100 S Saratoga Cir re-roof permit CITY OF ATLANTIC BEACH
j 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: 17-ROOF-3223
Job Type: ROOF PERMIT
Description: re-roof modified roof, FL10487-R5
Estimated Value: $7,928.00
Issue Date: 2/16/2017
Expiration Date: 8/15/2017
PROPERTY ADDRESS:
Address: 100 S SARATOGA CIR
RE Number: 171801-0000
PROPERTY OWNER:
Name: SPINGLER, ALAN D
Address: 100 S SARATOGA CIR
GENERAL CONTRACTOR INFORMATION:
Name: JAMES SHELTON ROOFING
, RC29027340
Address: 252 SANTA BARBARA AVE QA JAMES W SHELTON, III
Phone: -
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $89.64
PLAN CHECK FEES $44.82
Total Payments: $138.46
PERMIT IS APPROVED ONLY IN ACCORDANCE V R ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach, FL 32233
Office(904) 247-5826 Fax(904)247-5845
Job Address: ICC Srrr404w Ctrcle 5 , Permit Number:
Legal Description 31 -13 8^ Zq E Parcel#
F o'1 or Ares q. t. q. t
Valuation of Work$��Proposed Work heated/cooled Nllk non-heated/cooled��
Class of Work(circle one): a Addition tion Repair Move Demolition pooUspa window/door
Use of existing/proposed met ure(s)(circle one): omm cial esl
Han existing structure, a fire s riaWer system instal 9(C rcle one): es No
Florida Product Approv # 0497-
For multiple products u net a proveo Re—
le
h
Describe in detail the type of work to be performed: / TCo�Ie ie Re-' CCoo�
le — Z : 1 Z ( y_1UAtn7 Te'r C-M
Property Owner Information:
Name: Io+'t s to f Address: 100 Sa 4vm Ctrcle 5.
Cityto State Zip 3zZT3 Phone 04- 24 43
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: 9,0e1i�^9 11C, Qualifying Agent: �VuHas Sk,,,*fl
Address: G5'? l4kgkwA✓ Ci ( vl C State�Zip 3u
Office Phone a7 Job Site/Contact Numbe Fax#
State Certification/Registration# CCC 3 01
Architect Name&Phone# N
Engineer's Name&Phone#
Fee Simple Tide Holder Name and Address
Bonding Company Name and Address N/
Mortgage Lender Name and Address
Application is hereby made to abmin a permit to da the work and instal(atiorrs as indicated. l rertify t rta war or m' raced riot to the
issuance ofa permit and Poo[all work wi11 be per armed m meet the standards ojall laws regulating cams coon in this jurisdiction. This permit comes nu//
and void fwork u not commenced within six(6 months,or ijeorrstruetian ar work is sus nded ar ab od. ix 6 manthc ata time after
work is commenced !understand that separate permits must be secured for E(ecMcaf�Work,Plumbing,Signs, eLs,Poo u ,Ne ers,
Tanks mW AL Condidoners,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 certify that/have read and examined this plication acrd know the same to be true and correcgtor
laws ar finances irzg this
,type o work will be complied with whether spin ted herein or not The granting of a permit does a auU i to . a ar can the
promsionr ofany other federal,state,or focal ime regulating construction or the performance ofecastr `//
'K hF
Signature of Owner/- a Signature of Ca /PrintName B��1lu ) dJAltR..+ .._..... Print Name ��f4—
Swam t nd sub 'bed // JOHNNY HOUSTON Swom 6 n s sn1Co,mi,siW#
thisayo r °""999
this o202 •anml FF 17M24 _+ N4 Qct M
of4', Bm' 1.26.10
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
s Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 A 10�.� 1 I�
"i, E-mail: building-dept@wab.us Date routed: t A
Cityweb-site: hapJAvww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �C) lD Sma"Imotct Cif.S . me t review required Yes o
—f p Buildin
Applicant: lams S"k-k bA kb,t�IA l Planning &Zoning
fr� ,1 (� Infr� Tree Administrator
Project: `-A (C COOT fylO G �kI& JDO Public works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: M pproved. [—]Denied.
(Circle one.) Comments: ,n f �t
UILDIN IV/ (,
PLANNI &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 051IN09