Permit 582 Aquatic Dr 2011 ROOF ACH
CITY OF ATLANTIC BE
MINOLE ROAD
800 SE
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001648 Date 2/08/11
Property Address . . . . . . 582 AQUATIC DR
Application type description ROOF PERMIT
Property zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2480
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Application desc
REROOF
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Owner Contractor
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HARTMAN SHORE ROOFING COMPANY
582 AQUATIC DRIVE 914 7TH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 24 1-8842
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Permit ROOF PERMIT
Additional desc . -
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2480
Expiration Date . . 8/07/11
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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.
09-
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date:
JobAddress: JIF/;4j", 47C-L �
Owner of Property: 6AV:4
Address: L, c o V Telephone: ocr,2
Roof Contractor: �.f�CV-L Ac,�-,!4 State License Number: C CC 0�<'Y T
Contractor's Address:
Telephone: Fax: Email:
Scope of Work: /�r k&V F- 5 Roofing Material et K
Fl.Product Approval# Valuation of work: S
Required Inspections: Sheathing/in Progress-Dry In Final
If re-roof. Assessed Value of Structure:Z<$300,000/__>$300,WO;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 N077CE 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 ATTORNEY78 FORE REC .NOTICE OF COMMENCEMENr
SIGNATURE OF OWNER: Date:
AS TO OWNER:
Sworn to and subscribed before me this day of -)-0--z, 20 kX
State of Florida,County of Duval -
*MARJORIE M.ADAMS4i~ Notary's Signature�l
NOTARY PUBLIC 0 Persi:inalyknown'
STATE OF FLORIDA Produced identification
Comm#DD0933778 1�
EExpires 10/30/2013 Type of Identification produced n7-\
SIGNATURE OF CONTRACTOR: Date:
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of
State of Florida,County of Duval Notary's Signature:
Apersonally known
MARJORIE M.ADAMS+KfVVp 0 Produced identification
NOTARY PUBLIC Type of identification produced
STATE OF FLORIDA
Comm#DD0933778 800 Seminole Road-Atlantic Beach,Florida 32233-5445
Expires 10/30/2013 Telephone: (904)247-5800.Fax:(904)247-5845 F-.\roof permitapplicaton.doa 7/28/09