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1615 Richardson Ln RERF23-0181 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: ATLANTIC RESTORATION COUNCIL INC 328 2ND AVE N JACKSONVILLE BEACH FL 32250 COMPANY:ADDRESS:CITY:STATE:ZIP: SUNBELT HOMES AND ROOFING, LLC 450-106 STATE ROAD 13 NORTH, #409 ST. JOHNS FL 32259 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 172097 9550 FRANCIS COVE REPLAT JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1615 RICHARDSON LN REROOF SHINGLE Re-Roof Shingle $6850.00 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 BUILDING 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 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: 12/7/2023 PERMIT NUMBER RERF23-0181 ISSUED: 12/7/2023 EXPIRES: 6/4/2024 REROOF SHINGLE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 BUILDING PERMIT 455-0000-322-1000 0 $85.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $89.00 2 of 2Issued Date: 12/7/2023 PERMIT NUMBER RERF23-0181 ISSUED: 12/7/2023 EXPIRES: 6/4/2024 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 1615 RICHARDSON LN SUNBELT HOMES AND ROOFING, LLC RERF23-0181 BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY 3 City of Atlantic Beach Building Department PERMIT# P-F22, - Ole\ 800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process ax'r Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address %(/S X/, Lanc 64/4Af:4. X,,,,4 iC4 3aa33 RE# /7405'7-9('5'21 Legal Description /23e Xo,4 CI-5/5/? -.2 f-../11qF , //b /I&„‘, , e ///111IA7`5 Gvv6 /]]( 4,1 /O Valuation of Work(Replacement Cost) j, 1'Sd o' Heated/Cooled SF Non-Heated/Cooled SF Class of Work: New Addition Alteration Repair Move Demo 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? Yes (Must submit separate Tree Removal Permit) No Describe in detail the type of work to be performed: shi„,.Jr4 Florida Product Approval# f i /i3.S Sy nit. c41,, ):2. /13 d/ (For multiple products use Product Approval Information Sheet) Property Owner Information Name g4Lah.1,•,, Xastl'cz Phone '1 V-a3i1-s/9/3 Address 3.2 o' anJ /1 lie y) S4‘Asvnv,//r mac% City (,t#4anJe a 4''-4 State /: ._ Zip 3421 rj> Email Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company Sunbe//1./aris, ,t //5©oSi116 Phone fid(/- ..),e7 .. pz. 7a Address yfD/1)1 ...OL gd / 3 r1 vel City 57` ::(0i, Ai State (-L Zip 3JN f g Qualifying Agent State Certification/Registration# (1..;..6/5--//47s' CCG i3c')Cd'/ Email S,n)- /k/44/116,,,S ,qq COL Corn Job Site Contact Number Worker's Compensation Insurer OR Exempt Expiration Date 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 INSPEC ION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN 1 YBEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. igna . - . • .r Agent) Signature of Contractor) Signed and sworn to(or affirmed)before me this 7 day of Signed and sworn to(or affirmed)before me this 7 day of 1,.-_,_ ao 3 by %.-.a $ c.,,-4L 6, c. a 3 by T,,,, 4-41/-.)4iL.) Signature of Notary/ 2 '73t.43”t' Signature of Notary C,/`4Lvc77 Personalli ow OR [ ] Produced Identification Personally,K wn OR [ ] Produced Identification Type of Identification:Type of Iden . . .N . JAMES C.H.4 ti:;,' i*• `u' l*i MY CO ; "Sia!:1 1-(ii285876 i 'oc°S° EY:', ......0 y 11,2026 OP F..•