310 7th st Roof 2015 It CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
!� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r�
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-480
Job Type: ROOF PERMIT
Description: REROOF FL 10124.16
Estimated Value: $6,683.00
issue Date: 3/6/2015
Expiration Date: 9/2/2015
PROPERTY ADDRESS:
Address: 310 7TH ST
RE Number: 169885-0000
PROPERTY OWNER:
Name: VITALE, JOHN P
Address: 310 7TH ST
GENERAL CONTRACTOR INFORMATION:
Name: GREAT WHITE CONSTRUCTION INC
Address: 4320 DEERWOOD TRAVIS SLAUGHTER
Phone: - -
FEES:
BUILDING PERMIT FEE $83.42
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $87.42
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: -310 -1 rh SA- &flG D f1L BP j(,_E, 01- X33 Permit Numbed YRO GF" y W
Legal Description 5-L4 I Lo- 3 vi tic, arcel#
—
Valuation of Work$(0 3 L{ aFlooro� q. t. Sq.Ft
- Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Additio Alteration Repair Move emolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial esidenti
If an existing structure,is a fire sprinkler system installed? (Circle one): es o N/A
Florida Product Approval # I C) I d .l (O
For multiple products use product approval form r
Describe in detail the type of work to be performed: ce rog i
Property Owner Information:
Name: Whh y 1 tme Address: -310 -V''
City State_azi d��Phone�l o4 - 4-121 - Leg I
E-Mail or Fax# (Optional)_&C a�V � Cl\C LA1 G MU� 1 • (_um
Contractor Information:
Company Name: 1vowoAclo Qualifyi gAgent: TYayiS Sk0,1AGV\tey
Address: 31X 2 U 3 Ci lckly- State Zip
Office Phone - M - l Job Site/Contact Number-f VIS q bel-9 '(R1,jax# ►" (� -�ttlo-I��
State Certification/Registration# C� t 1A2A6Q 7
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 da the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that al!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, 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. IV
1 here b certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordin B e 8 his
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority tc v the
provisions of arty other federal, e, or local law regulating construction or the performance of construction. :090
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Signature of Owner Signature of Contractor
Print Name _1-i•� Z �. . Vls . ......................1....... .. -
�j� Print Name G` ` \' y m
...................................................... ._.........-.... _................... .... .�... m....
Sworn to and subscribed before me Sworn to and subscribed before e H
th. ay of 20 this Day of 0a
Cn
Notary Pub i `�' DEASONMIo ary Pub is
r'; �3gD175 Z a 3a?D y.�� .�; MY COMMISSION#FF085842
ht- TCO "f�' r
EXPIRES January 23 2018 Revised 01.26.10
ry
(407)398.0153 Floridallotaryservice.com
Doc # 2015051323, OR BK 17087 Page 1312, Number Pages: 1 , Recorded
03/05/2015 at 02:24 PM, Ronnie Fussell CLERK CIRCUIT COURT DWAL COUNTY
RECORDING $10 .00
NOTICE OF COMMENCEMENT
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