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1855 Beachside Ct RERF22-0002 Shingle E_____64 REROOF SHINGLE PERMIT PERMIT NUMBER RERF22-0002 CITY OF ATLANTIC BEACHISSUED: 1/6/2022 800 SEMINOLE ROADEXPIRES: 7/5/2022 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: 1855 BEACHSIDE CT REROOF SHINGLE Shingle: FL10674.1, $21673.00 Underlayment: FL15216-R5 TYPE OF REAL ESTATE BUILDING USE ZONING: i SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169542 0558 BEACHSIDE COMPANY: ADDRESS: CITY: STATE: ZIP: Quality Craftsmen 1165 W Airport Blvd Sanford FI 32773 OWNER: ADDRESS: CITY: STATE: ZIP: TEMPLE CHARLES R & 1855 BEACHSIDE CT ATLANTIC BEACH FL 32233-5954 JEANNINE M LIFE ESTATE 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. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $160.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2 40 STATE DCA SURCHARGE 455-0000-208-0600 0 $2 00 TOTAL:$164.40 Issued Date: 1/6/2022 1 of 2 '',,,_,,v,„- , REROOF SHINGLE PERMIT PERMIT NUMBER ' CITY OF ATLANTIC BEACH RERF22-0002 800 SEMINOLE ROAD ISSUED: 1/6/2022 F1- ''i1sfr ATLANTIC BEACH, FL 32233 EXPIRES: 7/5/2022 Issued Date: 1/6/2022 2 of 2 r -- Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department **ALL INFORMATION v. ;�� 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY ''j1'`' IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: 1855 Beachside Ct. Atlantic Beach Fl 32233 Permit Number: � U R J- Z 7 ' 00V z.. Legal Description 42-14 09-2S-29E BEACHSIDE LOT 9 BLK 1 RE# 169542-0558 Valuation of Work(Replacement Cost) $ 21673 Heated/Cooled SF 2196 Non-Heated/Cooled 2616 • Class of Work: ❑New ❑Addition 5tAlteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ECommercial [Residential • If an existing structure, is a fire sprinkler system installed?: EYes ❑No • Will tree(s) be removed in association with proposed project? EYes(must submit separate Tree Removal Permit) No Describe in detail the type of work to be performed: Remove shingle roof down to the decking and renail. Double layer of synthetic underlayment to be installed per code. Owens Corning Duration Shingles 10674.1 Florida Product Approval# FPA 10674.1 /C2 y/s,)_/(j --es- for multiple products use product approval form Property Owner Information Name Evan Harmeling Address 1855 Beachside Ct City Atlantic Beach State Fl Zip 32233 Phone (978) 337-8030 E-Mail evanharmeling@gmail.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Quality-Craftsmen Qualifying Agent Emmett Zettler Quinn Address 830 Ronald Reagan Blvd Ste 192 City Longwood State Fl Zip 32750 Office Phone 904-902-0220 Job Site Contact Number 904-654-3617 State Certification/Registration# CCC1332685 E-Mail David.Cornelius©quality-craftsmen.com Architect Name&Phone# Engineer's Name& Phone# Workers Compensation Insurer American Builders Insurance OR Exempt❑ Expiration Date 03/01/2022 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 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE/c COMMENCEMENT. (Signature of Owner or Agen , (Signature o Contractor) Signed and sworn to(or affirmed) before me this 6 day of Signed and sworn to(or affirmed) b f re me this 4( day of ,)u4V , .20aQ. by_l/Q / 4 - NA �, .2)2.3,by7 47hf- Qttlnrl �� „ . J .i No ary) [ y roti.?r P•.e�% David Cornelius ersonall Known OR \0°1111°0 � Prsonal) Known OR ‘_0.10100/ ( y pr v�zji, David Cornelius [ ] Produced Identification== ;'; ;'= Comm.:HH 177003 [ ] Produced Identification.' • '•.< Comm.:HH 177003 =�a..''•� = Expires:Sept.20,2025 Type of Identification: s44;,6c,,,,"-„7, PI eP Type of Identification: 4 ,;�� ; '= Expires:Sept 2Q 2045 ` Notary Public-State of Florida osr ����' Notary Public-Stale of Florida Building Permit Application Updated 10/9/18 _. City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: 1855 Beachside Ct. Atlantic Beach Fl 32233 Permit Number: ^y� E/2 y� 1:7 2 - 0002 Legal Description 42-14 09-2S-29E BEACHSIDE LOT 9 BLK 1 RE# 169542-0558 Valuation of Work(Replacement Cost)$ 21673 Heated/Cooled SF 2196 Non-Heated/Cooled 2616 • Class of Work: ❑New ❑Addition 5tAlteration ❑Repair ❑Move ❑Demo OPool OWindow/Door • Use of existing/proposed structure(s): ❑Commercial IjilResidential • If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No • Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) ®No Describe in detail the type of work to be performed: Remove shingle roof down to the decking and renail. Double layer of synthetic underlayment to be installed per code. Owens Corning Duration Shingles 10674.1 Florida Product Approval# FPA 10674.1 for multiple products use product approval form Property Owner Information Name Evan Harmeling Address 1855 Beachside Ct city Atlantic Beach State Fl Zip 32233 Phone (978) 337-8030 E-Mail evanharmeling@gmail.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Quality-Craftsmen Qualifying Agent Emmett Zettler Quinn Address 830 Ronald Reagan Blvd Ste 192 City Longwood State Fl Zip32750 Office Phone 904-902-0220 Job Site Contact Number 904-654-3617 State Certification/Registration# CCC1332685 E-Mail David Cornelius©quality-craftsmen_com Architect Name&Phone# Engineer's Name& Phone# Workers Compensation Insurer American Builders Insurance OR Exempt❑ Expiration Date 03/01/2022 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 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE = COMMENCEMENT. A0po,' (Signature of Owner or Agen (Signature o Contractor) Signed and sworn to(or affirmed)before me this 6 day of Signed and sworn to(or affirmed)b f re me this 4( day of s741u4V *26: ,,by 1GIA7 / 4. . ' • J -4( �.�1.a,by 7e//Pr Qt.(/Y .1 ,;,__ • • f i:nature . No ary) \���uuuu,,� Pr•P David Cornelius 1 Personally Known OR :o�� [ ersonally Known OR 01114e \\���'Pr vo ,� David Cornelius [ ]Produced Identificatiore '' Comm.:HH 177003 [ ]Produced Identification=:• • Comm.:NH 177003 Type of Identification: 's'�;.'•` `Z� Expires:Sept.20,2025 Type of Identification: _� Expires:Sept 20 2025 ,,,,, �`,`e Notary Public•State of Florida �osr o� ��� ••��� �` Notary Public•Slate of Florida