598 Vikings Ln roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEKT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-2598
Job Type: ROOF PERMIT
Description: RE ROOF - SHINGLES
Estimated Value: $10,197.00
Issue Date: 11/18/2016
Expiration Date: 5/17/2017
PROPERTY ADDRESS:
Address: 598 VIKINGS LN
RE Number: 170703-0292
PROPERTY OWNER:
Name: NEVILLE, PATRICK J
Address: 598 VIKINGS LN
GENERAL CONTRACTOR INFORMATION:
Name: J R M ROOFING SERVICES INC
Michael Anthony Koehler,CCC1328543
Address: 2021 ART MUSEUM DR STE 115 MICHAEL ANTHONY
LOEHLER
Phone: -
FEES:
BUILDING PERMIT FEE $100.99
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $104.99
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
11/17/2016 14:32 9043995023 JM ROOF PACE 01/02
I
-IQUIIAING PERMIT APPLICA7?11
CITY OF ATLANTIC BEAC-
80o Seminole Road,Atlantic Beach,FL 322 lpp
Office(904) 247-5826 Fax(904)247-58 CO I�toF- Zs`�8
Job Address: ,JJ Nil)-7
ber:
Legal Description 5 `7'
or eao q. t.
Valuation of Work to) q7 Proposed Work It ated/cooled -heated/cooled
Class of Work(circle one): New�� Addition Alteration ) Move Dei 011iti D I pool/spa window/door
Use of esistiug/proppoosed,structure(s)(csrcle one): Commercial '
if as existing stmetare,Is a s &le�r ggys 1 Installed?(Circle sue): Yes /A
Florida Product Appprove]# t•I`
For multiple pro use productappr0v&u 10rul
Describe in detail the type of work1to be performed:A 0iP
i
e•Info atiou: '
Name: ddro
city S zPh0
E-Mail or Fax#(Optional) PPI t l V
Contractor Information-; '
!" C
Comp aa1T 1 g A t:
Addro City s Zi
Office Phon 0 hEAJob ltd tad Number
State Cartification/Registranon#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title holder Name and Address
Bonding Company Name and Address
Mortgage Leader Name and Address'
Application u hereby mad¢ro obtain aperpnd fo o file work and inata7 ]torte w indicated I certify that w k w inaallaaon hm commenced prior to the
issuance ofa p¢rmlr and that aG work will p¢ r,ned ro meet the s ofd!Jaws r¢galanttg¢ona Hax thnJur/sdleaon. Tku .ma becomer n I!
and void work w not eommene¢dwithin atx( motdhe,or i(eonsmucaon or work es stetpended a aband r ori Z./6)mamas at arty fine¢ ter
park k commenced I undersand that sepr�wte T,r moat be secured for Eleclrica(Work,WumNn , dk,.Pock,Flvnsete,daaers,A
Tanks wdAir CoedalonerR ata II
WARNING TO OWNER: YOUR FAILURE TO PEC A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING E R EUPROVEMENTS
TO YOUR PROPERTY:IF YOU INTEND TO OBTAIN FIN G CONSULT WrM
YOUR LENDER OR AN ATTORNEY BEFORE RECO YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I time recd and examined this eon arrd.b,ow tis¢same m be true oml correct. 7 t tons oflaws and ordlnarwes governing this
Ztype of work will be eons i¢d he her - ed herein or rwt. 19x gavin q(a permit dam not ro grve makorlry to viofah or aaxd the
atons ofany otherfeder (oeal awmregulaarlg mnsfruction a rhe performarwa ofeonstnad
I
Siguauue of 11 Signature of Conti Mor
Print Namej� , -. (-+ „._._. _. Print Name � tom :�:
.......
Sw and sub Sw o and sub t 's D of "ROTH2M E s Day
My COMMISSION x FP212312PV2113ES Moab 22
s.omrlron
40L'LL Wtra 49al.sr
otaryP �eeri 5^.v-m vxriaenma en'n.an Otary a e;+Y XNDISSea400 An
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11/17/2016 14:32 9043995023 JM ROOF PACE 02/02
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11/17/2016 at 12:361 M, Roeeio Ruo6e11 CLERIC CIRCUIT COURT DIR p U C
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