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1030 Beach Ave 2014 Roof CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . 14-00001276 Date 8/18/14 Property Address . . . . . . 1030 BEACH AVE Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 24000 -------------------------------------------------------------- Application desc roof and small siding repair ------------------------------------------------------------ Owner Contractor - ------------------------ ----------------------- GERBER ETAL, THOMAS CHRISTOPHER RJ VINAS CONSTRUCTION 920 10TH STREET SW 2215 LAUGHING GULL CIR ROCHESTER MN 55902 ATLANTIC BEACH FL 32233 (904) 514-4442 ------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee 170 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 24000 Expiration Date . . 2/14/15 ----------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 55 STATE DBPR SURCHARGE 2 . 55 --------------------------------------------------- Fee summary Charged Paid Credited ----Due- - ----------------- ---------- ---------- ------ Permit Fee Total 170 . 00 170 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 5 . 10 5 . 10 . 00 . 00 Grand Total 175 . 10 175 . 10 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. v `, BUILDING PERMIT APPLICATION M FILE COPY CITY OF ATLANTIC BEACHFrA UG800 Seminole Road,Atlantic Beach,FL 32233082014 Office (904)247-5826 Fax(904)247-5845 Job Address: I6 �'�`�e- Permit Number: Legal Description �>L R �lo�� y � A�t�c` Parcel# /7 0 z s- 7 -1 v oy p oor ea o qct. q t Valuation of Work$ �. d 6,6 d Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Bratton epa Move Demolition pool/spa window/door Use of existing/proposed,structure(s)(circle one): ercial eside N/A If an existing structure,is a fire sprinkler system installed?(Circle one): es Florida Product Approval# For multiple products use product approval orm Describe in detail the type of work to be perform7ed: Property Owner Infoormation: Name: pmas C'-.64 ti 6,4-r Address: �� sk- City Stat�NZip-0 i�L- Phone E-Mail or Fax#(Optional) Contractor Information: IAaJ --)n �-/� Quali i g Ap rit: / t C�►�� !ter r Company Nam City `� �cG State n_Zip Z-L"3 Address: Z ob Site/Contact Number Y r �Z_ ax# Office Phone 4' z State Certification/Registration# �— Architect Name&Phone# A-7;': Engineer's Name&Phone Fee Simple Title Holder Name and Address Bonding Company Name and Address 41 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 of a permit and that all work will be performed to meet the standards of all laws regulating construction in thiiseejurisdictiom This permit becomes null work is o commenced. 1 understand tcommenced hat sepahin six rate perm s must be secor if u!ed for Electricalsuspended Work,Plumbing,Signs,aWells, Pool, ,XFa mrnaces,Bo!/esonths at any t�e ager Tanks and Air Conditioners,dc- WARNING oWARNING TO 0,`yRESULT IN YOUR PAYING YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAN G TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR ATj ATTO NEY BE OR ERREECORDING YOUR NOTICE OF COMI hereb certify that 1 have read and examined tn;- plication and know the same to be true and corredoesct. All provisions of laws and ordinances governing this type of work will be complied with whether sppee"regulatingd herein construction The granting t�ego�mance of construction.not resume to give authority to violate or cancel the provisions of any other fe�rar,state,or 1 igwy P d f Signature of Owner Signature of Contractor Print Name __.... C � a l .-.._._......_..._.. Print Name ._._._...... ....._._ _.. ----.. l sworn and subscribed,before me to bscribed bef e ��11 �� 20 this.L¢=Day of L 20/ th>Is ay f Notary Public • STA 7 SOW� �'v��l�/�/`/vV`N` r o�, �y, �,pI,'��+t��t�pf pI rich <x=sr County of Olmsted o '� sfilitcsLr'dNafrN t� . VICKI VIRGINIA Y®UN a My commission FF 086990 M .z� Subscri d and shorn to �- Notary Public-Minnesota .4�pay of a� Expires ozr,arzo,s f dngn�A Ply coommission 1^1'^ •I, 3 Ins tl'lIS 12.Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C.PANEL WALL 1.Siding 2.Soffits 3.EIFS 4.Storefronts 5.Curtain walls r. 6.Wall louvers 7.Glass block 8.Membrane 9.Greenhouse 10.Synthetic stucco 11.Other D.ROOFING PRODUCTS 1.Asphalt shingles 2.Underlayments 3.Roofing fasteners 4.Nonstructural metal roof 5.Built-up roofing — 6.Modified bitumen 7.Single ply roofing 8.Roofing tiles 9.Roofing insulation 10.Waterproofing 11.Wood shingles/shakes 12.Roofing slate 13.Liquid applied roofing 14.Cement-adhesive coats 15.Roof tile adhesive 16.Spray applied polyurethane roof 1\ City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) Y `s 800 Seminole Road Atlantic Beach, Florida 32233-5445 J (� Phone (904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us IL Date routed: 1 City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �aC(, dvl�_ D nt review required Ye No p YBuilding V r ")") ing &Zoning Applicant: � "? 0 Tree Administrator Project: Q ,h Public Works � Public Utilities rip Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. []Denied. (Circle one.) Comments: fBUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑D ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14/09