333 Ocean Blvd roof 2012 S'�1iy!lrl
CITY OF ATLANTIC BEACH
'I 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 12-0001007 Date 8/03/12
Property Address . . . . . 333 �J
Application type description ROO_FIOCEANPERMITBLVD
Property Zoning . . . . . . . RES OF DISTRICT
Application valuation . 11297
Application desc
REROOF
________________________
Ownerli Contractor
____________ ________________________
KANE BERNARD SHORE ROOFING COMPANY
333 OCEAN BLVD 914 7TH AVENUE SOUTH
ATLANTIC BEACH FL 32233JAX BEACH FL 32250
(904) 241-8842
---------------------------------------
____ _ _ __ ________
Permit . .
. ROOF PERMIT
Additional desc . .
Permit Fee . . . . 110 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 11297
Exp iration Date 1/30/13
--------------------------- --
Other Fees STA E DCA SURCHARGE 2 . 00
STA E DBPR SURCHARGE 2 . 00
--------------------------------------- __________________________________
Fee summary Charged Paid Credited Due
_ _
_________ __________ ___ ______ __________
Permit Fee Total 110 . 00 110 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 114 . 00 114 . 00 . 00 . 00
PERMIT IS APPROVED ONLT IN ACCORDANCE 1111 It ALL CITE OF ATCANTLE REACH ORDINANCES AND THE FLORIDA
IR[THING CODES.
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Doc#2012164839 OR BK 16022 Page 902
Humber Pages: 1
Recorde 08,03,2012,09-47AM,
JIM FULLER CLERK CIRCUIT COURT UUVAL
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SIGNATUREOF CONTRACTOR:
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