2058 Beach Ave roof permit CITY OF ATLANTIC BEACH
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: 16-ROOF-2764
Job Type: ROOF PERMIT
Description: metal re-roof with FL521 1, FI-12328, & 10124
Estimated Value: $7,000.00
Issue Date: 12/16/2016
Expiration Date: 6/14/2017
PROPERTY ADDRESS:
Address: 2058 BEACH AVE
RE Number: 169713-0030
PROPERTY OWNER:
Name: WAGONER, LARRY D &JANELLE D,
Address: 2058 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: TOWNSEND ROOFING & CONSTRUCTIONS SERVICES,
INC.
Randy C.Townsend,CCC1326289
Acidness: 10418 NEW BERLIN RD APT 115 OARANDYCRISS
TOWNSEND
Phone: 904-268-7310
FEES:
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $42.50
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $85.00
Total Payments: $131.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 -a-104
Phone(904)247�5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date muted: (0
City web4te: hftp://�.�ab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l2a(—K ho D ant review re uIred Yes 0
uilding
Applicant: _ Jb-,) RCeAA Planning&Zoning
Tree Administrator
:' ' g&
Project: ff\ Public Works
Public Utilities
Public Safety
Fire"Sewices
Review fee Dept Signature
Other Agency Review or Permit Required Review Date
of Permit=pty
Flonda Dept.of Environmental Protection
Florida Dept.of Transportation
--St.Johns River Water Management District
Army Corps at Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
JDenied.
Reviewing Department First Review: V41011d.
(Circle one.) Comments:
(]EDI�NG)
PLANNING &ZONING Reviewed by:_ -Date: 12,1716
TREEADMIN. Second Review: ElApproved as revised. E]Denied. C/
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. DDemed.
Comments:
Reviewed by: Date'
Revised 05114109
BUILDING PERMIT APPLICATION
CITY OF ATLANTic BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach,Fl,32233
Office(904)247-5826 Fax(904)247-5845
JobAddress: 2-05S 0etLA Av*- PermitNumber: 00 -p-cor-a-AOL4
.C,0 AW)
Legal Descriptionl"3 01-Z$-116 P.* Vw� Un�f WNzef+a-1�3 `17 P=l# 161-71S-do-TO
00 V toor Area or Still. Sq.1-t
Valuation of Work S -7,0 Q Proposed Work heated/cooled_ non-heated/cooled
Class of Work(cimle one): New Addition Alteration <!ag� Move Demolition pool/spa window/door
Use of exisfing/proposed structure(a)(circle one): Comancicial qlz�
If an existing structure,is a fire Sprinkler system inst"ed?(Circle am): Yes QLo) N/A
Florida Product rAproval 4— 10 17-4
0
Formultiplep um use promiterapprovall form l'Ac;4u� &vs-4 vm(ar(^7~4 F-L- 12,Sz.,S
Describe in detail the type of work to be performed: 6RE -77i-,4rb� do lln� rfgjace�dsi`f
",0- 5e,-"
Proialarty,Owner Lallarmundian:
N a or e!: 0 r,�C' L A Address: G-�C"4 Ap't
C Sta1v9nZip,-tL2L33 Phone JQ4- '1557- 0jq5
E-Mail or Fas#
Contractor information:
Company Name: wA-J au;�kn '64abil 9404�i�ual!R�Ag=enl:, 9,10alk"JI �.),!,Sej
it! St.
Address: 5, City otc -Side fv-(- zip 3ZZ76
unicartione -7104-645-5%F-7 Job Site/ r4,,-s 4'7z-q" Fax# clotl-Lq5-s
State Cerfification/Registration 17-
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder
Bonding Company Name and Address
Mortgage Lender Name and Address
Applicationty heo,.� ads to obtain a pgrpdr to do dw war*and loadariopy,aa,inihissaled I canto that no walk a,installation has couseencedprin,to the
issuance
%aprroaf and that all work will bepTr d to met the sonakird,ofall laws reetdating construction in thiriafedicam Thisprod,becaouw null
..dwid w&kisn,qc...edwilhtasft(�.=j a,or ifeanstraction or work is:1..dqd w abioulanedijbi-ir eri.1.jr,i�l=.taaydmajeirr
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workisconatinced I understand that satuatire,perstris east be ,,tordju,Ekal work,Ph,,Mng,s4iin, ^Pba, Ballers,He en,
TkinksinufAirCinuadaresiv,eve,
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 V6Vi NOTICE OF
COMMENCEMENT.
9 this
the
.01* 5,
A& -Sal u,nT MNREN(0
be Notary Public-State of Flo I*br,-c 114W
P295
MY Comm.Expires Jun 9,2019
801168d"hNstaidNatryAnn.
Doc # 2016263223f OR BE 17779 Pago 508, Number Pages: 1, Recorded 11/16/2016
at 01:08 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY' RECORDING $,().Do
NOTICE OF COMMENCEMENT OFFICE COPY
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