2137 Fairway Villas 2014 Roof CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ROOF PERMIT INSPECTION PHONE LINE 247-5814
ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMA
Job lum
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $3,100.00
Issue Date: 10/27/2014
Expiration Date: 4/25/2015
PROPERTY ADDRESS:
Address: 2137 S FAIRWAY VILLAS LN
RE Number: 169398-1046
PROPERTY OWNER:
Name: NEW CENTURY HOME EQUITY LOAN,
Address: TRUST 1016 E ST ANDREWS PL #8150
GENERAL CONTRACTOR INFORMATION:
Name: MULLIGAN CONTRACTING, INC
Address:
Phone: - -
FEES:
PLAN CHECK FEES $32.75
BUILDING PERMIT FEE $65.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $102.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904) 247-5845
Job Address: Z/S1 � 1//Le/J X233 Permit Number:
Legal Description s1.2 �oP-•2 S:zpG' �/� i/�Z4Z Parcel#
? Floor ea o q.F�t. '�1 t
Valuation of Work! 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 esiRentla
If an existing structure,is a fire sprinkler system installed? (Circle one): N/A
Florida Product Approval#For multiple multiple products use product approval form
Describe in detail the type of work to be performed: � '6p
Property Owner Information:
Name: / Address: 9
City vu�Yl ��O State.,`
E-Mail
Zip "O 2, Phone a0
E-Mail or Fax# (Optional,
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Namez&/__/ .<1 G' �/%l �ff✓ r/,/ � Quall ing Agent: ?�'lG•�' ,G� G�u��r'�!�
Address: �y 25 tO'X.* City„� /s'r��Gd' State _Zip322 S�/
Office Phone�Q-t- TT-- �k6�' Job Site/Contact Number 9y9-?T9. 9,y6� Fax#�q0�� ,Z?Pi-D/U5
State Certification/Registration# e-L-G /3z 9.7-/1
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 mill
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod 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 BET
F R RECORDING YOUR NOTICE OF
COMME
I here b certify that I have read and examined this application and know the same to be trate and correct. All provisions of ws and ordinances governing this
type 9j work will be complied with whether specified herein or not. The granting of a permit does not presume to ga e a hority to violate or cancel the
provisions of any other federal,st I law regulating const or the performance of construction.
k
Signature of Owner Signature of Contras �
Print Name -f `/ .. ...... '. ................................................. Print Name ���.T/�.CC..... L ....��7 / .....................................
...................... ........................... � . .
Before me Befor!2-
ay
20
this l f ay o 20 ) this 2 ay of
Notary lic a D.CHRISTOPHER WARD ota g rle L Graham
.AN Notary Public,State of Florida eQ y mission FF 086990,
Commission EE 200088 '�or n°r xpires 02/14/2018 Revis 01.26.10
My comm.expires May 20,2016