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67 W 8th St 2014 Roof CITY OF ATLANTIC BEACH S1� r 800 SEMINOLE ROAD j � ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001179 Date 7/23/14 Property Address . . . . . . 67 W 8TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9100 ---------------------------------------------- Application desc fl 10124 . 16 ---------------------------------------------- Owner Contractor ---------- --- GANEY, NANCY GREAT WHITE CONSTRUCTION INC P O BOX 331526 4320 DEERWOOD LAKE PWY ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 838-1659 --------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . . 00 Permit Fee . . . . 100 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 9100 Expiration Date . . 1/19/15 --------------------- -------- Other Fees STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- 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: ts 0 ' S Permit Number: ol�Parcel # Legal Description nii � 2C 1 rt Floor Area ot S Nq.Ft Valuation of Work 100 , 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 Residentia If an existing structure,is a fie sprinkler system installed? (Circle one . o N/A Florida Product Approval# I ti . For multiple products use product approval form Describe in detail the type of work to be performed:� (�0 S a ON Property Owner Information: Name: Address: �d 81-14City f"I State ip 3 Phone 01 Sa E-Mail or Fax#(Optional) Contractor Information: _ Company Name: 6 �(� dh Qualifying Agent: ��tVIS I .11 G In tyC Address: 0- City Jay, State_F( _Zip 3F" Ito Office Phone - .3 Job Site/ ontact Number-R(AOS 8 3�'I�oS`� Fax# �- U"�y(O' ��U State Ce rt ification/Registration# 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, u'u months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Poolsrnaces, 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 BEOR ENTE RECORDING YOUR NOTICE OF COMMEI here b 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 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 federal,state, or local law regulating construction or the performance of construction. Q Signature of Owner. Signature of Contractor Print Name I/N..l...l_1.._l.. ... ... he Print Name T. �........�\:.�.( ...K...'.. ................................................ be Sworn to and subscribe Sworn to and subscrie or b fore me - this Day of AMET"M this Day of ..• ':►''� ASHLEY RIOGEWM .State of Florida Public-State of Fiona i y My Comair.Expires Jun 20,201 Notary Public =°, n x FF 29966 Notary Public N FF 29966 •,,Fo�,� ,, Com mi Ceilanisaion Doc # 2014163606, OR BK 16852 Page 2260, Number Pages: 1, Recorded 07/23/2014 at 09:46 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 .00 NOTICE OF CO : ENCZAMIff x��e SSr>de£sa�tae3#Sasu�±i£�l+Rtm�t�P(Yti SBS �rl.atif�t[t s.Fe43kBs iwat4 p�afty,and#� sruta� att s wr'?2t3 t!!t>a>$I*f O "00*twit",00 40M 4 i.zh1.Y•-3t'SCi�:tiC•?:pi�tal&`Z+'!� '.B.SYS.•O's4c9 --•— ,L-q . .T s "to pi-r "32a•$9?gi�2�'F�uia a,`2y�,.Y�ffi&49; .............•..-.........,...._......-...,............,......,,,..........,......,,..,._,......�...,,...... r «: < `.x '2• JF..ate'E{'.c�.t.�'ta''i........ _ ---.:- .�............ . iixt rase :... .. - .----------------- ---------- .. a:g...:9tS�SYe?&:3?.2N kms`+arrf 3 sle:.;j;B Ft�3n FLi o Lt-r'e iE 2n n y{:j t t•2u L ni£! , pf"04.NO - •<f'i�%y or Z, ... .. ..... 3C2 23 �°?$F.i33 4;:rr5ad tYAr?:dv"fFS- £3�#'b.u.2a•t�6C:t a�y,:BrS:):l..eo,.catiP�'.'ie'J'�,'1•:e f•F l`-..t3tt"�"+e'+, 4,Av: >:S:, S�.c\=.x• ....................... dela rs� a ��ae�2c2m22t a sa see c�3ses 'r��i 2 fa •2a ' a #ksfetei+7GEse ter :— d .X _ -?-wow.?lia�o�DYk aS Mc&U"kII .t it�oa` 'i ` +A�32t,Sa �a:i4`� 2 � y 'Set• �; �+.� QS}�o0�Jq��2£3A"Y 2`13tM ��i�i