550 Camelia St RERF23-0069 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
DAGLEY DONALD JAY 550 CAMELIA ST ATLANTIC BEACH FL 32233-2520
COMPANY:ADDRESS:CITY:STATE:ZIP:
RESCUE ROOFING &
CONSTRUCTION 2035 SEAHAWK CIRCLE PONTE VEDRA
BEACH FL 32082
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170897 0000 ATLANTIC BEACH SEC H
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
550 CAMELIA ST REROOF SHINGLE Re-Roof Shingle $8000.00
FEES
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: 4/28/2023
PERMIT NUMBER
RERF23-0069
ISSUED: 4/28/2023
EXPIRES: 10/25/2023
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $95.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $99.00
2 of 2Issued Date: 4/28/2023
PERMIT NUMBER
RERF23-0069
ISSUED: 4/28/2023
EXPIRES: 10/25/2023
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
RERF23-0069
550 CAMELIA ST
RESCUE ROOFING & CONSTRUCTION
t'i'ri, Building Permit Application Updotedl0/9/18moi
City of Atlantic Beach Building Department ALL INFORMATION
o1#pr
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us
bed-et-Permit F• i 2.
5IS
REQUIRED.
Job Address: SO et w - c bed-et-Permit Number: 00(5/-1
Legal DescripU,j_n l g 3Y/ /- —
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Valuation of Work(Replacement Cos )$ gears Heated/Cooled SF Non-Heated/Cooled
Class of Work: I114w Addition Alteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s): Commercial Residential
vU
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) El No
Describe in detail the type of work to be performed:
ke - P-eyFloridaProductApproval#FC /O(o Itgo for multiple products use product approval form
Property Owner Information FL 39 no - le I
Name DL)1 c./'Of e Dicc.-tik— b Address S C z.2( ,5f`-
City CC/ C 6ez4'(-tate %v zip 32'2 ; Phone 'WY. 3Y3. c7 2C
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Informationyy
Name of CompAny /S-i-Q-e
P• ,, . 0 Qualifying A nt C l•7 .P
Address (7d- • 4/ 7 .,Q)22Vt, City 72.x State c -- Zip Yt"
Office Phone 2L 1- C , _e),Q Job Site Contact Number 7i-%
State Certification/Registration# Cc C-C5 Co 3 E-Mail /SLS Cc.a r- ` fC s.7 2?6a-17_ c_4.51-7-v_
Architect Name&Phone# c/
Engineer's Name&Phone#
Workers Compensation Insurer SG/NZ /Al• OR Exempt or-Expiration Date iii/a y
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
RE DING YOUR NOTICE OF COMMENCEMENT.
9611)4*
ignatur f caner or Agent)
te."/POF U, Cit i--e-lr-(
Signature of Co `ractor)
it
P d efore me this day of Sig ed and sworn to(or affirmed)before me this ay of
MY commissieb ar HH 1zow ( r,2 3 G Q f, ri 3 by it r r (• /i "
i EXPIRES:January 29,2026 I's
1
Fp;r:f :P:
Signature of Notary)
C\`
Bonded Ttuu Nota Public Underwriters
t
r w w,
i- v.% ANNA NIKOLAEVNA DICHEV
MY COMMISSION#HH 182457
Personally Known OR ersonally Known OR :,•F,A :' EXPIRES:January 29,2026 ,
Produced Identification
A ',
Produced Identification °r'"' Bonded Thru Notary Public Underwrkers
Type of Identification: D 1_ 0 -1f6-5 7 3'lt- 0 Type of Identification:
ii
NOTICE OF COMMENCEMENT
State of o G Tax Folio No. /
1Z OS ‘ 7- CC' r
County of
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: le- 3'4 14 -.1-5-d-9 E l Yq SCC ad.,
LJTS 17c 4, & 1,44 / 6075 I TG /3/k /d-
Address of property being improved: 5ST ea-in cr Z &el 6-6 3 a-a-33
General description of improvements:slue J
C Owner: UEVRaLll , P c V1`e_ 0..--)C G'(}1`21n
Address: 56b --NYI I 1 • A*ktkie-r ..111
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: 5(402. 12,c-Dy- 6 Cg--4 S(fru c 1,--
Address: a,149_l 62,0,. t) jai( . chY/C.
Telephone No.: Q& V Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option) Doc#2023073926,OR BK 20645 Page 850,
Name: Number Pages: 1
Recorded 04/14/2023 12:47 PM,
Address: JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
COUNTY
Telephone No: Fax No: RECORDING $10.00
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
PTHISSPACEFORRECORDER'S USE ONLY NER
1 !
igned: 1
7-
ate:
ore me his /a_ day,f p1 /'/z. c 'i the County of I val,State
w
Of Flori a, as personally appearedpA Itcc
Notary Public at Large,State of FFlrida,.County of Duval.
Min
O C/
My commission expires: d"y!!//a4.,
Personally Known: or
Produced Identification:
1