Permit 349 Plaza CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000193 Date 2/22/10
Property Address . . . . . . 349 PLAZA
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2160
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Application desc
REMOVE AND REPLACE FRONT HALF OF ROOF
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Owner Contractor
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DELOACH, LUCIAN & GENEVIEVE BURGER ROOFING CO.
349 PLAZA 134-1 ERNEST STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204
(904) 355-2756
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2160
Expiration Date . . 8/21/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 65 . 00 65 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date: 02/04/2010
JobAddress: 349 PLAZA, ATLANTIC BEACH, FL 32233
Owner of Property- GENEVIEVE M. DELOACH
Address: 349 PLAZA, ATLANTIC BEACH, FL 32233 Telephone: 904.241.8156
Roof Contractor: BURGER ROOFING CO State License Number: CCC032514
Contractor's Address: 134-1 ERNEST ST, JACKSONVILLE, FL 32204
Telephone: 904.355-2756 Fax: 904.358.0733 Email: BURGERROOFING@BELLSOUTH.NET
ScopeofWork: gEmovE ANp REPLACE FRONT HALF OF ROOF Roofing Material SHINGLES
FL Product Approval# FL10124 Valuation ofWork: $ 2,160.00
Required Inspections: Sheathing/in Progress-Dry In /Final
Ifre-roof: Assessed Value of Structure: X <$300,000/_>$300,000;Roof-to-wall improvements required? N
(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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT"
Signature of Owner Date: to
AS TO OWNER:
Sworn to and subscribed before me this day Qf_� '20 /0 .
State of Florida,County of Duval
Notary's Signatu
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Ft MEREDITH
[01 roduced identification MY COMMISSION I DD 900284
Type of identification produced EXPIRES:Jul�14,2013
AS TO CONTRACTOR: OF FCdW BmW ft BLKW NOtSy WM6
Sworn to and subscribed before me this d 20
State of Florida, County of Duval
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Produced identifi cation
Type of identification produced
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R.MEREDITH
800 Seminole Road-Atlantic Beach,Florida 32233-5445 MY COMMISSION#DD 9M
Telephone: (904)247-5800-Fax:(904)247-5845 EXPIRES:Jul�14,2013
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F:\roof permit applicaton.docx 7/28/09