2293 OCEANSIDE CT 2014 SIDING CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j X ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SIDING PERMIT
MUST CAtt 13Y 413M FOR NE)ff DAY fN9PEff10N. 247 581-4
JOB INFORMATION:
Job ID: 14-SIDE-322
Job Type: SIDING PERMIT
Description: STUCCO ROOF TRANSITION REPAIR
Estimated Value: $2,000.00
Issue Date: 10/27/2014
Expiration Date: 4/25/2015
PROPERTY ADDRESS:
Address: 2293 OCEANSIDE CT
RE Number: 168846-5135
PROPERTY OWNER:
Name: BADII, AHMAD A & PARVINK,
Address: 2293 OCEANSIDE CT
GENERAL CONTRACTOR INFORMATION:
Name: K & D ROOFING & CONSTRUCTION
Address:
Phone: - -
PERMIT INFORMATION:
FEES:
Total Payments: $0.00
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: a003 OC QG, SeCL Permit Number:
Legal Description
Floor Area ot Sq. t. Sq.Ft
Valuation of Work$7 0t, 0 Proposed Work heated/cooled non-heated/cooled--"
Class of Work(circle one): New Addition Alterationai Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval # r1 A
For multiple products use produ tap&_oval form l
Describe in detail the type of work to be performed: 4r` Se kc,,
fe/J f
Property Owner Information: I
Name: C% Address: ZZ ' (1 Com•-�:s��� �l
City a -C Stat _Zip? . Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: ` cvti- - 2 Qualifyin Agent: 'Ir
Address 3X-LO:)City-� �`li State Zip 3
Office Phone Job Site_Xont ct umbers 3- Fax#
State Certification/Registration#
Architect Name&Phone# (r -
Engineer's Name&Phone# I AA -
Fee Simple Title Holder Name and Address
Bonding Company Name and Address 1\
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, Ftirnaces, 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 hereb 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 o7work 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.
Signature of Contractor "
IPrint Name .....f .Ub11...... /.. ..C. ................................................................................
Print Name 1 .H.N. ➢.....................FA..�.....r...............................................
Before ( _ I // Befor 4
thi 7 Day of OC�'� Q-r" 20 1`( 20
fir! State F ' a
Notary Public e- '%- ROBERT HILE Expires
021 i F oassso
pfpd� Expin4021 1201
MY CPIRES: ME fi 4,20 1?
-7 -7 — �� Wised 01.26.10
y, ��
EXPIRES:MarcL 14.2017 , o