Re-Roof 16-ROOF-1396 ?j rLy f
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41 A", , CITY OF ATLANTIC BEACH
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114 s 800 SEMINOLE ROAD
j :� z ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- ROOF -1396
Job Type: ROOF PERMIT
Description: RE -ROOF SHINGLES
Estimated Value: $11,360.00
Issue Date: 6/20/2016
Expiration Date: 12/17/2016
PROPERTY ADDRESS:
Address: 359 19TH ST
RE Number: 172020 -1324
PROPERTY OWNER:
Name: RICHARDS, STEPHEN D
Address: 359 19TH ST
GENERAL CONTRACTOR INFORMATION:
Name: COLLIS ROOFING INC
Address: 485 Commerce WAY
Phone: 321 - 441 -2300
FEES:
BUILDING PERMIT FEE $106.80
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $110.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.