1215 Seminole Rd RERF23-0064 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
** CONFIDENTIAL **** CONFIDENTIAL **** CONF **XX #####
COMPANY:ADDRESS:CITY:STATE:ZIP:
BRANNAN ROOFING, LLC 1024 PEBBLE RIDGE DR JACKSONVILLE FL 32220
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171893 0000 SELVA MARINA UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1215 SEMINOLE RD REROOF SHINGLE Re-Roof Shingle $20000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
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.\tThe roof sheathing for all new construction must remain uncovered until the Roof Sheathing Inspection is approved.\r\r
b.\tAll roofing projects require an In-Progress Inspection.\r\r
c.\tSheathing installation and replacement guidelines per APA.\r\r
d.\tUnderlayment must conform to FBC-R Table 905.1.1\r\r
e.\tShingles must conform to ASTM D3161 G or H, or ASTM D7158 F\r\r
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: 4/26/2023
PERMIT NUMBER
RERF23-0064
ISSUED: 4/26/2023
EXPIRES: 10/23/2023
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
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
2 of 2Issued Date: 4/26/2023
PERMIT NUMBER
RERF23-0064
ISSUED: 4/26/2023
EXPIRES: 10/23/2023
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Final Plumbing
Final Electrical
Final HVAC
CC Final
Final Building*
Swimming Pool Steel
Swimming Pool Safety
Electrical Grounding & Bonding
Swimming Pool Final (Bldg)
Swimming Pool Final (PW)
Formed Columns/ Beams*
Masonry Cell Fill
Structural Steel*
OTHER:
OTHER:
OTHER:
OTHER:
OTHER:
Power Pole
Silt Fence
Piers/ Stem Walls
Underground Plumbing
Underground Electric
Foundation/ Footing
Slab**
Retaining Wall Footing
Driveway
Sewer (Building Dept)
Sewer Tap (Utilities Dept)
Rough Electric*
Rough Plumbing/ Top Out*
Rough Mechanical*
House Wrap
Wall Sheathing
Roof Sheathing
Tie-down Framing Connections
Rough Framing
Roofing In Progress
Window/Door In-Progress
Insulation Ceiling
Insulation Wall
Exterior Lath
Stucco Scratch Coat
Exterior Siding In-Progress
Brick Flashing & Ties
Early Power
Gas Rough
Gas Final*
* When all rough electric, plumbing, mechanical are complete but before any work is
covered up.
* When all gas piping is complete and wallboard is installed but before gas is
attached to any appliance. All outlets must be capped and pipe pressurized at a
minimum of 15 lbs.
* For new living space: When all construction work including electrical, plumbing,
mechanical, exterior finish, grading, required paving and landscaping is complete
and the building is ready for occupancy, but before being occupied
Additional inspections may apply to your project if your project
contains these elements:
INSPECTIONS REQUIRED FOR BUILDING PERMITS
To verify compliance with building codes, inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
Date: Initial: Date: Initial:
_____________________________________________________
Permit Type
____________________________________________________
Permit No.
__________________________________________________________
Job Address
____________________________________________________
Contractor
POST THIS CARD WITH PERMITS AND PERMIT
DOCUMENTATION IN FRONT OF BUILDING
Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends
Building Department Public Works/Utilities Fire Department
Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789
Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203
* When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all
electrical, plumbing and mechanical work is in place, but before concrete is poured.
* When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION
Re-Roof Shingle
RERF23-0064
1215 SEMINOLE RD
BRANNAN ROOFING, LLC
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
r:»' IS REQUIRED.
