39 Saratoga Cir 2014 ROOF ` CITY OF ATLANTIC BEACH
J i 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
r�Ji319'r
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ROOF-20
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $6,096.00
Issue Date: 9/16/2014
Expiration Date: 3/15/2015
PROPERTY ADDRESS:
Address: 39 N SARATOGA CIR
RE Number: 171787-0000
PROPERTY OWNER:
Name: KLOTZ, JEFF
Address: P (_) BOX 330833
GENERAL CONTRACTOR INFORMATION:
Name: SHORE ROOFING COMPANY
Address:
Phone: - -
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 39- SA•Y R+ 5 A Ca- Ijo ITh Permit Number:
Legal Description Parcel#
Floor Area o q. t. q• t
Valuation of Work S �� ��� Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire spr nkle ystem?�'stalled? (Circle one)- Yes No N/A
Florida Product Approval# !-� � g ' 13Mt♦c►da SA'r&
For multiple products use product approva orm
Describe in detail the type of work to be performed: (RG ?zy F W,10, G/qf_ t'?
w(r_ AN0 L°)$P ` `c-1-
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Property Owner Information:
Name:�SA/l'}�d<M, Cil- LLC Address:
City State_Zip Phone
E-Mail or Fax# (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS: �7
Company Name:.5ADfr_ izoor— Qualifying Agent: _1191) S Jho✓
Address: 14/611- City State Z-1 _Zip 32244'
Office Phone 2— Job Site/Contact Number 2 G-a5,!M Fax# .14/- 89- 3
State Certification/Registration# CCC 039 �iSl
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. 1 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(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools,I 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.
1 hereb 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 o 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,st or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name t2 >................V r,, ..,/. Print Name .?..5.. ✓L...............................................................
Befor e Before me
this Da �20 this D y of 20
ry State of Florida
Notal 1 ry Public State of Florida
Notary Pt G e My mission FF 086990 Sh' ey L Graham
Of M1� Ex ires 2114/2018 c @ y commissior>� 9��6P01 10
of r�� Expires 02/14/2b1