1664 Sea Oats Dr re-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 NE)(T DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 17-ROOF-31 91
Job Type: ROOF PERMIT
Description: re-roof flat section FL2533-Rl 3
Estimated Value; $4,785.00
Issue Date: 2/9/2017
Expiration Date: 8/8/2017
PROPERTY ADDRESS:
Address: 1664 SEA OATS DR
RE Number: 172020-0226
PROPERTY OWNER:
Name: FLEMING, ROBERT M
Address: 1664 SEA OATS DR
GENERAL CONTRACTOR INFORMATION:
Name: STUDARD ROOFING
Afton M.Studard,CCCO27462
Address: 423 LAKE MARIETTA DR QAALTONMSTUDARD
Phone:
FEES:
PLAN CHECK FEES $36.96
BUILDING PERMIT FEE $73.93
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $114.89
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
AnkCity of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building De pard]tmentt.)
1W800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@mab.us Date muted: (0
Citymb-site: htt;o1Avmv.coab.us
APPLICATION REVIEW AND TRACKING FORM
Prop" Address: I to (1114 �U Dats P( Depattinent review required Y No
'building–:--,
Applicant: Sk L4, ��f Planning &Zoning
Tree Administrator
Project: � 1__ IiDO � kiLCLA Public Works
-1 Public Utilities
TL QkS I k3 Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
it.—Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
1571vision of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ffApproved. [–]Denied.
(Circle one.) Comments:
r—B—UILDIP iG)
P��kG &ZONING Reviewed by: MIL Date:
TREEADMIN. Second Review: DApproved as revised. ODPied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. ElDenied.
Comments:
Reviewed by: Date:—
Revised 0511Q09
BUILDING PERMIT APPLICAT10N
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach.FL 32233
Office(904)247-5826 Fax(904)247-5845 1; OFFICE COPY
Job Address: /66 '/ SE4 OAT�� Q& 132,a-3-3 PermitNumber.
Legal Description - :e S " Parcel# Sq�th
hq 'on
Valuation of Work S AL�-F��'—"'—Op'000rp ej 'ork e�'t�d/cooled eated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition poollspa window/door
Use of existing/prorosed structure(s)J�rcle one): Commercial Residential
If an existing struc lure,is a fire sprin 4 r system installell?(Circle one): Yes No N/A
Florida Product Approval #
For multiple products use d2 anct Lp9i-I rumo
Describe in detail the type of work to be performed: 95-/Z00/-- 56---T(0A[ 0/1 L
APA��/A A7-,r��K 16 e20 6 q,
Property Owner Infornsation.
E-Mail or Fax#(Optional)
Contractor Infouresation:
Zip 3 2 2�O
,4ANication ishereby made to obtain a permit to do the workat4tt- dk'abe 1. 1 nurtify that w work or metal tim, commenredprior to the
. '== lows Puspermitbitcomesmall
ismanuo,a(apermit and that all work will bep.Tr art I.H. e.
aa,wnd,Lwork I;not commenced within six(d_ ="=f'.ft,ucaonor. kissnosA� ora Jar a i 0M ounithsata timea r
. . d lunderstand that separate permits must be se,,uredjur plumbing, sp men,B
ThabandAirCondWoum,da
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 Y61Ki NOTICE OF
COMMENCEMENT.
lhereVo,q6thailhaotreadandeswenineulthis icalhou and know the saw to be oree and courect. Allpraebions flaw,and odiumuces ga�e,mmg this
ope a 'work will be complied wish whether spect0edUilterrin or mt. Me gmaring of a permit does mt ptsuoune,to gm to Vi e or cam,ol the
provisions ofany otherfederal state,or local law re,plaing construction or the pe�foimomu ofConshruction.
Signature of Owner sign'tM.Weentrarm
Print Name PrimName
eA'ex R,;,z
S it We e Sworn and subsqTi before me
it Day o -,IAV)l .2011 this Day of V LID(Lk U 20 �-4
7 0. F
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flotary rublic otary F�!Phc V fkA.'a X"
commission#FF 244026
My Comm.Expires Sep 6,2019