848 OCEAN BLVD - ROOF (2) -,. SS1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
;-,N7,-- :,,,,,,,- �,� ATLANTIC BEACH, FL 32233
ylly INSPECTION PHONE LINE 247-5814
'\f..)i3I c.k
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-852
Job Type: ROOF PERMIT
Description: RE-ROOF - GARAGE AND FRONT DOOR ONLY
Estimated Value: $2,800.00
Issue Date: 4/12/2016
Expiration Date: 10/9/2016
PROPERTY ADDRESS:
Address: 848 OCEAN BLVD
RE Number: 170340-0000
PROPERTY OWNER:
Name: STREIT, JILL & THOMAS J, *
Address: 848 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN ROOFING OF JACKSONVILLE
Address: 1720 Wildwood Creek LN
Phone: 904-385-4375
FEES:
BUILDING PERMIT FEE $64.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $68.00
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 I / ��
Office(904)247-5826 Fax(904)247-5845 `(L'
848 Ocean Blvd
Job Address: Permit Number:
15-60 16-2S-29E Park Terrace
Legal Description A S jD PT LOT gA Parcel# 17 Q340-0000
Floor Area o7 �q.Ft.—--
Valuation of Work S 2,Q 0 0 Proposed Work heated/cooled q.ht
non-heated/cooled_
Class of Work(circle one): New Addition Alteration Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
if an existing structure,is a fires rinkler system installed?(Circle one): 'o N/A
Florida Product Approval#j S
For multiple products use p uct approve orm
Describe in detail the type of work to be performed: Re-Roof over garage and front door only
FL 16226—R2 Summit 60 Synthetic Underlayment
Property Owner Information:
Name:_dill_Streit_ Address: 848 Ocean Blvd,
City - ntic aeh __ State FL Zip 32233 Phone 9O4-813-3661
E-Mail or Fax#(Optional) —
Contractor Information:
Company Name: American Roofing of Jacksonville Qualifying Agent: Daniel P.Kinkel
Address:1015 Auantic Blvd,Suite 3.52 City Atlantic Beach _._ State_FL_ Zip 32233
Office Phone Job Site/Contact Number 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. /certif.,.that no work or installation has commenced prior to the
issuance of a permii and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within sir 16)months,or if construction or work is suspended or abandoned for a period of.six(6)months at any time after
work is commenced !understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells.Pools,furnaces,Boilers,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.
I hereby certiJ application that/hare read and examined this plication and know the same to be true and correct. Al!provisions of laws and ordinances governing this
ripe of work will be complied with whether specified herein or not. The granting lif a permit does not presume to give authority to violate or cancel the
provisions of any other led .state.or local law regulating construction or the performance of construction.
t ' t
Signature of Owner - , . ,4 1 Signature of Contracto
Print Name / 411 L-&1-1AZI-- Print N DANIEL P.KINKEL ...._..
Sworn to and subscribed before me S s.t 3b and sue , .before e / _
this 4 ,Day of �P4"1 ,20(6, thii Day of.ARV, . `. ,20 L l,0
Notary Pub aT T' c
Revised 46
TONI G!DOS!riOEIPNoSubbeEl RGER
• Y•°i'''' ELISE FERNANDEZ CASHMAN ,. "'% I�(Y COMMFF 924951' ' MY COMMISSION t FF 120872 ��,-:� EXPIREr 6,2019 y -°,� r EXPIRES:July 17,2018 Rf Bonded Th u 'c Underxr ters
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��F°i fl;;•• Bonded TWO Notary Pudic Underwriters