869 Bonita Rd re-roof permit AIL
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
Ir ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
306 INFORMATION:
Job ID: 17-ROOF-3572
Job Type: ROOF PERMIT
Description: RE -ROOF
Estimated Value: $2,480.00
Issue Date: 3/24/2017
Expiration Date: 9/20/2017
PROPERTY ADDRESS:
Address: 869 BONITA RD
RE Number: 171149-0000
PROPERTY OWNER:
Name: DAVIS, MARTHA A
Address: 869 BONITA RD
GENERAL CONTRACTOR INFORMATION:
Name: DOMESTIC DESIGNS ROOFING
,CCC1325504
Address: 438 B FLETCHER AVE QA CARLTON CLAY BOYD
Phone: -
FEES:
BUILDING PERMIT FEE $62.40
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $66.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
CITY OFATLANTICBEACH Op_
BW FILESEM (9 4)ROM,ATLANTIC FAA N (RELOGEACH,FL 32233 OO
OFFICE.(9WILDIN!QD•FFXND:(9]0)24Tb6i57 1 -7
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/% BUILOINGDEPTQCOAB.U6 / K [—i11 /
- BUILDING PERMIT APPLICATION UUVAL COUNTY
1 JOS ADDRESS. 2 VALUATION OF WORK. 3.SO.FT.UNDER ROOF
869 Bonita Road 2480.00 980
4.LEGAL DESCRIPTION. 5.CLASS OF WORK 1..USE OF mRUCTURE.
❑NEW BUILDING ❑DEMOLITION RESIDENTIAL
LOT9 BLOCN3 SUB DNISION ❑AOOmON ❑CONVERTNG USE ❑COMMERCIAL a.F
].DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. WESPRNIKLER:
retool 3112 pitch only 'REPALI IR D POOSPA ❑YES ❑NO
Li MOVE ❑OTNER 0 N
PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER:
B NAME 15 COMPANY NAME. 23 COMPANY NAME
-
MatthaDavis DOme9tic Designs Roofing
1e NAME: 24.LICENSEE NAME.
Carlton C. Boyd
10 AOu12111 IT STATE CCC1 Fi MO�2550QLICENSE NO: 2i STATE OF FLORIDA LICENSE Nn.:
869 Bonita Road
Atlantic Beach,Fl 32233 IS ADDRESS
Fletcher 26 ADDRESS'.
Fernandina F1 32034
11 OFFICE PHONE IIFe%NO 19.OFFICE PHONE: 211 FA%NOc 2].OFFICE PHONE: 20.FANO:
904.321.0626 904.321.0633
13.CELL PHONE' 21.CELL PHONE29.CELLPHONE'.
703.3876 904.753.1438
14.EMAIL ADDRESS 22 EMAIL ADDRESS: 39.EMAIL ADDRESS'.
bboyd@domesticdesignsinc.co
FEE SIMPLE TITLE HOLDER:
pFOMERiXAN OArvam MORTGAGE LENDER:
31 NAME 33 NAME 3S NAME'
32.ADDRESS. 34.ADDRESS. 36.ADDRESS-
Application is hereby made m obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has
commenced prior to the issuance of a pemis and that all work will be performed In meal the standards of all laws regulating Construction in this
jurisdiction. This permit becomes null and void 8 work is not Commenced within six(6)months, or rf construction or work is suspended or
abandoned for a Period of six (6) months at any time atter work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Healers,Tanks, Air Contltllonrirs,rite.
OWNERS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance wfih all applicable
laws regulating conaW coon and zoning.I will not Occupy or use the referenced building Or any part therof, unfit all inspections are fnaled and
Prior to obtaining a certificate of occupancy or completion issued by the building oficud,as required by law.
*** WARNING TO OWNER: ***
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT a CONTRACTOR
(e Aanl.Prover ufAcAwor Agarq'I-saw Require]) poardsr OM")
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BEER by !m he all dfirma that allsrerenlmb all dedameom are hedn by himself l he ff and dfima Mat all statements all dedereaons are
true and acwrete sue and acaade. 6� /
Ndary Public d Lary of Fl Coudyd uVaL. Notary PUMkML & or F County LJU yCk.
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