Permit 1500 Selva Marina Dr cf 1
ATMENT OFIlUILOING
�106PA
CITY,OF ATLANTIC BEACH
-------- LOCATION INFORMATION''
ER"XT INFORMATIOW ------- DRIVE
P 1500 SELVA MARINA
.....................
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.-OZACOP' ' FLQRIDX,�
ATLANTIC,
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nit Type
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Lot: 81
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$22. 5
Total
*22.50
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*22. 50
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HYDRAULIC' SHARE 00
JACK LLZ aj�,�ACH, FL 3225(
RE-INSPECT' FEE
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Licen F
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NO FOOTINGS MUST BE INSPECTED BEFORE POURING
140TICE ALL CONCRETE FORMS A
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
IAL,R UBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
BUILDING MAT5R
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
LYWITH THE MECHANICS' LIEN LAW: CAN RESULT IN
��,'FAILURE MCOMP TS.15 ,
ING TWICS FOR BUILDING IMPROVEMEN
THE, 0.00PERTY OWO"�PAY
T Aq&VECT TO R*jkTION FOR
ING TOAPPROVED�PLANS WHICH ARE PART OF THIS PERMI
16SUED ACCORD
VIOLATION OP APPLICABLE PROVISIONS OF LAW.
7A;
'DING DEPARTMENT
ATLANTIC BUf L
By:
CITY OF NFLANTIC UACII
API'LICATION FOR ROOFING PERMIT
BUILDING owNuR Ms. Terry Peterson PIIONH 246-0300
JOB ADDRESS 1500 Selva Marina Drive
LOTH BLOCK Olt UNIT H SUBDIVISION
CONTItACTOR—Schultz Roofing Co, Inc. PHONE '246-2315
ADDRESS 216 N 20th Street
LICENSE WIER cC-0036989 EXPiRNrION 6/30/92
JOB VALUNHON 5300.00
MN11RIALS:
Re-roof
DATE
SIGNATURE CONTRAdoll