1044 SNUG HARBOR CT ROOF CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-1250
Job Type: ROOF PERMIT
Description: REROOF FL 10124.1
Estimated Value: $11,000.00
Issue Date: 5/28/2015
Expiration Date: 11/24/2015
PROPERTY ADDRESS:
Address: 1044 SNUG HARBOR CT
RE Number: 171088-0128
PROPERTY OWNER:
Name: HERBERT, PATRICIAA
Address: 1044 SNUG HARBOR CT
GENE RAL CONTRACTOR INFORMATION:
Name: DAVID MERRITT CONSTRUCTION
Address: 1930 RIVER OAKS RD OA DAVID EDWARD MERRITT
Phone: -
FEES:
BUILDING PERMIT FEE $105.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $109.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach,FL 32233
office(904)247-5826 Fax(904)247-5845
Job Address: Permit Number:
Legal Description c
d Work heated/cooled 1308-heated/000led
Valuation of Work S
Class of Work(circle one): 4ow Addition Alteration Repair Move Demolition pool/spa window/door
Use of ezistiog/prnposed struet ro s) circle one): Commercial Residential
It all existing structure,i9 a fi prim [or ler system installed?(Circle one): yes No N/A
Florida Product Approval k
For multiple products use p act approve grist
Describe in detail the type of ork to be performed: �"t'•'�
Pro13erty Owner Information: 11
Nmne: krVCi t Address ( My SVII4 tAgkl 4 CiNy
City State1jkziW Phone �.
E-Mail or Fax 0(Optional)
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Contractor r int •on:
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Company Name: I In Cit), f State t Zip 2z 2t
Address: — FaxN 2a0"'377 f..
Office Phone Job Site/Contact Number
State CerfificationlRogistration
Architect Name&Phone 4
Engineer's Name&Phone N
Fee Simple Title Holder Name a id Address
Bonding Company Name and A dress
Mortgage Lender
Name and Ad ress
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ApplxeoereI,? dlNnt alPrworka 1_rmst to rforvned fn�mee the standards and sialluflo�mofalal�m aun�lufing Corwfradno ian in rrk htalurl/di Inn.ation has 7als permit be om¢irnry
and rold tfwork fa nnr com enced i
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work b d. !undmeraran� f ssporeM pem,lra mus!Na aeauron for Electric Work oPaawarns,SIR s,
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN
'OUR PAYING TWICE FOR IMPROVEMENTS
TO
YOUR LENDER R AN ATTORNEY BE ORE RECORDING OO OBTA r[JR 6IN FINANCING NOTICE OF SULT H
COMMENCEMENT.
¢s governing this
I Mro6y aemffy that I havw read and muwd lha,applicurmn and know N!e samengto he true rmit�snmat/p.ume!o gr��Ihority to violateb°cancel the
lype o) work wlfl �y�,��and with w
enter s'pecrullred herein a II01. The granlinR of a pa
provlslma atony olherfede nk, local Ww reRrdadng comfnrafbn ar the Mrfarmance ofcnnslruefbn. t �,.
Signature of Owner i< Signature of Contract
A 11 Print Name / SS ,r��Ylf
Print Name ..�.1� 5.:..1. _1G..�(d...... Z•K',�f7..� _ 7+.........._ .�_.. ..._-._.._ ...._....__._...
Sworn to end subscribe befero me
this
and Day of
d�f'ore me this 3 D Day of f
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Notary Public r"'rhe JEFFERY SCOTT RE iced 01.26.10
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