1155 Main St re-roof permit/m
CERTIFICATE OF COMPLETION
Issue Date: 2/22/2017
RE Number: 171015 0070
Address: 1155 MAIN ST
Owner: Hillary Drakos
Contractor: Oak Crest Contracting
Permit Number: 17 -ROOF -3305
Description of Work: RE -ROOF FL15-1102.03 & F1.15216-112
Approved: -D-
Building Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
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
JOBINFORMATION:
Job ID:
17 -ROOF -3305
Job Type:
ROOF PERMIT
Description:
re -roof FL15-1102.03 & FL15216-R2
Estimated Value:
$6,107.19
Issue Date:
2/22/2017
Expiration Date:
8/21/2017
PROPERTY ADDRESS:
Address:
1155 MAIN ST
RE Number:
171015-0070
PROPERTY OWNER:
Name:
Drakos, Hillary
Address:
1155 Main ST
GENERAL CONTRACTOR INFORMATION:
Name: OAK CREST CONTRACTING, INC
Dustin L Doll, CCC1330407
Address: 536 SE 291 HWY
Phone: 8116-207-6185
FEES:
BUILDING PERMIT FEE $80.54
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $84.54
PERMIT Is APPROVED ONLY IN ACCORDANCE WITH ALL CRY OF ATLANTIC BEACH ORDINANCES AND THE 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: I k 65 MQ.a n %- rnl-y �t Q 32233 Permit Number. 11- 9ODP-33M
Legal Description 18 -3'1 1'7 -Z5 -7,q4 Fe IIl5 _C N Marg, npzin Parcel # I' /MI5 -00'7 0
Floor— a o �1 t. �,{ a Bu,� wq q.
Valuation of Work $ Ua/ 07.1q Proposed Work beated/cooled 'u n-heated/cooled
Class of Work (circle one): 6;;� Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pmri
Hsedstructure(s) (circle one): • Commercial
Han existing structure, s afire sprinkler system installed? (Circle one): Yes No N/A
Florida ProductApproval # 15 • I1(�Z • 03
For multiple products use pr uct approve orm K 15-2-/6
Describe in detail the type of work to be
Property Owner Information:
City iYa'lat
E -Mail or Fax
Connector Information:
Company Name: D Qualify g Agent:
Address: 4'LI Ba ..ea lows 3 City (34 A.,.yi tQ_ State PL_ Zip 33 Z I7
Office Phone 9oY-C 0-0058 Job Site/ Contact Number 904-451-2977 Fax#
State Certification/Registration #�(vJ
Amhiteot Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
or
,IF
AN
aJ
pro Ions ofany otherfetie . state, or local lar, regulating construction or me performance o) construction.
Signature of Ow''alIer Signature of Contract; 1,
Print Name tT1 I Q i