilemonths at i,Hew!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 BEOR ENTE RECORDING YOUR NOTICE OF
COMME/herebb •certify that!have read and examined this application and know the.same to be true and correct. Al!provisions of laws and ordinances governing this
tY isiowork ns o will be complied
er ,stith atewor lhcealspecregetlating construction o the Jpe�formai a oJ'constru a permit does of ptresume to give authority to violate or cancel the
p f Y f taw
Signature of Owner. Signature of Contractory �`
-1-mu..%... � .........h_t.er.................
Print Name �rU..!..(..1..�.. . . ...... IJP Print Name 5..........
fore me Sworn to and subscri
Sworn to and subscribe be this aj- Day of A4
this 2,.�Day of
P bhC-State of Florida
A=MLEY RIOG:�29966
c res Jun 20,2017
-Statida FF 29900
Notary Publ' l � Icy Comm.Exgres d7 Not ry Public %,F� = om isaion r
.•� „mss Commis:ion#►F
Doc # 2014163607, OR BK 16852 Page 2261 , Number Pages: 1, Recorded
07/23/2014 at 09:46 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
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