735 Bonita Rd roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
E)E
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
lob ID: 16-ROOF-2294
lob Type: ROOF PERMIT
Description: re-roof flat roof
Estimated Value: $3,375.00
Issue Date: 10/19/2016
Expiration Date: 4/17/2017
PROPERTY ADDRESS:
Address: 735 BONITA RD
RE Number: 171137-0000
PROPERTYOWNER:
Name: HARRISON FLA LLC
Address: 3500 SOUTH DUPONT HWY
GENERAL CONTRACTOR INFORMATION:
Name: EXCEL ROOFING CONTRACTING
Henry Scott Sorensen, CCC1328406
Address: 5722 DUNN AVE HENRY SCOTT SORENSEN
Phone:
FEES:
PLAN CHECK FEES $33.44
BUILDING PERMIT FEE $66.88
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $104.32
PERMIT IS APPROVED ONLY ES ACCORDANCE WITH ALL CITY OF A�IC BEACH ORDINANCES AND THE FLORIDA
BUILDWG CODES.
L�' City of Atlantic Beach APPLICATION NUMBER
Building Department Cro be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 110—MF - (;I;Lel�f
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@wab.us Date routed: Ic
Cityweb-site: IntloWwwwwab.us
APPLICATION REVIEW AND TRACKING FORM
�t� 16017%' ta' _D !�mt
Property Address: k review required Yes No
B M
wiclott
Applicant: bictt Planning &Zoning
Tree Administrator
Project: (L7-100�– ub-lF Public Works
Public Utilities
Public Safety
Fire Services
Dept'Signature
Other Agency Review,or Permit Required Review
of Pe mit=P.'y Date
Florida Dept.of Environmental protection
Flonda Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ReApproved. ElDenied.
(Circle one.) Comments:
(EILDBU
ING
PLANNIN�8�ZONING Reviewed by: Date:
TREEADMIN. Second Review: DApproved as revised. 013e�niecl.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date:
FIRE SERVICES Third Review: DApproved as revised. E]Denied.
Comments:
Reviewed by: —Date:—
Revised 0511Q09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICUOPY
800 Sernincile Road. Atlantic Beach, FL 32233
Mee(904)247-5826 Fax (904)247-5945
Iob Address: ')3.5 Ant& Ad . 3 2,9 firmitNumber:
Description ;1 10
tour Cwtit
Valuation of Work S 92<,,949 PITOPO= Work hesrt�d/co=_ uU41teated/cooled—
�'Iass of Work(circle one): New Addition Alteration Repair Move Demolition poolispa window r
�Ne of existing/pro used structu a circle one); Commercial ide tial
If an existing Structure,is a fin sz?Wer system iwtalled?(circle one : e 0 N
lorida Product Approval#
For multiple products me pil�uctpprrivall form
Describe in detail the type of work to be performed:
I'myerty owner information:
Name: III AA,
i i1N - - I -
1, mail or
onaractor Information:
-QualifyingAlpiCM!
miliany Name:
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�Iate CerlificationfRegistration# :?
\nuh itect Name& Phone A
I�n itineer's Name&Phone P
I ee Simple Title Holder Name and Addms__&r_-
Bonding CompanyNaime and Address-4
Mortgage Lxnder Name and Address
f-ploat'.a A#114, ade to obtaia a pemat to do the work and joalollationa as 4odmaled i cenify that oo work or waalao,o h.,-�mdra,,.,to t&
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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 OBTAI[N FINANCINGIfONSULT WITH
I ICE OF
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO R NOT
COMMENCEMENT.
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20.16 this Day of
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10/05/2016 at 08:33 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECOnING $10.00
NOTICE OF COMMENCEMENT OFFICE COPY
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