1833 N SHERRY DR - ROOF .
S J CITY OF ATLANTIC BEACH
A .) 800 SEMINOLE ROAD
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-1762
Job Type: ROOF PERMIT
Description: REROOF FL 5444.1
Estimated Value: $2.500.00
Issue Date: 7/23/2015
Expiration Date: 1/19/2016
PROPERTY ADDRESS:
Address: 1833 N SHERRY DR
RE Number: 172020-0786
PROPERTY OWNER:
Name: GETSY. STEPHEN JEFF & DENISE. *
Address: 1833 N SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: RON RUSSELL ROOFING INC
Address: 4419 HUDNALL RD QA RONALD WAYNE RUSSELL
Phone: - - _
FEES:
BUILDING PERMIT FEE $62.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $66.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION G
CITY OF ATLANTIC BEACH
i • '
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: $633 Shur 0 r Jj Aiimit c beAdNirc.,31)33 Permit Number: 12:-.1 T- RA D,- 1 i 9 I
Legal Description 36-6I C9 "�5 -2giC 60.
eh Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 2,500 r Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New ddilion....,Xlteration Repair Move Demolition pool/spa window/door
Use of existing/proposed stru re(s)(circle one): Commercial e.:,,
If an existing structure,is a f� ,sprinkle em installed?(Circle one): 'es N/A
Florida Product Approval# f..5-
For multiple products use product approval lorin
Describe in detail the type of work to he performed: Re."`°df
Property Owner Information:
Name:S+zQ(r ST Cl.et / Address: 14x33 e. pC N
City h1'iRnf'ic. feat,■ State' Zip 3.1133 Phone 404 - '7 -17.1Fs
E-Mail or Fax#(Optional)
Contractor Information:
•
Company Name: tr,H k utSS.. t, -� N64 Qualifying Agent:
Address: ►1UAU- ' r . City State t■Zip 32.207
Office Phone " ., Job Site/Contact Number 9'O q Gat)8$$3 Fax# `spy 6.31,. QOgq
State Certification/Registration# CC.C. 13 27/pit
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 b ac commenced prior to the
issuance oja permit and that all work will be to must the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void i work is not commenced within sir(6 months,or if construction or work is suspended or abandoned for a period of six(6)months at any time ter
work is commenced. /Understand that separate permits must be secured for Blattieat Work,Plumbing,Situ,Wells,Pools,Funlaces,Baileis,lie
Tanks and Air Coniitioners,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 hereby certify that I have read and eaarnined this application and know the same to be true and correct.All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. Thu 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 con tructian.
Signature of Owner 1yJ C �.t��`,� Signature of Contractor �j
Print Name S'f'e �vv n _ ( s't5`{ Print Name ra oc,,l Cl. F ]i3 It l t
1 S , !And subscribed before me J Sworn to and subscribed before me
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Public Nom tc
J Revised 01.26.10
CO'rp,,,, ALUM'MO1MNO 1
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■ s, « € My Comm.hobos Am•,2011 NOTARY PUBLIC
''' Somesi _Cc, STATE OF FLORIDA
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Y9' Expires 5/8/2017