Permit 714 Aquatic Dr CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000116 Date 2/03/10
Property Address . . . . . . 714 AQUATIC DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3075
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Application desc
RE ROOF
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Owner Contractor
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KRAUT RON RUSSELL ROOFING INC
714 AQUATIC DRIVE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 636-9909
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Permit ROOF PERMIT
Additional desc . -
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 307S
Expiration Date . . 8/02/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
10-
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date:
JobAddress: A0LoPT(0_- -w(VE, lmwrirc �5r,-AcH fft, 32Z'33
Owner of Property: 01,�VEZ "Pror
Address: PA t9W,,57-Q,1,S7?,ZT-A)c, 73�H"-F ?Z233 elephone: 33-5 -- 6667
Roof Contractor: 10.5se LL-RDoF-W!!�;.74%r, —state License Number: -2-7+9
Contractor's Address:—4+(1 "bAjA-"_ k-b. q�kmsw F L 7
Telephone:6,0 Zoo --If cg Fax:oo4 oNe-WO? Email:
ScopeofWork: 7Z-F- PbnF Roofing Material -T,48 S9tA1&Xf--5
FL Product Approval# F-L Valuation of Work: 3 7s� 0-0
Required Inspections: Sheathing/In Progress-Dry In /Final
Ifre-roof: Assessed Value of Structure:_C<$300,000/_>$300,000;Roof-to-wall improvements required?
(Applies to single family structures only)
"'WARNING TO OWNER: YOUR FAILURE TO RECORD 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 ATTORNEYAEfORE RECORDING YOUR NOTICE OF COMMENCEMENT"
SIGNATURE OF OWNER: oh�� Date: 7_0 t 0
AS TO OWNER:
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval
Notary's Signature:
E] Personally known
F1 Produced identification
f identification produced
-z--
SIGNATURE OF CONTRACTOR: Date:
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of ?qA& .20 /0
State of Florida,County of Duval
Notary's Signature. L'I
El Personally know
��du ed identification
Type of identification produced
SHIRLF L. GRAHAM
G
Notary PU
Y A
ev?Lof ]antic Beach,Florida 32233-5445
V®res;§Q,�4,W= 47-5800-Fax:(904)247-5845
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(min
0" Commission
Bonded By Na n 1 3 F:\roof permit applicaton 2010
Notary Assn.