Permit Roof 319 7th St 2007 M110 Ro Z33
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Date
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Nuer ROOF PDATED
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e description TO BE 9p00
Prop cation typ _-----
Pp operty on v g cation- --------------------
Appllcatl----- c -_-- -----
__---Application des ---- ------------- --------
RER.00F C�tractor -_----
T)WNSEND ROOF
SERVICES
Owner -____-- ONSTRUCTIO
271-29 MONUMENT RD #338322225
J.CKSONV I LLE FL
(104) -645_0796---------------
ROOF PERMIT
____------ Plan Check Fee
permit 1 desc '15 , 00 Valuation 90
Additiona
permit Fee 1/12/08
- ----_ ___--___-------------------------------
Issue Date Date Credited
Expiration-_--___ Pa.-- ---- Due
---- Charged--- - 00 ------ ----------
Fee summary - . 00 . 00
-75 . 00 . 00 .00
- -- Fee Total .00 . 00 . 00
Pan check Total -75 , 00 • 00
Plan • 00
Grand Total
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D ONLY IN ACCORDANCE WIT 4,,,0"'V4N
PERMIT IS A PPROVE C�l'(1q
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of o
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Address: "`ai 1 s rt�' T�
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Contractor: lZi
Conhctor's Address: Te1e
Te(e L� �� ST 1('�, ' phone:
Phone: cense Number: cGL
Scope of rk: 7 � 7 Fax: J,4 L
a t �!C/�f
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Deck Slope:7,6
Great5rthaa 2:12
Valuation of work: *1�kb,�
Less than 2:12 "
Product Name(Example: Timberliv.
Manufacturer(Example: GAF):
ASTM Designation(s):
thin
Required Inspections: //g�� inal
l
Signature of Owue' Date: 7 /L p
AS TO OWNER:
before me this � day of Jin
Sworn to and suf• --- __�2 6 7
ty of Duval 0
State of Florio' Notary's Signature:
v
TOWNSEND A2 Personally known
E MISSION#DD529752 ❑ Produced identification
IRES: Mar.16,2010 Type of identification odu
idallotarySaMcexom
ntractor: Date:
' NTRACTOR:
y (� __ - --
d be f ote me this
day of ,ao
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�uVal Notary's Signature:
C�uo�!oti
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/I1612p0'1 10:0'1:55 p'M
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1012149 1im Fulle Court
Transaction# Clerk Circle;uutY
Recelpt#:
961543 11612p0� Duval tT 103
ler Date..AM 330 E Bavil Ile F1'�02 ent Summary
Cash
10:0'1�4RSON) Jackson 630-2444 ation Yaym
LY�EP (904 action Inform
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ved' BE CH S10.p4
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orn?ation DSo lT e C ode:gEACK Tota"vees eats S14.p4
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ND ROOF I ES 1NC Return Code:R rater ing
ecord
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co TS RUCTIO B UFF TrAge tRef
24gc ST 10 5 SxAlm
1JN2 32246 $10.04
1AXEVL
1 payiuents
�W 8475 Date:7/16/2007
CASH. CFN:200722
BKIPG: 14086/546
d Items •43 AM K To. COMMENCEMENT
1 Recorde 10.07. J0 ON M� $0.00
From: 2
Np� $10.00
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