447 Atlantic Blvd re-roof modified permit `rjyA+yri,. ,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
Z ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 16-ROOF-1910
Job Type: ROOF PERMIT
Description: REROOF-MODIFIED
Estimated Value: $34,000.00
Issue Date: 8/23/2016
Expiration Date: 2/19/2017
PROPERTY ADDRESS:
Address: 447 ATLANTIC BLVD
RE Number: 170692-0500
PROPERTY OWNER:
Name: LYON ET AL, JONATHAN R
Address: 447 ATLANTIC BLVD SUITE 3 POPP MARK A 8 GRIMSHAW
RICHARD
GENERAL CONTRACTOR INFORMATION:
Name: REMODELING ETC, INC.
Address: 1210 MAYER ST OA STEVE CULBREATH
Phone:904-838-2700
FEES:
BUILDING PERMIT FEE $220.00
STATE DCA SURCHARGE $3.30
STATE DBPR SURCHARGE $3.30
Total Payments: $226.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODE&
08-12-18;15:13 ;From: To:97432889 ;9042475845 # 1/ 4
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
� /foca((904)247(-5826 . Fax:(904)247-5843 16 — ROOF
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Job Addrms:4 7' o / Permit Number.J-7669 7 650
1
Legal Description RE#
Valuation of Work(Roplaeement Cost)S3 '�� eared/Caakd BF; Noa-HcatxdlCaded ( _
• Class of Work(Circle one): New Addition Alteration air Move Dano Pool Window/Door
• Use of co isting/ploposed struature(8)(Circle one): ni a Residential
• If an existing stfuchue,is a fire sprinkler system installed?(Cirde one): Yea ® N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of
No Tests Removal
Describe in a«aR the oework to be performed: '11 -X
/
f - r� -X
Florida Product Approval# - �-�.3 tan multiple produce use product oppmVel fom+
Properly Owner In 50✓
Name: .i1- Lilo Address: `17 7cl#ar,91✓V
City O fy L i n State,Zip UL Phone
E•Mai1 LYo a 7T tns.ecwr
Owneror Agent turvam,t,w.rornm,wx«na,xytaee.aegaire4l
WARMNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS Ti YOUR PROPERTY. IF YOU INTEND
TO
FINANCING
IN NCINGC'E OOCOMMEWITH YOI'U'RJJ LENDER �7OR AN ATTORNEY BEFORE
Contractor Inform �^
Name of mpany: 7.�z-f,lam Quail Apat ''
Address: B ✓ City 4 State Zip R2y�
Office Phone VYll- - ' ^ Job Site/Contact Npmber -
StateCertificatlorl/Registratioa# Gi et'77ai< E-M '
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation
xcmpt lnmter ce Employeas p ra on
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Notary
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Before oro Ibis i of
Fublie: Cle.O� rrt19.� I '/L� NomyFublio:
(harc6y aer/l/ylhaJl have read and examined[hit appticadan and kwwthes gro tas and Carred. Al/proytsforo oflq�a and
ordinances 8osyrning this type ofwork will be complied with whvehar speci ed he In r rant. Ther granrl+{g aJ a perm7lf doss not
prcs�lmo to Stan aurhorlry ro vfollaar or tante(the provulons ojany other f ero7,v te, or local law regnlanng rnmrrrucrfan or[ere
pe;£nrmance ojrnnsfnrc ion.
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