1548 Jordan St roof 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ROOF PERMIT INSPECTION PHONE LINE 247-5814
N ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMA -
Sob Type: ROOF PERMIT
Description: REROOF
Estimated Value: $6,000.00
Issue Date: 10/23/2014
Expiration Date: 4/21/2015
PROPERTY ADDRESS:
Address: 1548 JORDAN ST
RE Number: 172293-0500
PROPERTY OWNER:
Name: WILSON, GWENDOLYN
Address: 1548 JORDAN ST
GENERAL CONTRACTOR INFORMATION:
Name: ROGERO &WILLIAMS ROOFING CONTRACTORS INC
Address: 883 Lawhon Dr ST
Phone: - -
FEES:
PLAN CHECK FEES $40.00
BUILDING PERMIT FEE $80.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $124.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: �:)`1_ �(��_ `✓-r Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. q. t
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alter n Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial �esenti
If an existing structure,is a fire sprinkler system installed? (Circle one : I N/A
Florida Product Approval# FLIM L`f — a
For multiple products use product approval form
Describe in detail the type of work to be performed: If—AZF
Property Owner Information:
oxo
Name: n�LS&J Address: /4�_q8
City 44itArv77& Stat _Zip 23 3 Phone lrleM
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:-
eeu m alttt4-5 Qualifying Agent:
Address: 2,0V A'4 0 Z City,,Ax PutState_ A Zip 3?,ZS
Office Phone 9dq S7U 6 Job Site/Contact Number El 15i? ���� Fax# 611 ZI{dv
State Certification/Registration# eCe 173 b 3
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 00
b a
in 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(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces,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 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 ql lwork will be complied with whether sped ied 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.
1
Signature of Owne Signature of Contractor
Print NameL.--W.. .. ,Q,7.1.. ........1/�1.'.I./ (�l�l......... Print Name ......... ...............:. ...................... ....
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this 3 D Day of 201 this Day of 20
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