704 REDFIN DR - ROOF Jvl.
�� ? ,�s, CITY OF ATLANTIC BEACH
-f 800 SEMINOLE ROAD
►' - : ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-2148
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $7,350.00
Issue Date: 9/10/2015
Expiration Date: 3/8/2016
PROPERTY ADDRESS:
Address: 704 REDFIN DR
RE Number: 171316-0000
PROPERTY OWNER:
Name: YOUNG, DONALD
Address: 704 REDFIN DR
GENERAL CONTRACTOR INFORMATION:
Name: ALIGN ROOFING, LLC
Address: 2242 NEWBERRY RD QA MASON F. FLEMING
Phone: - -
FEES:
BUILDING PERMIT FEE $86.75
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $90.75
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
.. ..•• CITY OF ATLANTIC BEACH 09-
�� ��r 800 SEMINOLE ROAD.ATLANTIC BEACH,FL 32233 I I I
OFFICE.(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPT @COAB US
;r 3-738, / BUILDING PERMIT APPLICATION DUVAL COUNTY
I.JOB ADDR?leap EESSS• 2.VALUATION OF WORK: 3.3.SQ.FT.UNDER ROOF
' / V r—r/•/ D/L / r'a—e)
4.LEGAL DESCRIPTI 5.CLASS OF WORK: 6.USE OF STRUCTURE:
❑NEW BUILDING ❑DEMOLITION '"'"$RCSID ENT IAL
LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
7.DESCRIPTION OF WORK ❑ALTERATION ❑ACCESSORY BLDG 8.FIRE SPRINKLER:
O� f (6� 0 REPAIR ❑POOL
THE/SPA ❑YES ❑N/A
�//�` T/ ❑MOVE —$OTHER ❑NO
PROPERTY OWNER: CONTRACTOR: , ARCHITECT I ENGINEER:
9.NAME: 15 C ANY NAME- 23.COMPANY NAME:
,Al.-b 4cu (,• pow Hoo6.,Nc,
16 E 24.LICENSEE NAME.
10 ADDRESS: J� �/�{��� 17 STATE OF FLORIDA LICENSE NO 25.STATE OF FLORIDA LICENSE NO..
7 6 1. 18�ADDRESS: I-3 , �� 26 ADDRESS
It OFFICE PHONE: 12.FAX NO.: V°Y-E PHONE,:t- 2 PA�I- 1��� 27.OFFICE PHONE 28.FAX NO.:
CELL PH E' 2 CELL�ON���� ��tO � 29.CELL PHONE:
-tv L{ ° 3 3— Yc1 w '/
14.EMAIL ADDRESS: MAIL DR SS: 30.EMAIL ADDRESS:
e` ;yak uilil i,;,rim
FEE SIMPLE TITLE HOLDER: DING COMPANY: MORTGAGE LENDER:
(IF OTHER THAN OWNER)
31.NAME: 33.NAME 35 NAME.
32.ADDRESS. 34.ADDRESS 36.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 wit be performed to meet the standards of at laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
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. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
*** WARNING TO OWNER: ***
4 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.
OWNER or AGENT CONTRACTOR
(If Agent.'`P�ower of Attorney or Agency Letter Required) •••Iifier Only)
Signed: Date: -/G_ /S Signed: 1..... Date:__/_75:—E------
Before me this /Q day o 2009 in the county of Before me this da .f / i ' ,2009 in the county of
Duval,State of Florida,has personally appe red Duval, tate of Florida,has 1son.ly appeared
j'qg oJv HJ 1°7)1/N(c
herin by himself/herself and affirms that at statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. true and accurate. _ .,,,/
Notary Public at Large,State of ,L ,County of ��� N Public at Large,State of fielci�Y .County of (/ `.e az
❑Personally K Personally Known
Pr diced Ide �L. .Z4.- �� �`� r ❑Produced Identification-
Notary •• r— lb. 1 Fes\w�� Notary Signatur • / file— —
1441111 0."reY PV6` Notary ubl.,Staten • ida + ..•••..4' 5.�p0 I:
ry ICY C�MMISSIAN"1 F 21ail6
? Shirley L raham * •y, N. c My Commission FF 086990 1I EXPIRES:Mast 1,2.11►
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