Permit 2233 Seminole Rd # 35 ROOF 2011 CITY OF ATLANTIC BEACH
SS
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001677 Date 2/11/11
Property Address . . . . . . 2233 SEMINOLE RD UNIT 035
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 800
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Application desc
reroof
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Owner Contractor
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FLECK BRC HIGH TECH ROOF DIVISION
2233 SEMINOLE #035 6372 GREENLAND ST STE 6
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 800
Expiration Date . . 8/10/11
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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 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 59 . 00 59 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
C_
09
CITY OF ATLANTIC BEACH
Date: ROOFING PERMIT APPLICATION
Job Address: 3 3 oyw�
Owner of Property'.
Address: 2- —Telephone:
Roof Contractor: k 4-(!7A -lech go
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Av State License Number:
Contractor's Address: /31')o 00 S-7 AZz.4Uj_71'AJ'r_XJ 56,"t4ti/3 e0;_ J_,O�Y /F��631--ZO
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Telephone: —Fax: '1370 Email: cjCco-Ic" ho--*
Scope of Work: �A4� A&t�l
444i Roofing Material
7 If
FL Product Approval# .1;-, 3 Valuation of Work: $ Ta)
Required Inspections: Sheathing/In Progress-Dry In /Final
If re-roof- Assessed Value of Structure:—<$300,000/_>$300,000;Roof-to-wall improvements required?
(Applies to single family structures only)
""WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PA YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT"
Signature of Owner: Date: /Z
AS TO OWNER:
Sworn to and subscribed before me this day of r0C-*$,
20
State of Florida,County of Duval.
Notary's Signature: :8nl,
S. BRIAN HYNES Personally k 4�
MY COMMISSION#OD947667 Produced identification
EXPIRES December 17,2013
,A.�`KFZ Type of identification produced�U*, etc.
�FR A AW.Not9ryS9rv1c*,com pow vo?('9
Sworn to and subscribed before me this dayof Y5480ARY 20-11L.
State of Florida,County of Duval Notary's Signature:
�g y 41 I1ersona(j4il5wn
S. BRIAN HYNES
M Sl 9
My COMMISSION#DD947667 0 Produced identification
I
E�XPIRES December 17,2013 Type of identification produced
800 Seminole Road-Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800-Fax:(904)247-5845
F:Voof permit applicaton.dou 7/28/09