Permit 110 Pine St CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
=" ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000136 Date 2/10/10
Property Address . . . . . . 110 PINE ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
REROOF
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Owner Contractor
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GRENVILLE/MEUSE CO. SOUTHERN COAST ROOFING & CONS
P.O.BOX 531217 4557 EAST SENECA DR
ATLANTIC BEACH FL 32233 904 333-5915
ST. JOHNS FL 32259
(904) 305-8887
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . . 2/09/10 Valuation . . . . 1515
Expiration Date . . 8/08/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 60 . 00 60 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date: lock ] to
Job Address:
Owner of Property: b={5�-
Address: 11�_�;r.� `c _ Telephone:
Roof Contractor: 5� -,� ��,�} � �__.� State License Number: ce t_ 13,7 2 q-o%lr,
Contractor's Address: uss4 oer. ir_ 22.s,g
Telephone: Qeq 3oe, firS-} Fax: Email:
Scope of Work: S I t Z Roofing Material GGA• Elk. MaN rklsr�Q.
FL Product Approval#_P1. • I o/ 2L/• 14o Valuation of Work: $ 15 I S. °O
Required Inspections: Sheathing/In Progress-Dry In /Final
If re-roof: Assessed Value of Structure:_<$300,000/_>$300,000;Roof-to-wall improvements required?
(Applies to single family structures only)
"WARNING TO OWNER: YOUR FAILURE TO RECORD 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 BEFOR DING YOUR NOTICE OF COMMENCEMEN "
SIGNATURE OF OWNER.`' Date:
AS TO OWNER:
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval
Notary's Signature:
❑ Personally known
❑ Produced identification
Type of identification produced
SIGNATURE OF CONTRACTOR: Date: 'Of- j0
AS TO CONTRACTOR: ��L--
Sworn to and subscribed befortme this -! ' day of
.20 lV
State of Florida,County of Duval
u re:
= n'Y DEBORAH A.WHITE ❑ Personally known
MY COMMISSION 21,2011 634126
EXPIRES;May 21, (produced identification
SmdedThruNWaryPubMcType of identification produced PeOL c)t, 4&1125
800 Seminole Road-Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800-Fax:(904)247-5845
F:\roof permit applicaton.docx 7/28/09
✓'f�,t} 800 Seminole Road
M Atlantic Beach,Florida 32233
i� Telephone(904)247-5800
s) FAX(904)247-5805
M
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6-18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
1. Parking plan-parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2. Location of construction trailers, loading/unloading area and material storage
area.
3. Location of chemical toilet area-chemical toilets must be kept out of City
right-of-way and not further than 15 feet from structure under construction.
4. Location of dumpster-dumpster must be from approved waste company(in
accordance with Chapter 16 City Code). As of 2009, approved dumpster
companies for Atl. Beach are Advanced Disposal,Realco Recycling,and
Shappells. Dumpsters are to have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy or
Completion.
5. Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
6. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week.This means removal of scrap lumber, concrete remnants
and other such construction debris including cans, metal,plastic and paper.
7. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion& Sediment Control Plan(silt fence, catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
8. Other activities, where special conditions are identified by the Building
Official
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6-17 (3)
Revised 6/2009