1654 Coquina Pl roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NE)lT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-2432
Job Type: ROOF PERMIT
Description: Re-Roof Shingle. NOC submifted.
Estimated Value: $6,500.00
Issue Date: 10/28/2016
Expiration Date: 4/26/2017
PROPERTY ADDRESS:
Address: 1654 COQUINA PL
RE Number: 169579-1010
PROPERTYOWNER:
Name: WILLIFORD, DEBORAH
Address: 1654 COQUINA PL
GENERAL CONTRACTOR INFORMATION:
Name: RELIANT ROOFING INC RYAN SHOUPPE
Cameron Ryan Shouppe,CCC1330615
Address: 528 Millhouse Lane Orange PARK
Phon
FEES:
PLAN CHECK FEES $41.25
BUILDING PERMIT FEE $82.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $127.75
PERAUT IS APPROVED ONLY IN ACCORDANCE IWITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,IT,32233
Officg(904)247-5826 Fm(904)247-5845
J.bAddmss: 1�� conui Cf- -Permit Number: I(,,AZooF- 343A
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i#qW-7 iworK$(60J-W Proposed Work heated/cooled IWO �nN-hated/cmgIcd,
LA 31P ay--1 Class ofWork(circle one): New Addition ligoati. Repair Move Demolition pool/spa vvindmadoor
Use of exisiting/prorosed structurees)�irc Q4.Dicia]
If an existing struc tore,is afire sprin er system instalIX(Circle one). YEa NO(Z/A�:)
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D-esc-n5e--in detail the type of work to be performed:
Property Onmer Information:
Name �Aldi 'VA YY1 r?V) Address:1�lz
City
Contractor Information:
Coming No. Qual in Ag in !410"42
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Enginwr's Name&Phone# /
Fee Simple Title Holder Name and Adaffin;
flooding Company Name and Address SIP/
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WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WITEI
YOUR LENDER OR AN ATTORNEY BEFORE RECORDINGY61ilk NOTICE OF
CONIMENCEMENT.
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Doc # 2016247663, OR BK 17757 Page 21, Number Pages: 1 , Recorded 10/27/2016
at 02:35 P1,1, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
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