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601 Main St 06-00034460 ROOF CITY OF ATLANTIC BEACH 800 SEWUNOLE ROAD e-) .......... ATLANTIC BEACH,FL 32233 C)ji 1 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034460 Date 12/19/06 Property Address . . . . . . 601 MAIN ST Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------------------------------7-------------------- Application desc R2ROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WADMAN, JOHN P. ROMANO ROOFING SERVICES P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5649 ---------------------------------------------------------------------------- Permit . . . . . . . ROOF PERMIT Additional desc Permit Fee . . . . 45. 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 2500 Expiration Date . . 6/17/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 .00 Grand Total 45 . 00 45. 00 . 00 . 00 PERMY IS APPROVED ONLY IN ACCORDANCE wrm ALL cm OF ATLAr-mc BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date-, Job Address: Owner of Property: Address: \ -La,, Qv,�. \W\ L Televhone: Lli'"k SZ6_q09'6 Contractor: rc State License Number: 7-�Contractor's Address: L '5704 - Fax: Telephone: Scope of Work: 9,,!� Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work: 'Z�;Gx� - Product Name(Example:Timberline): btt (I Manufacturer(Example: GAF): ASTM Designation(s): Required Inspections: She in and Ft� Vz - 1 06 Signature of Owner: Date: —I ()(7o,, Signature of Contractor: Date: /2 AS TO OWNER: Sworn to and subscribed before me this day of 20—. State of Florida,County of Duval Notary S Signature: Qzi��Q 393 P ELMNA COMMISSION DD357 Personally known �_r 09 My 3,20 C A �S�Septejbe,23,2009 Produced identification t)i,CLW.t ASSOC-Co* t.P3,!-)T 7,-Sr ct- q 0 Type of identification produced > AS TO CONTRACTOR: Sworn to and subscribed before me this 13 day of State of Florida,County of Duval Notary's SignaturLJOJW__OE��. M Personally known M Produced identification .,Ayp" 1� ELAUA,�R�(q),�M�ANO Type of identification produced 'MY COMMISSION ftDD35739; 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.ci.atiantic-beach.fLus Page 1 Revised 2121103 CITY OF ATLANTIC 13EACI-I ROOFING PERMIT APPLICATION Wpl.I T Date: I-z- Job Address: Owner of Property: Addrem. 4'�— "G� --Telenbone: Contractor: tr —4 . '?nni4 rc Statc License Number. Mdr=: Contractor's -99+K tt�, etk� Tcleplione: Fax: 0L-1 . - 2 Lf L ork- Scope of W Deck Slope- --Grcatcr than 2.12 Less than 2:12 valualion of Wo&- tN, ,— x acturer(F- ample.-GAF): -=�t IA RLAtll --A vs—A I 1\ V X I 'jW1.2LUAt;U.1 LOnEractor. "Or —j VA Com—ty [if A z Produced identifirationn A V 21 Stale of Flondrn-Cmmtv pf n--i 1�0 N L Persor, lly lnv�wn -1 a I --,- — N%,-A -4:4 t;r.. .,A�:j D X 0 a z7w4ij 24-1--nmu "-K; MOW 247-5845 hrrjl:j-!vvvWW Florida Building Code Online Pagel of3 4,;1, Submit Surcharge Stats&F Publications FBC Staff B, Hot Topics acts BCIS Home Log in Product Approval USER: Public User Prod val-Menu > Product or Application Search > Apphcation-List > Application Detail uct Appro-_ FL # FL784-R2 Revision Application Type Code Version 2004 n Status A pproved Applicatio Comments Archived F Product Manufacturer Atlas Roofing Corporation Address/Phone/Email 2000 RiverEdge Parkway Suite 800 Atlanat, GA 30328 (601) 481-1470 hshanab@atiasroofing.com Authorized Signature Hazem Shanab hshanab@atiasroofing.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Asphalt Shingles Compliance Method Certification Mark or Listing Certification Agency Underwriters Laboratories Inc. FILE COPY http://floridabuilding.org/pr/pi�_appjtl.aspx?param--wGEVXQwtDqtO4mGNBAAIXGr... 12/18/2006