335 10th St 2005 Permits *'I y1.Tl r
CITY OF ATLANTIC BEACH
1 S� 800 SEMINOLE ROAD
ATLANTIC BEACH FLORIDA 32233
INSPECTION PHONE LINE 247-5826
.,•-�J1�I�r
Application Number . . . . . 05-00030591 Date 6/20/05
Property Address . . . . . . 335 10TH ST
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7230
Owner Contractor
------------- ----------- ------------------------
UPDIKE, MARY/HOFFMAN, KAREN ROMANO ROOFING SERVICES
335 10TH STREET P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-9089 (904) 246-5649
------------------------------------------- ---------------------------------
Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 105 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 7230
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 105 . 00 105 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 105 . 00 105 . 00 . 00 . 00
v
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
-. r . 4A
BUILDING OFFICIAL
c
CITY OF ATLANTIC BEACH cc:
BUILDING / ZONING DEPARTMENT
ord
J r� 800 Seminole Road
S. Doerr
r M Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application #
Property Address:
Applicant:
Project:
This permit application has been:
C3ZAPP roved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed B L
Y� � Date: & 17,010 5
Date Contractor Notified:
RECEIVE CST,
CITY OF ATLANT(C BEACH
J CITY OF ATLANTIC BEACH BUILDING.R 70NiN(i
ROOFING PERMIT APPLICATION JUN 17 2005
Datfwv
Job Address:
Owner of Property: / 1"nl4—nZ , ,0.�.�1J?�.✓
Address: p " � �,0tAbGs i� ZZ� Telephone: 7:&.-
Contractor:
&.-
Contractor: I Derr Ai✓O W ee-fi n/4 .S'e.f V/CPS State License Number:
Contractor's Address: 3d W 9 S'T2� eT 9-f,46WEIC j3 d 7Z/ 9.2 a 33
Telephone: 170 t/ - Fax: 90 V-.2 S/(e --/Z 19,E
Scope of Work: ��,rl r,f, n-t- t ui
Deck Slope: Greater than 2:12 Less than 2:12
Valuation of work: JL7 `e
Product Name(Example: Timberline): T to ryx I he
Manufacturer(Example: GAF): C�a r
ASTM Designation(s): ` (v Z
Required Inspections: Sheathing and Final
Signature of Owner: Date:
Signature of Contractor: Date:
�T
AS TO OWNER:
Sworn to and subscribed before me this day of 30y-) ,205
State of Florida, County of Duval
Notary's Signature:
ELAINAROMANO ❑ Personally known
my COMMISSION 0 DD357393 ❑ Produced identification
� 23. Type of identification produced
�Od
♦{7 OTARY FI.NOWY Dis CCo.N '
a�/�..
AS TRACTOR
Sworn to and subscribed before me this —1 day ofy i'1 ' 200S.
State of Florida, Co u 1
���"�, A ROMANO Notary's Signature:
ELAIN
yty OO. ISSI N 0 DD3573 0
23,2009
rtls:sem"";"` c°. ❑ Personally known
a�,A ❑ Y
oo s oTAf Y f`NOt� Produced identification
Type of identification produced
800 Seminole Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 .http://www.ci.atiantic-beach.fl.us
Page 1 Revised 221/03
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address 3 3 5 I b, i
Date lZo[d S
Heated Square Footage @ $ �fC per sq ft= $
Garage/ Shed @$ per sq ft= $
Carport/Porch B @$ per sq ft= $
Deck @$ per sq ft= $
Patio @$ per sq ft= $
TOTAL VALUATION: $
X23 2
Total Valuation 1' $ (�a
(o23U $
Remaining Value $s per thousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $
ZONING: + '/2 Filing Fee
FLOOD ZONE: ( )Fireplaces @$35.00 $
IMPERVIOUS SURFACE:
BUILDING PERMIT FEE $ /0 6
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METERJTAP $
CAPITAL IMPROVEMENT$
SEWER TAP $
C ( )RADON .0050 $
SECTION H PAVING ( ) $
HYDRAULIC SHARES $
CROSS CONNECTION $
ST( ) SURCHARGE $
OTHER $
GRAND TOTAL DUE: $ DS