208 5th St (vault) f
DEPARTMENT OF BUILDING �01 �
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 9-27- 19 88
I Valuation$ 2,256.00 7.50
Fee$
7;'50 T
This permit not valid until above fee has been paid to City Treasurer,and is 7 a 5OCKT
subject to revocation for violation of applicable provisions of law. 6713 I A 9/27/1711
This is to certify th�CBenton Roofing •
67f4 WC77MI
has permission to)M re-roof
Classification__Reci dm i i Zone
ff Owned by Mrs. Anderson
I Lot_ Block_s
iHouse No. 208 15th St -eet
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
ANIS FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
0 Building material, rubbish and debris
-Zi from this work must not be placed
in public space, and must be cleared
uv and hauled away by either con-
tract or owner.
g ofe
FOR OFFICE PERMIT DATE
USE ONLY NUMBER CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR ROOFING PERMIT
BUILDING OWNER /s PHONE 2
JOB ADDRESS 1 -f ti S/
LOT#� BLOCK OR UNIT # SUBDIVISION
CONTRACTOR ��T� PHONE
ADDRESS Z 8 s- z:91vs,�s,
LICENSE NUMBER �G. �j3 3 EXPIRATION �.�
JOB VALUATION $ , ,Z
MATERIALS:
SIGNATURE OWNER DATE
SIGNATURE CONTRACTOR DATE