168 Seminole Rd torch down roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF NON SHINGLE -
MUST CALL BY 4PM FOR NE)Cr DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROOF17-0013
Description: TORCH DOWN 3 SO
Estimated value: 705
Issue Date: 7/14/2017
Expiration Date: 1/1012018
PROPERTY ADDRESS:
Address: 168 SEMINOLE RD
RE Number: 1705950000
PROPERTYOWNER;
Name: HALVORSEN JOSEF D
Address: 168 SEMINOLE RD
ATLANTIC BEACH. FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: RELIANT ROOFING INC RYAN SHOLIPPE
Address: 528 Millhouse Lane Orange PARK
ORANGE PARK, FL 32065
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500.For HVAC work a Notice of Commencement is only required when RVAC work
exceeds and estimated value of$7,500.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445 Roosz- U- 0013
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@mab.us Date routed:
City web-site: hftp://�.mab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1(�pe) SEjy\lf,�C) L�G �� ��a Y No
4 d,�ment review required
Applicant: Q—,L I Ic'i tD 0(D P7(ADQ -Planning &Zoning
Tree Administrator
Project: �t 06LC44 D0.063 Roo Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review o,,Receip'
It V rif, Date
of Pe 'ad By
Florida Dept,of EnVinonmental Protection
Flonda Dept,of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [-]Approved. N&pnied. E]Not applicable
(Circle one.) Comments:
(EUILD:1:N> (f,0 A. �Ar-kA -r- '5
PLANNING &ZONING Reviewed by: Date: -t
TREEADMIN. 0
Second Review: �VApproved as revised. E]Denied. DNotappli�ble
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:— Date:
FIRE SERVICES Third Review: E]Approved as revised. []Denied. [_]Notappli�ble
Comments:
Reviewed by: Date:—
ReAsed 06/1912017
BUILDING PEmff APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach,FL 32233
Ofrsce(904)247-5826 Fax(904)247-5945
J.bAddress: I G8 soryfr)oie Ptroaft Number:R 00FI-7 -OC) L3
10-8
LegsiDessr-iption 0+ [,1 A itre,19 QQQQ
_705.00 Flw,Ar..f Sq.Ft+ Sq.F1
Valuation of Work S Proposed Work heated/cooled 1 V3 4 non-heated/co.i.d
F]
Class of Work(eircl, at): New Addition Alteration Repair lakwe Demolition PDOI/sPa windOw/dOOT
Use of�Asti.,/pr.pcatd str0)(drele..,): Commercial ResidentialEl
If an sabring structure,is.fire sprinkler system Installed?(Circle one): Yes No N/AEg
Florida Product Approval#+0 V"CV-111,1A)n-F -I(P'709-IZ?-
For multiple products use product approval form
Describe in demil the type of work to be performed r CIO fn?3a-Mr(VI (3 RQ '5-) to ne,U I
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Engnmer's Name&Phone#
Fee Simple Title Holder Name and Addrcss
Sending Company Nam and Addres
Mortgage I-ender Name and Address
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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.
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RevissA01.26.10
Doc # 2017152487, OR 13K 18036 Page 558, Number Pages: 1, Recorded 06/29/2017
at 10:12 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
OFFICE Copy
NOTICE OF COMMENCEMENT
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CITY OF ATLANTIC BEACH
800 SEMINOLE
OFFICE COPY ATLANTIC BEACH,FL 32233
# (904)247-5800
BUILDING DEPARTMENT REVIEW COMMENTS
Date: 7/07/17
Permit#: ROOF17-0013 Reliant Roofing
Site Address: 168 Seminole Address: 822 N.AlA,St.310
R ew. -0880
evi Phone: 1657
RE#: Email: I Not provided
THIS BUILDING DEPARTMENT REVIEW IS ONE OF 4 DEPARTMENT REVIEWS.
PLEASE FIND ALL DEPARTMENT REVIEWS AND AEFDRESS ALL COMMENTS.
Correction Comments:
Application is disapproved for the following issues:
1. Please submit two copies of installation instructions for all roofing materials. The documents for
the referenced product,FL 16709-R2,have numerous options for materials and methods of
application. The specific materials and methods must be indicated on the documents for plan
review and on-site inspections.
2. Email addresses were not provided. The application form submitted has been superseded. Please
find the current application form at this site: http://coab.us/DocumentCenterNiew/8379 and use it
in the future,with all lines completed.
3. Work was started without a building permit for roofing. A Stop Work Order is in place. The
building permit will be the original fee plus $110.00.
CITY OF ATLANTIC BEACH
800 Seminole Read
Atlantic Beach,Florida 32233
OFFICE COPY Telephone(904)247-5800
REVISION REQVEST SHEET OR FAX(904)247-5845
CORRECTIONS TO REVIEW COAMENT
Date: Received Resubmitted:
PermitNumber: VOOV- 11 -00 13
Original Plans Examiner: Project Name:
ProjectAddress: IWK M - -
Contractor: Y:oOD Rnf� C ct e:
ContactPhone : ')0H- (o,S1-0SM �9; t�emml'T"
Revision/Plan Check/Permit Fee(s)Due ma
Description of Proposed Revision to Existing ran
rk SLV.S & '00 �'Of " rAstatkCAM
11L4 Ct! 1\7"a ' I'Dri A CiZf) moj�:
Additional increase in Building Value: S Additional S.F.
Site Plan Revised: Public W Approval:
By signing below.I(print mum) aff=' that the above revision
is inclusive of the proposed changes.
Signature of Contractor/Agent(commtur must sip if mrmsm,in vsnuntrun) Date
offi��U'�Only
Enne: App.d: RejecU,&__ Nofifiedlny:�
Plan Review Comments:
De a ant review required Yes -No
Planning&Zo ing U Plans Examiner
Tree Administrator
Public Works -7
Public Utilities
Public Safety Date r.mv.111,su�
Fire Services
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