1975 Jordan ROOF18-0049 CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
��.,R�E�VIISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date 01 LI l b pR�elvision to Issued Permit_ -Corrrections to Comments_ Permit#.
Project A�ddmss -l 1 1 S Jord" 5 /
Contractors/Contact Namre� p6 fla eo I&M er
Phone 7gj— 'q/.p Email
Description of Proposed Revision/Corrections: Permit Fee Due$--0-
T
1226(u-
_0_rPn26(u- t Ih-fz)
Additional Increase in Building Value $ Additional S.F.
By signing below,I affirm the Revision is inclusive of the proposed changes.
(printed name)
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved /Denied 11 Not Applicable to Department
Revision/Plan Review Comments�o/1�!!(i� C6/1AaCroK 7`r� is-k —✓n
De arttnent Review Required:
mldling rn�
mg 8r Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities 6
Public Safety Date
Fire Services
111WICH: Superior Service-Quality Products-Oa-Time Delivery-Brands You Wart
834 LANE AVEN TMs Quotation is subject to the Termer and Conditions set forth on the
W. re .e ide. This Quobtiw:s NOTVALIDfor hoses me de beyond
JACKSONVILLE FL Nrty(30)daYe of issuance unlee sigma by m o�ica or Manch
SUpp/q CO. IIIc. manage oTAYBC SuPPPPI�y w edditlov b the esguawre ofan ABC Supply
322542827 selesmm or other Aas;$apply represevmtive.
(904)781-7878
QUOTATION
CUSTOMER: SHIPTO:
CASH SALES#495
CUSTOMER PICK UP
JACKSONVILLE FL
JACKSONVILLE FL 32207
SLS# OT# I PAGE
1
UOTENO. CUSTOMERORDERNO. SHWVIA STOMIRNO. TERMS UOTE DATE EXP.DATE
2987506 CPU 45156300 CASH ON DELIVER 8/02/18 9/01/16
******C GE ORDER TYPE: QUOTE #O1 QUOTE EDIT 7/22/18
I P
FROM 495
09CTBASE CERT GLASBASE 3/SQ RL 3 36.75 110.25
15PSMRNI PS1"METAL RND NAILS 25#PAIL BX - - 1 37.0 37.07
ABOVE IS FOR NAIL DOWN.
11GSSSBD Cf BLACK DIAMOND BASE SHEET 3'X75' RL 86.5 432.50
4 14—
REVIE NED FOR C ODE COMPLI NCE
EE PERMITS =OR ADDITIONAL
RE AS
p�
/O
REVI
SUBTOTAL 579.82
Salesman or other ABC Supply Represeatative mnc aaager or Supply Officer
FREIGHT .00
Title: Title:
EST.SALESTAX 40.59
Duration:
QUOTE TOTAL(U.S.) 620.41
w .abcsupply.com W .abccatalog.com
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