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185 8TH ST - ROOF fr -\,;) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ��JS31�r ROOF PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-ROOF-1646 Job Type: ROOF PERMIT Description: remove existing shingle roof on garage and replacw with tamko elite fiberglass shingles Estimated Value: $2,200.00 Issue Date: 7/21/2016 Expiration Date: 1/17/2017 PROPERTY ADDRESS: Address: 185 8TH ST RE Number: 170325-0000 PROPERTY OWNER: Name: ATLANTIC INVESTMENTS LLC Address: 3948 S 3RD ST SUITE 195 GENERAL CONTRACTOR INFORMATION: Name: SCHULTZ ROOFING COMPANY INC Address: 216 N 20TH ST QA DOUGLAS ARTHUR SCHULTZ Phone: - - FEES: BUILDING PERMIT FEE $61.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $65.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 110- t0OF- LOH b Job Address: 1957 W -1`(1-ik (C. - /• 3,),23-3 Permit Number: Legal Description a S -103 ' -C [q E Lt u b 64A flag" L f I parcel# a�© d� Floor Area of Sq.r't. Sq.Ft Valuation of Work$� 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 structures))(circle one): Commercial �' .._ . ,�► If an existing structure,is a fire sprinkler system installed?(Circle one): l es ail N/A Florida Product Approval# oko 11 i.I � FL ilia', FU/ - / 7 q0/, l For multiple products use product approval form iv I c-Si u-,P/er-)05 p'1 ev f Describe in detail the type of work to be performed: 'fie mro _ art /2 • 6"tj oi't t 41,e, c� T r,LL ,5 3-1-4-12 L 0_4,6 „.t o Property Owner Information: 32 Name: A e.. 1--C Address: 3 ci 4$ 3g-c) . S- S-\e- 33 City t _,c State Fl Zip 3a?5DPhone E-Mail or Fax#(Optional) v ep 3' ' Contractor n Information:lI Company Name: C k Lt 7-�. �'00 I t1C� 11•, J C •Qualifying Agent: �0e. A S (4 • Address: 1p a0 — —� . City c.(SSonv�11e tate F t Zip 3 2 2 5 Office Phone q 04 ~�4tQ-a 31 5 Job Site/Contact Number —1 S 9 -CO(E, 3 Fax# a41 - 3 E0 State Certification/Registration# G C. C. 0 3(p Q g 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 has commenced prior to the issuance of a permit and that all 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, Furnaces,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. I herebycert that I have read and examined this ..plication and know the same to be true and correct. All provisions of laws and ordinances governing this type owork will be complied with whether spec' ,• herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state,or local 1. lating construction or the performance of construction. � Signature of Owner #��� /,� �' Signature of Contractor Print Name (,J Print Name T — (.9s Swo a o and subscribed fore me Sworn to and subscribed be re me tt Day of ,20 1 is c Day of ,20(< Notary Public l : . ROSIN C MOORE I Notary Pub is ” , _rE MV COMMISSION r FF245774 MY COMMISSION ar FF245V 7 ' : RES• , C:Lf �. 4 ^�'. EXPIRES June 30,2019 ' . . • van I ' • Wfft a.3. satie.n,e„�_a,,,,