Permit Roof 377 4th St 2011CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000912 Date 7/21/10
Property Address 377 4TH ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation 3185
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Application desc
REMOVE AND REPLACE SHINGLE ROOF FL5444.1
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Owner
------------------------
FOPPIANO THOMAS D AND DANA H
377 4TH STREET
ATLANTIC BEACH FL 32233
Contractor
EMPIRE ROOFING
2806 GIBSON RD
JACKSONVILLE FL 32207
(904) 391-1007
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Permit ROOF PERMIT
Additional desc REROOF
Permit Fee 70.00 Plan Check Fee .00
Issue Date Valuation 3185
Expiration Date 1/17/11
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total
Plan Check Total
Grand Total
70.00 70.00 .00 .00
.00 .00 .00 .00
70.00 70.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORll)A
BUILDING CODES.
BUILDING PERMIT APPLICATIOl`T
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: ~ ~ -] '~ ~ ~'}°. /~'}(~sn~'iL 8c~~ Permit Number: _
Legal Description Parcel #
oor ea o q. t. q. t
Valuation of Work $ .3 Z ~s Proposed Work ,heated/cooled non-heated/cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa window/door
Use of existing/proposed structure(s) circle one):. Commercial Residential
If an existing structure, is a fire sprin er system installed? (Circle one): Yes No N /A
Florida Product Approval # "' ,
For multiple products use pro uct approva orm
Describe in detail the type of work to be performed: 7 ~r otf old ~O~f' . N'RI ~ ~e~ dn~ae~l v , 1/i~/ - i
and ~.in91c eran~rly
Prouerty Owner Information:
Name: IDV-'1 ~, ~O ob i~8 Address: ~7 ~~ ~'~~ S ~'
City ~ f 1~ ~ t_ e4r,T State Zip Phone ,~ u .3 " 9 / Q
E-Mail or Fax # (Optional)
Contractor Information:
Company Name: ~~vun)r ~ l~eleFfr~y~ Qualifying Agent: P~d~® /UvNE 2
Address: a't8'06 ` t (,..; ~ sv,/ ~/ City Ja s~o./v i t J c State ~~- Zip _3 ~ alt 0~
Office Phone 3 ql ' ! D0 ~ Job Site/ Contact Number _?s3 Y ` !O ~ ` Fax # 39i - /~7 ~
State Certification/Registration # (_:G C 1.3~ d OB 7
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address.
Bonding Company Name and Address
Mortgage Lender Name and Address
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 o, f a permit and that ald work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void f work as not commenced within six (6) months, or if construction or work is suspended or abandoned for a_peraod of six r6) months at any time after
work is commencea'. I understand that separate permits must be secured for Electrical Wor/r~ Plumbing, Sig-rs, Wells, Pools, 1~'urnaces, Boilers, Heaters,
Tanks and Air Conditioners, etG
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
CONIlVIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IlVIPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO~[TR NOTICE OF
C011~IlVIENCEMENT.
I hereby certify that I have read and examined this~plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether sppeci ed herein or not. The granting of a permit does not presume to gave authority to violate or cancel the
provisions of any other federal, state cal Imv regulating construction or the performance of construction.
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Signature of Owner ~ ~~ ~'~ Signature of C cto ~---
Print Name ~~../...~..f..~-----~.~--......,T:."~J~~,l'.d~.,,rv~............
.~
Sworn to and subsc ' ed efore me ,. ~~ Jarne~ ~eCtler
t Day of ,.Q;P~4 ~b
_ ~ -*~ ;*~ ommission D59$116
9'
/' --mac. 'N~' ';~ Expires October 27 2010
U~ on ed roy fam-Insurance Inc 800385-7019
tary Public
Print Name -~ C,h- d ,(~
~.ea~e hr
Sworn to and subs `' s 7 ~~:~~hel'
th' 2/ Day of Commissi 2
. j %y~~ •~ ~: ExP~r~Octoben 2 00.8 ~n,~
N,¢ltary Public
Revised 01.26.10
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800 Seminole Road
Atlantic Beach, Florida 32233
Telephone (904) 247-5800
FAX (904) 247-5845
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)
NOTICE O~+` COMMENCEMENT
(PREPARE IN DUPLICATE)
~~h~
Permit No.
State of
Tax Folio No.
County of
To whom it may concern:
The undersigned hereby informs you that improvements wilt be made to certain real property, and in
accordance with Section T13 of the Florida Statutes, the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
Address of property being improved: J 7 / -7 ~ ~~ ~ ~ t ~qh'[~ C U~tc~l r i
General description of improvements: !'~ ~/~
Owner ~ Qlb'-
Address 3 ~' '` ~ h
Owner's interest in site of the improvement
Fee Simple Titleholder (if other than owner)
Name
Addres-
Contractor
Addres
Phone
Surety (if any)
Address _
Phone No.
of bond $
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 _
Phone No.
Fax
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 Statutes. (Fill in 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 O ER ~ ~~ jj /~
Signed: DATE /
Befor day of in the
Cou vai, ate of Florida, h personal) ar
herein by
~~ # L010'1 Gf9eS1, CJK )3K 1531 L Page '1 b52, M a a ms t is a edaretions herein
are true and accurate
Number Pages: 1
Recorded 07121;2010 at 10:40 AM,
JIM FULLER.CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
~i ~~-y~-u,,~ ~ _ Ctunrtltit>sion ~ DD59$116
N ry PubAc at Large, Sta f my • • 6S O~Ob@r 27 2010
commission expires: t3nWWT ~akt•Inaapnop;llK dpA-~d~-7A19
ersonally Known or
Produced identification