Permits 612 Aquatic Drive CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00028427 Date 6/08/04
Property Address . . . . . . 612 AQUATIC DR
Tenant nbr, name . . . . . . RE-ROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2200
Owner Contractor
------------------------ ------------------------
LOWE, MARK MONAHAN ROOFING
612 AQUATIC DRIVE 2050 KING CR S
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 241-7766 (904) 242-8246
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 68 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2200
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 68 . 00 68 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 68 . 00 68 . 00 . 00 . 00
PERNUT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
COPES.
'Q, ( .
BUILDING OFFICIAL
Cc:
CITY OF ATLANTIC BEACH D. Ford
BUILDING / ZONING DEPARTMENT (2c��
800 Seminole Road S. Doerr
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application # c)4 - 7-8 4 z
�7
Property Address: Q L) 1011�-Ti C-
Applicant: c)i,� f-�-A P,4
Project: P-C'C'cz:-
This permit application has been:
Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: Date: 6 vcl
2
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date:
Job Address: 6 2- C, Lula"
Owner of Property:
/<Address: Telephone- _Zcl 1 --Y-)
Contractor: C- State License Number: r;.-C C
Contractor's Address:. S_g LO Ltj Z��(
Telephone: 2 Ut:2
Fax:
Scope of Work:
Deck Slope:
—,-�Z 1 --�- _Greater than 2:12 Less than 2:12
Valuation of wo 2�0
rk Q
Product Name(Example: Timberline):
C,
Manufacturer(Example: GAF): C�-n- F
ASTM Designation(s)--Q-- '3 1 C-, (
Required Inspections- Sheathin : F* I
�*ignature of Owner:
Date:
NheatWn
Signature of Contract
Date: a-0 q
S TO OWNER: CA t
Sworn to and subscribed before mo this Oyv---day of 20A�:)(4
State of Florida,County of Duval
Notary's Signature:
DAVID J.ABRAHAM
etf!U ersonally known 0
My C MM
EXPIRE
dadT
my Co
MMISSION#DD 138284
Produced identi
fication EXPIRES:July 31,2006
-t fic ti
ru
Bon h N,
TYPe of identification prod Bonded Thru Notary Public Uroerwriters
AS TO CONTRACTOR:
Sworn to and subscribed before me this 2 0--9 dayof_ Jc, 20
Stak of Florida,County of Duvai
Notary's Signature:
JEANETTE M.DEAN
0"Personally kno
My COMMISSION#Dr)082018
Produced identification
.,e, EXPIRES:January 23,2006
d Thru Not
Bondo w�ary Public Underwriter, Type of identification produced
800 Seminole Road Atlantic Beach,Florida 32233-5445
Page 1 Telephone: (.904)247-5800 Fax: (904)2417-5845 -http://www.ei.atiantic-beach.fl.u.
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CITY OF ATLANTIC BEACH
ERMIT CALCULATION SHEET
Date
Address UO-—I
Permit fee based on dollar evaluation as indicated on permit application.
Heated Square Footage $ persqft= $
Garage/ Shed $ per sq ft= $
Carport/Porch $ per sq ft= $
Deck $ per sq ft= $
Patio $ per sq ft= $
TOTAL VALUATION: $
$ 2co $35.00 ist $1000.00 $ $35.00
Total Valuation
$ 120c) $ $
Remaining Value Per thousand or
portion thereof:
CONSTRUCTION TYPE: TOTAL BUILDING FEE $
ZONING: + V-z Filing Fee $ '113
FLOOD ZONE: Fireplaces * $35.00 $
IMPERVIOUS SURFACE:
BUILDING PERMIT FEE $ _ 6q
WATEREMPACTFEE $
SEWER EWPACT FEE $
WATER MIETER/TAP $
CAPITAL EWPROVEMIENT $
SEWER TAP $
C ( )RADON HRS.0050 $
SECTION H PAVING $
CROSS CONNECTION $
ST ) SURCHARGE $
OTHER $
GRAND TOTAL DUE $