Permit 507 Aquatic Dr Roof 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 11-00001519 Date 1/04/11
Property Address . . . . . . 507 AQUATIC DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2500
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Application desc
reroof
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Owner Contractor
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ROMANO BROTHERS ROOFING, INC
P.O. BOX 33037
ATLANTIC BEACH FL 32233
(904) 246-5649
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2500
Expiration Date . . 7/03/11
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 69 . 00 69 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Vill,
09-
CITY OF ATLANTIC BEACH
Date: ROOFING PERMIT APPLICATION
Job Address: S-o 7 _w4c_ A,4,c, &roe_4
Owner of Property:
Address: . fo? - Telephone: 90
Roof Contractor: D4AAV )ea.�&Ao &a-kirs,)Faj'rSjate License Number: 13d 073
Contractor's Address:_0�/10 lljaes5 C�- 'All 1,4
Telephone: 96Y 610 -OV& Fax: YO Y Pq-' Yf10 Email:
Scope of Work: Roofing Material G-C
FL Product Approval# Valuation of Work:
Required Inspections: Sheathing/in Progress-Dry In /Final
if re-roof: Assessed Value of Structure:—<$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 ORANATrORNEY BEFORE RECORDING UR NOTICE OF COMMENCEMENT"
SIGNATURE OF OWNER: Date:
AS TO OWNER:
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval --At
Notary's Signature: 94
— — — — — — — — — [] Personally known
DWEL S.Rom 9-11ro-duced identification
Elb EL S gROM Type of identification produced
Notwy PUMIC
my COMM. I Oil
SIGN NTOddlilliIiiWo Date:
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of A 2
State of Florida,County of Duval
Notary's Signatur
Ppt_m�non
0 Produced identification
Type of identification produced
800 Seminole Road-Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800-Fax:(904)247-5845
F:\roof permit applicaton.docx 7/28/09