592 MAIN ST - ROOF CITY OF ATLANTIC BEACH
it 4..) 800 SEMINOLE ROAD
j �* ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-780
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $8,750.00
Issue Date: 4/1/2016
Expiration Date: 9/28/2016
PROPERTY ADDRESS:
Address: 592 MAIN ST
RE Number: 170900-0000
PROPERTY OWNER:
Name: SIEGFRIED, JOSEPH B &AMY E, *
Address: 592 MAIN ST
GENERAL CONTRACTOR INFORMATION:
Name: GREAT WHITE CONSTRUCTION INC
Address: 4320 DEERWOOD TRAVIS SLAUGHTER
Phone: - -
FEES:
BUILDING PERMIT FEE $93.75
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $97.75
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 I �p -ROO -.780
Job Address: 592 Main St Atlantic beach. FL 32233
Legal Description ICS--'St VI-ZS-246 . I SD If'ska1k1 e., 11ie1Gh SAC IA ac- \ (e)C S (AFT) ISA-
cv Floor Area of Sq.Ft. 5q.rt
Valuation of Work S$1O._ 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 R sident',I
If an existing structure, is a fire sprinkler system installed?(Circle one): - No N /A
Florida Product Approval # 1 0124 - VA- 1
For multiple products use product approval form
Describe in detail the type of work to be performed: e roof gS sot (Q l t 2
so *o S\wo 4,0
Property Owner Information:
Name: / ! a i .„ • • °L MS (.3C_
City h/ #'.►V t _ State ip • �i -
E-Mail or Fax# (Optional) P 2 (061 Phone �.��.,`�;,,"O1 s • 3'13_33�k3
Contractor Information:
Company Name:f,..t I, _ ' .A►.�e _ 1.. !
Doc # 2016072275, OR BK 17511 Page 892, Number Pages: 1, Recorded 04/01/2016 ,
at 09:00 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
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T..bom it may concern
The underv9ne0 ner•by informs you that improvements will be made to:attain reel Orel:arty.ana In
accordance with Sector.:13 of ma Florida Statutes.Melo:Hwy/IN Infommtlen le Mateo in this NOTICE OF
COMMENCEMENT
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