337 11th St RERF22-0102 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
KUSS JOANN C 337 11TH ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
JACK C. WILSON ROOFING
CO.4522 ST AUGUSTINE RD JACKSONVILLE FL 32207
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170103 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
337 11TH ST REROOF SHINGLE SHINGLE ROOF $20195.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $155.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.33
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $159.33
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 5/5/2022
PERMIT NUMBER
RERF22-0102
ISSUED: 5/5/2022
EXPIRES: 11/1/2022
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
RERF22-0102
5-5-22
Due to lack of color availability we had to change the shingle manufacturer on this job from FL 10674 to
FL 10124
Thanks,
Lynne Dewitt
Office Manager
Jack C Wilson Roofing Co
4522 St Augustine Rd
Jax Fl 32207
(904)396-1546
jcwroof@jcwroof.com