1635 Richardson Ln 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 NEXr DAY INSPECTION: 247-S814
306 INFORMATION:
Job ID: 16-ROOF-2688
Job Type: ROOF PERMIT
Description: re-roof FL10124-R7
Estimated Value: $4,800.00
Issue Date: 121112016
Expiration Date: 5/30/2017
PROPERTY ADDRESS:
Address: 1635 RICHARDSON LN
RE Number: 172097-9540
PROPERTY OWNER:
Name: PAYTON, JAMES C
Address: 1635 RICHARDSON LNE
GENERAL CONTRACTOR INFORMATION:
Name: K & D ROOFING & CONSTRUCTION
Robert Hile,CCC1325852
Address: 2758 DAWN RD SUITE 1NE CIAROBERTANTHONY
HILE
Phone:
FEES:
BUILDING PERMIT FEE $74.00
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $78.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERmrr AppmcAnON
CITY OF ATLANTIc BEACH
800 Seminole Road,Atlantic Beac�FL 32233
Offiw(904)247-5826 Fax(904)247-5845
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Valuation of Works-�BwJgloposed Work heated/cooled 10-15 non-hewtedircooledp�
Class of Work(circle one): Nm Addition Alteration Repair Move Demolition pool/spa wiDdow/dwr
Useofexisting/pr=r-dstractare( cireleone): Counnazew
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Proverty Ovirner Information:
E-Mail or Fax#(Optional)
Contractor Information:
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Fee Simple Title Holder Name and Address
Bonding C;ompmy Name and Address
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WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF
COAEWENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR RAPROVEMENTS
TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WrM
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUk NOTICE OF
COMNMNCEMXNT.
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Doc # 2016273050, OR BE 17793 Page 592, Number Pages: 1, Recorded 11130/2016
at 03:29 PM, Romis Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
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