420 GARDEN LN ROOF CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
ROOF PERMIT
_ MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION: — ------ ------------- ---- ---
Job ID: 15-ROOF-2087
Job Type: ROOF PERMIT
Description: ROOF FL10674.R10
Estimated Value: $7,422.00
Issue Date: 9/3/2015
Expiration Date: 3/1_/2016
PROPERTY ADDRESS:
Address: 420 GARDEN LN
RE Number: 172020-5210
PROPERTY OWNER:
Name: MARSHALL, DAVID P
Address: 420 GARDEN LN
GENERAL CONTRACTOR INFORMATION:
Name: ROGERO &WILLIAMS ROOFING CONTRACTORS INC
Address: 883 Lawhon Dr ST
Phone: - -
FEES:
BUILDING PERMIT FEE $87.11
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $91.11
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
300 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904) 247-5845
Job Address:Aa", Permit Number:
Legal Description3 - O9 aS �-al�E
g 0. Parcel# ( Ao U- 5"00
oor Area of q, ft
Valuation of Work$_7 4� Proposed Work heated/cooled 23k9 non-heated/cooled,
Class of Work(circle one): New Addition Alteratio Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial esiden
If an existing structure,is a fire sprinkler system installed? (Circle one}: es No N/A
Florida Product Approval# rL
pro -
For multiple products use uct approval ora
Describe in detail the type of work to be performed:_ f eV'Oo h ,�q(r~._ f 3a SO
ronerty Owner Information:
dame: ZJ4U.j2 19 Address: <57•&gVes-i Z,Q,r xs
City State G&Zip Zt Phone_ `�D¢ — Z¢� —c)L ,
E-Mail or Fax#(Optional)
\So rr1�
Contractor Information• 1 r w cont--c+�,1n
Company Name: M:i:v i t�t Gv►l�.o �o ua
P Y _, u ualt ng Agent:�YerKe_V I��e+—o
floess: 0 t/p City 131411e- 'State F( Zip s
Tice Phone Job Site/Contact Number Reza k- �^ Fax# qo Vj G,jcj.�(/0�
State Cert�cation/Registration#JCt?C_ 1-33n38� 5,,8 3
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 1vork and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance o a permit and that all work will be performed to meet the standards of all lmvs regulating construction in this jurisdiction. This permit becomes null
and void( work is not commenced within six(6)months,or if construction or tivork is suspended a)-abandoned for a period ofsix(6)months at any time a/ter
work is commenced 1 renderstand that separate permits must be secured for Electrical Work,Plumbing,Signs, {Yells,Pools,Furnaces,Boilers,Healers,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
. F YOU INT END TO OBTAIN FINANCING CONSULT WITH
ATTORNEY BEFORE RECORDING YOUR NOTICE OF
�FF 1514M COMMENCEMENT.
iAy ooMffi.som FF 1514M
SE11 JR
1h his a plication and know the same to be t vtp�As' Vfas and ordinances governing this
type o work wit a comp ie with whether sppeeci ted herein or not. The gra etghpl s���,pre!�t�&f gueg a ori o d vinesolate r tante!the
orovisrons ofany other federal,state, or local lrnv regulating construction or the afCo+44fl}Ic'-' es,on
`\ py� COO, 019
(f� �F MY Apra to, Z
•''iignature of Owner. ��+r
(�-�,, n+Ta�ctor
'rintName 1 �...1LLC-5. ......................._ _......... Print Name
' me Before me 7
ae Day of 20 ':53 th "Day of
- A VIA 11 —APY111
lot Public --
Notary\t —r
�
Revised 01.26.I0
Doc Y 2015202301, OR BK 17289 Page 1246, Number Pages: 1, Recorded
09/02/2015 at 10:33 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
W YFICE OF COMMENCEMENT
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