Permit 463 Selva Lakes Cir `S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
v ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000436 Date 4/14/10
Property Address . . . . . . 463 SELVA LAKES CIR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4480
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Application desc
REROOF
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Owner Contractor
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DISCH SHORE ROOFING COMPANY
463 SELVA LAKES CIRCLE 914 7TH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-8842
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4480
Expiration Date . . 10/11/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 75 . 00 75 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMUMCEMBNT
(PPEPIWMoupLICANE)
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Number Pages:1 riow flUffl a.natal _._
Recorded 0411312010 at 12:06 PM, M3raonst °f
JIM FULLER CLERK CIRCUIT COURT DUVAL pm*wsd
EXPIRES:August 05,2011
COUNTY art�Ju�
RECORDING$10.00 p SUSAN K.SULLIVAN
V1'COMMISSION#DD701752
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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office (904) 247-5826 Fax(904)247-5845
Job Address: -1/z i Cvc. Permit Number:
Legal Description Parcel#
Valuation of Work$ t1 ` e vu
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval# 07�y� % S4 �/.�S /� /5 SL a se /�" a S/111
For multiple products use pr duct approval m
Describe in detail the type of work to be performed: Ht- ) Q 0
Property Owner Information:
Name: �,, i;