46 15TH ST - ROOF j .4111,
t .s f CITY OF ATLANTIC BEACH
A s1 800 SEMINOLE ROAD
J '` ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
..,rt Jill i�
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-1864
Job Type: ROOF PERMIT
Description: re-roof free-standing garage only
Estimated Value: $4,000.00
Issue Date: 8/16/2016
Expiration Date: 2/12/2017
PROPERTY ADDRESS:
Address: 46 15TH ST
RE Number: 170307-0000
PROPERTY OWNER:
Name: BOENEKE ROBERT & DEMORY, *
Address: 7093 OX BOW RD
GENERAL CONTRACTOR INFORMATION:
Name: SNC Square LLC
Address: 4716 Palmer AVE
Phone: - -
FEES:
BUILDING PERMIT FEE $70.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $74.00
PERAIrI' IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: l/- / S 3 t S ' /9 /.,.FA- 46 c, /-p 322,.3 3 Permit Number: . 1(O-.00F ivoC}
L-i 6`Zs -aF /4 i-i'''4- ` 4.4a.al Description ,i i / c.,1 ( E4vr w ti
f-r7) / 6 1 Parcel# / 7 °30-7 - c�c�cx.)
Floor Area of SQ1'q.Ft . Sq.Ft
Valuation of Work$ y,o0o a) Proposed Work heated/cooled non-heated/cooled 3 et
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial esident'
If an existing structure,is a fire sprinkler system installed?(Circle one): es N/A
Florida Product Approval # 2 5-3 3
For multiple products use product approval form
Describe in detail the type of work to be performed: / e. Roo C - e. 5 4-.o.a/is 6G^-es e co..,1<,,
Property Owner Information:
Name: T 6ec%/e,s Address: SSG /s-4-4 Sf 3,J,.,,,,41/4c.. ,scat. i'
City (44I4,„fr:t. ,e6.e....64.- Stater Zip 322.3 3 Phone
E-Mail or Fax# (Optional)
Contractor Information:
Company Name: c5/7C ,Sgva,•e. LG -- Qualifying Agent:
Address: 4/ 7/6. /aa/,•....- /3,.,t_ City 7-4 A State , Zip 3 z r0
Office Phone 90v -3 i'i - tr si s- Job Site/Contact Number . aP/-7 3 3 F Fax# ,3 br/-2174"-z O
State Certification/Registration#
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. 1 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 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. 1 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.
1 herebycertify re
that 1 have ad and examined this a plica on a•d know the same to be true and correct. All provision • aws and.• •'••• es:overning this
type of ork will be complied with wh• -, -' i red •-rein •r not. The granting of a permit does not presume • give autho to vio ate • _•ncel the
provisions of any other federal,st• or local aw a y atin• co ruction or the performance of construction.
/II -411V:Signature of Owner r v/-+� _ Signature of Coyyn��tractor .
Print Name ` 1 pre� tt Print Name u r Nook-esti
Sworn to and subs ibed be ore me Sworn to and subscribed before me
this 15 Day of At 1 1'7 0'to 1 i 2cl Day of ', __
IA - 4.0 d ,.;;,�P,,, BRITTANY PARKS `_ ' �`w """"' BRITTANY PARKS
� y y P •.
'�'���J�`� �1+`�� a of Floris, �, U. yr ;, ,�`��= Notary Public-State of Florida
Nota Public _� -
ry _ �� _ Commission#FF 194147N8 • Puy IC - Commission#FF 194147
--,,,,,--..--00. My Comm.Expires Jan 28,2019 ��o�`o�°; My Comm.Expires Jan 28.2019
",,,,P:s Bonded through National Notary Assn. '"',,,,,Itev Nl�fbiielNotaryAssn. I
Gindlesperger,Toni
From: Michael <here2golf@hotmail.com>
Sent: Monday, August 15, 2016 11:03 AM
To: Johnston,Jennifer; Gindlesperger,Toni
Subject: Reroof permit at 46 15th Street
This is a stop-work order, but please just straight fee, no dbl tee. Thanks. MJ.
Sent from my Verizon,Samsung Galaxy smartphone
1