1148 Linkside Dr re-roof permitCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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 -2446
Job Type:
ROOF PERMIT
Description:
shingle re -roof
Estimated Value:
$10,500.00
Issue Date:
11/1/2016
Exoiration Date:
4/30/2017
PROPERTY ADDRESS:
Address:
1148 LINKSIDE DR
RE Number:
172374-5025
PROPERTY OWNER:
Name:
MARK, W ROBERT & MARIA D,
Address:
1148 LINKSIDE DR
GENERAL CONTRACTOR INFORMATION:
Name:
RELIANT ROOFING INC RYAN SHOUPPE
Cameron Ryan Shouppe, CCC1330615
Address:
528 Millhouse Lane Orange PARK
Ph.... - -
FEES:
BUILDING PERMIT FEE $102.50
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $106.50
PERMIT IS APPROVED ONLY M ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDNG CODES
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, PL 32233
Office (904) 247-5826 Fax (904) 247-5845
Jab Address: ji YD L(I IJIGUL Ik T11 Gl/1'fl(.&aw Permit Number.
Class ofWork (circle one): New Additio Alteration Repair Move Demolition pool/spa window/door
Use of ex6tlog/proppoossed structuress) fair<le one): Commercial
U nn existing stradurq is a Bre sprinkler system losta11.0 (Circle one): No N /A
Florida Product Approval k � Illi
For multiple products use pro c pProvat for n .(j (� 2
1 sin detail the type ofwork to be performed: ZP--ybOY 3Z-so(Lx K3 — (0/12'pi"
Office
Engineer's Name & Phone M
Fee Simple Tide Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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NOTARY PUBLIC
STATE OF FLORIDA
Cmmdt FF9515B4
Expires 1/1912020
Doc M 2016250627, OR BK 17761 Page 1057, Number Pages: 1, Recorded
11/01/2016 at 10:35 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
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