Phone: (904) 247-5826 Emaill:Building-Dept@coab.us
o
Job Address: I aJ 5 Sry-\\(\Me, Y_; Permit Number: F 23 D01014
Legal Description 23-OO ,. 4S o Mar w>, Ung+ t.-titb+5u)1,/ 10H- loo 1 131-1(.1 RE# I I
Valuation of Work(Replacement Cost)$ ,94 Heated/Cooled SF c91DO0 Non-Heated/Cooled _DID00
Class of Work: New Addition Alteration 14tRepair Move Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial 'Residential
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) Ii[4o
Describe in detail the type of work to be performed: "(ZQy ..ie., 5 e_ 1. ft2F-
Florida Product Approval# r L- /Cj LL' /4 for multiple products use product approval form
Property Owner Information
Name ipt60 T ( Y\ \ Address la-\S 6C Th' c e
City R{-10Ac'iC. ?Dear.X\ State \ Zip -2,9-,a ; Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company b0-KNt-NO->r) C\co-C-Orn Qualifying Agent (N.K.\-"s. cNO-11
Address I 0 32 St- Citycit.Z NA - State S~1 Zip 3Zixxk
Office Phone 1ati-S13`fc}Co7 Job Site Contact Nu ber ° 0q-g IF r4q(1)7
State Certification/Registration# GC.0 I.32&OOI/ E-Mail (2)cc Ylci. 1 cl i r ci(CONI tc. 4-IV-
Architect Name&Phone# J
Engineer's Name&Phone#
Workers Compensation Insurer Ark Wittsivr Cf1M4 INksvratve tD OR Exempt o Expiration Date I)[ I20N
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
RECOR j = OUR N'TICE •F COM ENCEMENT.4A-44—e-
gnature of owner or Agent) Signature of Contractor)
S. ned and sworn to(or affirmed)before me this 26-day of Signed and sworn to(or affirmed)before me this ` day of
PP 2e. 3,by oq 3cP4ldy NY I , 202 sy le lay nv
AY •'y E Y P.
ileC4r:HbEEeiLrc,
95,
ttary) ature of N. aro
Commiss3900•*=
Commission•HH 279344 111:. o° '
P Expires N 2024
OF ;Expires.luno 22,2028 Bonded iTru Troy Fain Insurance 800-385-7019
Personally Kn.wn '" '••• Pers iy ^^•^na
tificatiiop rroduced Identification
Type of Identification: 1'n'Dll k FVC N h&f Totts Type of Identification: 1710/sda D Jive I's If a k2S
NOTICE OF COMMENCMENT
State of Florida PERMIT#r
County of
the Florida Statues,the following information is stated in the NOTICE OF Commincement
Description 1215 Seminole Rd Doc#2023083090,OR BK 20657 Page 1904,
Atlantic Beach,FL 32233 Number Pages: 1
Recorded 04/26/2023 01:12 PM,
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
Legal description 1215 Seminole Rd COUNTY
Atlantic Beach,FL 32233 RECORDING $10.00
General description of work reroof
Owner Adam Milttello
Address 1215 Seminole Rd
Atlantic Beach,FL 32233
Owner's interest in site ofthe improvement SIMPLE
Fee Simple Title holder(if other than owner)
Name SAME
Address SAME
Contractor Brannan Roofing LLC (904)813-4967
1032 Sierra woods rd bryceville Fl 32009
Owner Adam Militel6.17
Address 1215 Seminole Rd
Atlantic Beach,FL 32233
Surety(if any) NONE
Address N/A Amount ofBond$ N/A
Name of person within the State of Florida designated by owner upon whom notice or other documents may be
served:
Owner.Adam 44iliteicr '1 L G v
Address 1215 Seminole Rd
Atlantic Beach,FL 32233
In addition to him/herself,owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.13(1)(F),Florida Statutes.(Fill in at Owner's option).
Name jdtf'l?& .[ li/ !61
THIS SPACE IS FOR RECORDER'S USE ONLY
My Commission Expires
P'
e 61-1.1
Signed befo me this 2S day ofN 2023
Signa OWNER' URE
I• J etSO r p \1 personally witness 1,aMA i 11 tello signed this NOC.
JASON BRADLEY
Commission#HH 279344
Expires June 22.2026