1908 Oak Cir - ReRoof r '`
""Ni„ CITY OF ATLANTIC BEACH
r, 1 .
800 SEMINOLE ROAD
J ' ' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
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ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- ROOF -296
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $10,847.00
Issue Date: 2/8/2016
Expiration Date: 8/6/2016
PROPERTY ADDRESS:
Address: 1908 OAK CIR
RE Number: 172020 -1256
PROPERTY OWNER:
Name: ARSENAULT,PAUL JON & DEBORAH J, *
Address: 1908 OAK CIR
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN ROOFING OF JACKSONVILLE
Address: 1720 Wildwood Creek LN
Phone: 904 - 385 -4375
FEES:
PLAN CHECK FEES $52.12
BUILDING PERMIT FEE $104.24
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $160.36
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845 l 6 -Roo F -
Job Address: 1908 Oak Circle Permit Number:
Legal Description 03512 SELVA MARINA UNIT 12A Par cel # 172020 - 1256
Floor Area of Sq.Ft. — SgFt
Valuation of Work $ $10,847 Proposed Work heated /cooled non- heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval # FL 16305
For multiple products use product approval form
Describe in detail the type of work to be performed: Re -Roof
FL J S ?57. ' `9 J 5/o•irs t evil mi
Property Owner Information:
Name: Paul & Debbie Arsnault Address: 1909 Oak Circle
City Atlantic Beach State FL Zip 32233 Phone 904 - 246 -5175
E - Mail or Fax # (Optional) deblawyerl @aol.com
Contractor Information:
Company Name: American Roofing of Jacksonville Qualifying Agent: Daniel P. Kinkel
Address: 1015 Atlantic Blvd, Suite 352 City Atlantic Beach State FL Zip 32233
Office Phone 9 04 385-437 5 Job Site/ Contact Number Sam P Fax #
State Certification/Registration # RC29027546
Architect Name & Phone # NA
Engineer's Name & Phone # NA
Fee Simple Title Holder Name and Address NA
Bonding Company Name and Address NA
Mortgage Lender Name and Address NA
Application is hereby made to obtain a permit to do the work and installations as indicated. I certib, that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to mef.t the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void �f work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six f6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters,
Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereby certi that I have read and examined this a placation and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, ate, or local law lacing construction or the performance of construction.
I Signature of Owner A_ A . . . // Signature of Contractor „o �.,���✓��
Print Name DEBBIE ARSNAULT Print e ! • P. KINKEL
Swo � 'p. d sub . , ' . -d • - for- me Swo • nd subs ibe • -- -.
this r , ay o L_ 1.=- - - - I Ca G
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Day of Ili) , A •
ONI GINDLESPERGER ISSION ?FF924951 A X PI S October 6, 2019
•
` • O-� m4144 1 • -
_' • October 6, . •`:� q^ 'ad TIT na ?r "ublic Undertakers
Notary 'u•lic j ■�;�T,,.ry •scUnd 1.rs I Notary Pub tc
Revise. 01.26.10