417 AQUATIC DR RERF24-0168 - �S -f-viri, REROOF SHINGLE PERMIT PERMIT NUMBER
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\ CITY OF ATLANTIC BEACH RERF24-0168
v 800 SEMINOLE ROAD ISSUED: 9/13/2024
\''-x%0;31 EXPIRES: 3/12/2025
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
417 AQUATIC DR REROOF SHINGLE SHINGLE ROOF $4880.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171818 5284 AQUATIC GARDENS
COMPANY: ADDRESS: CITY: STATE: ZIP:
Maxx Construction & 11990 Beach Blvd. Suite 350 Jacksonville FL 32246
Gutters
OWNER: ADDRESS: CITY: , STATE: ZIP:
W V PROPERTIES LLC 601 MAIN ST ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS ROOF IN-PROGRESS INSPECTION REQUIRED INFORMATIONAL
Notes:
a.The roof sheathing for all new construction must remain uncovered until the Roof Sheathing Inspection is approved.All roofing projects require an In-
Progress Inspection.Sheathing installation and replacement guidelines per APA.Underlayment must conform to FBC-R Table 905.1.1.Shingles must
conform to ASTM D3161 G or H,or ASTM D7158
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $75.00
Issued Date:9/13/2024 1 of 2
- _Ii_u'rf, REROOF SHINGLE PERMIT PERMIT NUMBER
itEar'' tf RERF24-0168
s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 9/13/2024
%t i/ ATLANTIC BEACH. FL 32233 EXPIRES: 3/12/2025
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $79.00
Issued Date: 9/13/2024 2 of 2
rs->,,,,_, BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
`J. , 't City of Atlantic Beach Building Department
L. PERMIT# 3`5'9 31h -�Z 1 77
'y V 800 Seminole Road, Atlantic Beach, FL 32233 **ALL information required to process
"-u,1".- Phone: (904) 247-5826 Email: Building-Dept@ coab.us
Job Address Li( 7 Aqu-Ic nfF Ati4v,--ic [3 k , T I132233 RE# R c,RrM-OIG8
Legal Description 3B-7( 17-2S 2 9 E ' t-
A �' c..ah'c 6tr-. eo c L of 2 Z 1-
Valuation of Work(Replacement Cost) V y 8e 0 Heated/Cooled SF I OS,( 41 Non-Heated/Cooled SF i o c( s:,
•Class of Work: ❑ New ❑Addition ❑Alteration El Repair EMove EDemo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial [Residential • If existing structure, is a fire sprinkler system installed?:❑Yes❑No
•Will tree(s)be removed in association with proposed project? E Yes (Must submit separate Tree Removal Permit) ❑ No
Describe in detail the type of work to be performed:
vc: Aec -wt SL (ii / I2 S`.
Florida Product Approval# 'Ti•-1 G i 'Z LI (For multiple products use Product Approval Information Sheet)
Property Owner Information Name W V perp F,2 v'.izn Ll—L Phone 42101i- ' ( 31 3 i
Address (o1 k:x\,, q3, I Atfa„,t;c 13exv.kA City { State } Zip 32 2 Z 7
Email<, yus a 4 ,,., ' .4 Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information Name of Company tk0.fX leu r� or, g (-ALIA Phone /01-t L , 011 2 -Licj 12
Address 1 L\c(0 13,e_act 115ivA , -5 L)11 City c1Clic_sc,,, IL, State ¶1 Zip "5 2 24.(
Qualifying Agent A.tt„..a,A, 6.A (J'-A., State Certification/Registration# CC e ( '3 3 i' 6 4
Email Ak',.k\q,a«.a cx.1 41 o rJ Vic,,., Job Site Contact Number ro k -LI LI 2_ —
Worker's Compensation Insurer RE a 0 OR Exempt E Expiration Date 813/0/2 16
Architect's Name Email Phone
Engineer's Name Email Phone
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc.
NOTICE:In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in
the public records of this city/county, and there may be additional permits required from other governmental entities such as water
management districts,state agencies, or federal agencies.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning.
**WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NO ICE OF COMMENCEMENT.
LS ,---6
(Signature of Owner or Agent) (Signature of Contractor)
Td an sworn to(or 'rmed)before me this I day of S' d and orn to(o - it ed) b•fore met •s 3 day of
Y ',,�.', I L(a 7' % .F 1 t • i
Signature of Notary Signature of Notary _.f. • -
[ ] Personally Known OR [ ] Produced tification [ ] Personally Known OR [ ] Prods. Identification
Type of Identification: - ( Type of Identification:
�an+if4. -. TONI GINDLESPERGER .��P�° TONI GINDLESPERGER
it.” •: MY COMMISSION#HH 407122 �,� MY COMMISSION#HH 407122
•�' ^ '`• EXPIRES:October 6,2027 'W`'�: EXPIRES:October 6,2027
'rFOF FSO••' "f z,F.(: