1813 Sea Oats Dr re-roof permit ?I�177rD
CITY OF ATLANTIC BEACH
7 800 SEMINOLE ROAD
~j ,. rl 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-3475
Job Type: ROOF PERMIT
Description: Re-Roof Shingle.
Estimated Value: $9,250.00
Issue Date: 3/13/2017
Expiration Date: 9/9/2017
PROPERTY ADDRESS:
Address: 1813 SEA OATS DR
RE Number: 172020-0552
PROPERTY OWNER:
Name: LYON, JONATHAN R
Address: 1837 SEA OATS DR
GENERAL CONTRACTOR INFORMATION:
Name: ROBERT ROBERTS FIRST COAST ROOFING
,CCCO56797
Address: 5151 SUNBEAM RD SUITE 23 CIA ROBERT EARL
ROBERTS, JR
Phone: 904-287-7756
FEES:
BUILDING PERMIT FEE $96.25
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $100.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
Building Permit Application
City of Atlantic Beach
BOO Seminole Road,Atlantic Beach,FL 32233
// Phone:(904)247-5826 Fax:(904)247-5845 �t
Job Address:—tAl S£P Op+TS Qmfur fYYt � Soct�—Permit Number: 1 ( F'�
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Legal Description 34 XV05 2544E Sf/u4 TA ✓A Nm '�SLm+3d JLE RE#
Valuation of Work(Replacement Cost)$ (?j;.6-0-J0 Heated/Cooled SF 174 Non'Hemed/Cooled ,20"
• Class of Work write one): New Addition Altercation Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial IQRFmia
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe In detail the type R work to be performed: -TYPE I- KF200F strlyls 4S �//2.
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Florida Product Approval FL 7004• for multiple products use product approval form
Property Ctwner Information
Name:J 0.9 'If�.P J L otJ Address: /83 7 5£.c Q<-is 49,city A•ra.2! ' R£xL` sat c zip 3aL3� Phone oY-bf3 - Y957
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information n // _
Name of Company: a•r/1a +F.i.+Cm.ftRecFn,s�2-Qual#xing Agent: APJ(f f-ycq 06£m4S 3" r'
Address 'S33 S ♦ Poi City aA<kasu vhME State —ZIP
Office Phone 90498 '775"'G Job Slte/Contact Number 6377
Sate Certification/Registration# CrC09t.74'3 E-Ma0 F-r 51 Cm r/`vku 4 0•'+�A'i e
Architect Name&Phone#
Engineers Name&Phone#
Workers Compensation
Eam�pt/Imurer/)eau Employees/ESPkation Dare
Application is hereby made to obtain a permit to do the work and installations as Indicated.I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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 OFF COMMENCEMENT.
Slgsature of Owner or Agent including Wrrtr Mr) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this day of Signed and swom to(or affirmed)before me this J Jµday of
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Type of Identification: 49A- Type of Identification:
Doc 0 2017057164, OR BN 17906 Page 2413, Number Pages: 1, Recorded
03/10/2017 at 04:06 ITf, Ronnie Fussell CLERE CIRCUIT COURT DU COUNTY
RECORDING 810.00
NOTICE OF COMMENCEMENT
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