2399 Ocean Breeze Ct 2014 roof CITY OF ATLANTIC BEACH
v 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
_ ROOF PERMIT INSPECTION PHONE LINE 247-5814
40, CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ROOF-281
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $56,790.00
Issue Date: 10/22/2014
Expiration Date: 4/20/2015
PROPERTY ADDRESS:
Address: 2399 OCEAN BREEZE CT
RE Number: 168908-8220
PROPERTY OWNER:
Name: MARCO, DAVID
Address: 2399 OCEAN BREEZE CT
GENERAL CONTRACTOR INFORMATION:
Name: THORNE METAL SYSTEMS INC
Address:
Phone• - -
FEES:
BUILDING PERMIT FEE $307.16
STATE DCA SURCHARGE $4.61
STATE DBPR SURCHARGE $4.61
PLAN CHECK FEES $153.58
BUILDING PERMIT FEE $307.16
Total Payments: $777.12
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach,FL 32233
Office (904) 247-5826 Fax (904)247-5845
Job Address: 23 1,5i O cam,n Ze- C-o,�,,–T Permit Number:
Legal Description q. tParcel#
q Floor Area o
Valuation of Work$ 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 idential
If an existing structure,is afire ;n lerr s stem i tailed? (Circle one): Yes No
Florida Product Approval# ff
For multiple products use product approval torm
Describe in detail the type of work to be performed: zc=l wl 0 r SjLQ ace_
rr1 e ,,, l /vim f
Property Owner Information:
Name: 17Nvid 1011'c M-1 -Co Address: 23�� Oce�.r► 1�✓e-�z� C�✓�T
City ant _ State��Zip 3Zz33 Phone Cf o*)- ?_911-3110 (9°�� l 3- S�So
E-Mail or Fax# (Optional) nn _ _
Contractor Information: EMAIL: � 2au �T�+'t ���1• /-10t
Company Name: 12—� . Qualifying Agent: X/ 1 1 -/-),x Zi _3Z-00 3
Address: 20 O '►'�+c�- City orct l.e- P-L--K State F p
Office Phone 9 n4 -Z Job Site/Contact Number 9cV wy6-3277 Fax#
State Certification/Registration# Cc,Z 13 Z S Z.r
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 per}-it 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 Yee performed to meet the standards of all laws regulating construction in thin jurisdiction. This permit becomes null and
void if work is not commenced within six(6)months,or if construction or work is sus ended or abandoned for a periodlo sax(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
BE O CEMENTING YOUR NOTICE OF
COMI hereby eerti�that I have read and exan " this a lication and know the same to b t. All provisions of laws and ordinances governing this type
of work will be complied with whethe peci er n r not. The granting of a e to give authority to violate or cancel the provisions of any
other federal,state, or local law gul g const acti n or the performa
Owner Signature of Contractor A
Signature of Own 1 / f
Print Name 1 ........Q.. ........................... ...... Print Name lN.. �....1.!_! ....._ .......1..f1: ........................................
.. ....Q�..J...I—I............1......." `.....
Befo a me Before me ,20
this Day of C�� 20 1H this , , i)av of_
qXRL
Notary Public Notary Public
Revised 10.24.12