640 Orchid St 2014 roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number
14-00001269 Date 8/07/14
464 ORCHID ST
Property Address . • .
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4950
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Application desc
reroof
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Owner Contractor
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_ ______
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CASTLEMAN, CLARA ROMANO BROTHERS ROOFING, INC
464 ORCHID STREET 1188 12TH ST N
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 246-5649
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Permit . . . . . . ROOF PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 75 . 00 4950
Issue Date Valuation
Expiration Date 2/03/15
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STATE DCA SURCHARGE 2 . 00
Other Fees
STATE DBPR SURCHARGE 2 . 00
Fee summary Charged
Paid Credited
_ ------- . 00
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- . 00
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total • 00 . 00
00 . 00 4 .
Other Fee Total 4 . 00 00 . 00
Grand Total 79 . 00 79 . 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: `I �U' "' { � 3 Permit Number:
Legal Description �- X33 Parcel#
q. t
oor ea o
P
Valuation of Work S ��6• roposed Work heated cooled non-heated/cooled
Class of Work(circle one): 6;) Addition Alteration Repair b4ovesi olition pool/spa window/door
Use of existing/proposed structure(s) circle one):.
Commercial Residential
If an existing structure,is a fi a sprinkle system
installed? (Circle one): o N/A
Florida Product Approval# of
For multiple products use pro uct approval or
Describe in detail the type of work to be performed: r
Pro Owner Infori ation:
LVi�ii,�, fl��- Address:
Nam : 3 Phone
City Stat ZipFQ,�._
E-Mail or_'ax tional)
Contractor Inform ion:
Ci CA in ent:
ompa N
�YY State Zip
Address l'S
Office Phon � Job ite/Contact Number 58 -
Fax#
State Certification/Registration# ' u
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
that no work
null
Application is hereby d that of obtain
k will bnit to do the e performed toomeet therk and lrstanldards of allations as 1�aws regulatinicated. I g onstruction inothiinstallation
jurailsdictiom Th permit l4coes
issuance of a permit a Boners,Heaters,
and void if work isnot commenced within six(6)months, or if construction or work is suspended or abandoned fora erlod of six(6)months at er time after
work is commenced I understand that separate permits must be secured for Electrical Work Plumbing,Slgns, Wells,Pools,Fwnaces,
Tanks and Air Conditioners,etc
A NOTICE OF
WARNING TO OWNER: YOUR FAILUREI PAATWICRECORD
SULT IN YOUR OR IMPROVEMENTS
COMMENCEMENT MAY RE
TO YOUR PROPERTY. IF YOU INTEND T FFOBTAINCDFINANCING NOCONSULT OF g
YOUR LENDER OR AN ATTORNEYCOMMENCEMENT.
I here b certify that 1 have read
d band examined
herd this
i iX dli herein ond know
T eeS anting of a permit true does note correct. Allesumel to give ons of aauth ri or o violatences gor cancel this
type ofYwork will be comp per,regulatin construction or the performance ofconstruction.
provisions of any other ral,�t or 1 1
Signature of wn Signature of Contractor
Print Name ........................._................ ...-.
. Print Name �..x•_,.:s-� .�►,,,.. -�___..__.....____-____..
Sworn to and subscribed before me Sworn to and su ribed before me 20
4-
this Day of
20 Day of V
DAMEL s
SIM of RoMs
Notary Public cam•Etcv+ra NOV 12,2016 Revised 01.26.10
"•:'F F�d::�' ComMiasion#EE 850843