440 Osprey Key RERF24-0002 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
MCCRARY ROBERT JR 440 OSPREY KEY ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
W.R.ROHN, INC 2725 CORTEZ RD STE B JACKSONVILLE FL 32257
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172027 5098 SELVA LAKES
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
440 OSPREY KEY REROOF SHINGLE SHINGLE ROOF $7200.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $90.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
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 1Issued Date: 1/4/2024
PERMIT NUMBER
RERF24-0002
ISSUED: 1/4/2024
EXPIRES: 7/2/2024
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
SHINGLE ROOF
440 OSPREY KEY
W.R.ROHN, INC
RERF24-0002
rt ,;
BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
2;' ts.\ City of Atlantic Beach Building Department PERMIT# KFZ4 —COC:L
800 Seminole Road, Atlantic Beach, FL 32233 x*ALL information required to process
o;tt Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address 4440 OSPREY KYAtlantic Beach FL 32233 RE# 172027-5098
Legal Description 41-55 17-2S-29E SELVA LAKES LOT 48
Valuation of Work(Replacement Cost) 7200 Heated/Cooled SF 1858 Non-Heated/Cooled SF 2004
Class of Work: E New Addition grAlteration ERepair Move EDemo Pool Window/Door
Use of existing/proposed structure(s): Commercial gResidential • If existing structure, is a fire sprinkler system installed?:Yes0No
Will tree(s)be removed in association with proposed project? Yes (Must submit separate Tree Removal Permit) Z No
Describe in detail the type of work to be performed:
REROOF 15 SQ iko SHINGLES FL 30310-R2 SYNTHETIC UNDERLAYMENT FL 32344-R1 LAMANCO SHINGLE OVER VENT FL2847-R16
Florida Product Approval# FL30310 R2 For multiple products use Product Approval Information Sheet)
Property Owner Information Name ROBERT McCRARY
Phone
Address 444 OSPREY KY City ATLANTIC BEACH State FL Zip 32233
Email Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information Name of Company W.R. ROHN, INC. Phone 9042377424
Address 9951 ATLANTIC BLVD#463 City JACKSONVILLE State FL Zip 32225
Qualifying Agent WILLIAM ROHN
State Certification/Registration# CCC1331657
Email BUDDY@WRROHN.COM Job Site Contact Number 9042377424
Worker's Compensation Insurer FRANK CRUM OR Exempt Expiration Date 12-31-2023
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
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
sjAi4_ cUte'
Signatu of Own- or A:-nt) Signature of id ractor) /
Signed and sworn to(or affirmedrbefo - • his V/''`day of Signed and sworn to(or affirmed)
af,' ?
before e this
r61k
day of
QT11n 0(24 17' by RC e%tyr 'U.Y'f PeC•. Z v J by i//'
Signature of Notary („(/- .(-G74,--/ . Signature otary
Personally Known OR [ "oduced Identification Personally Known OR [ I Produced Identification
Type of Identification: = ype of Identification:
RA. *%,,"_. MY COMMISSION#GG 954399
Doc # 2023240292, OR BK 20876 Page 1616, Number Pages: 1 ,
Recorded 11/20/2023 02 :07 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
NOTICE OF COMMENCEMENT
PREPARE IN DUPLICATE)
Permit No Tax Folio No 172027-5098
State of FLORIDA County of DUVAL
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following Information Is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:41-55 17-2S-29E2 SELVA LAKES3 LOT 48
Address of property being improved:440 OSPREY KEYAtlantic Beach FL 32233
General description of improvements RE ROOF
Owner ROBERT MCCRARY
Address 440 OSPREY KEYAtlantic Beach FL 32233
Owner's interest in site of the improvement SELF
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor W.R ROHN,INC.
Address 9951 ATLANTIC BLVD#464 JACKSONVILLE,FLORIDA 32225
Phone No.9042377424
Fax No
Surety Of any)
Address Amount of bond$
Phone 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 or herself•designated by owner upon whom
notices or other documents may be served:
Name
Address
Phone No.Fax No.
in addition to himself or herself,owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.06(2)(b).Florida Statutes (Fill:n at Owner's option)
Name
Address
Phone No Fax No.
Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY I ..• /<e Ot t lEit
signet_.: f 1;2Z- / 4A—oATE / ( C -C. 3
Before me this 7 day of m me
n a Ou a:,: ye gtr%orida,has personalld
himself/herself and Mena that 1 statements auiions he yAR Ir Y. B I S H KO
are true and accurate G„
s'
y ,Notary Public-State of Florida
Commission HH 268124
x•1111",c My Commission Expires
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