770 Sailfish Drive ROOF24-0010 PermitOWNER:ADDRESS:CITY:STATE:ZIP:
ATTELL HOWARD D 770 SAILFISH DR ATLANTIC BEACH FL 32233-4215
COMPANY:ADDRESS:CITY:STATE:ZIP:
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171203 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
770 SAILFISH DR ROOF NON SHINGLE TOURCH DOWN ROOF $7000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $90.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $45.00
REINSPECTION 455-0000-322-1002 0 $165.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.03
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $304.03
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: 3/1/2024
PERMIT NUMBER
ROOF24-0010
ISSUED: 3/1/2024
EXPIRES: 8/28/2024
ROOF NON SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
LAN: BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
City of Atlantic Beach Building DepartmentPERMIT# ,Oo(= 2'4—O0ID
800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process
D' Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address '17O Li') 411,-,411,-, Ai1 ! S T11ard C iSea&A, F• \RE# /7Iab3-a
Legal Description Rc- /'JI020:3-woo $I P I6' i 'T- Q IZSg 30/ p 17-3z•!9 C 4,,,,r1/ 1-'2kc )Lr
Valuation of Work(Replacement Cost) 7 ow, Heated/Cooled SF Non-Heated/Cooled SF t
Class of Work: New Addition Alteration El EMove 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) E 'No
Describe in detail the type of work to be performed:
1-7,rc 11 6 rade eois ''n1 roj aC /1aVe 2
Florida Product Approval# FL -. 3 %—_ 5-‘44-1 14, I (For multiple products use Product Approval Information Sheet)
Property Owner Information` Name Nn aea 6r7 t// Phone qpy) (a( -s( 7y.
Address '1g Q 5a.., )4')..5 n j). i City (*lam-,c.:— 6eI/ State L. Zip .a /
Email gd jr; olrt' Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
J
Contractor Information Name o Company fir.1'-Ir Of;,5
ITirtPhone (
1 oq 1 L/C qIS'
Address S1-4Q/9g (2Orne/I x CT City (2Q//,i4 State F . Zip 3aa3-j
Qualifying Agent 6-1 en ars ',.-%1StateCertification/Registration# _13.36 )(p
Email U 3r i-1:rc 1.-r'`M i ti5C puna Job Site Contact Number ()i f 1 L _Gr 1
Worker's Compensation Insurer
J
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 maybe 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.
L 4
ign ure of Owner or Agent) Si ature of Contractor)
Signed and sworn to(or affirmed)before me this a(AA day of Signed and sworn to(or affirmed)before me this 2(4t day of
F e t,k ( , ?O Z'f by 1(OW FEl3RU fl-Ry , Po 24{ by 61->%A1 GR I FFi-ril
Signature of Notary-7// i/'OU/ Signature of Notary 4,/,,, (/ 4 A,C __Q
x] Personally Known OR [ ] Produced Identification Y] Personally Knclwn OR [ ] Produced Identification
Type of Identification: (V/A Type of Identification: A' M*RJ1HKOI E
4' t' MNtVI1 V.0UPREE COnM11MfI ..
aa
MVO*
Comml 11on#IIH240040 op,
47
art.art.a EA1neAuuust4,2024