2233 Seminole Rd roof permit ARM
CITY OF ATLANTIC BEACH
u
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF NON SHINGLE -
MUST CALL BY 4PM FOR NEI(T DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROOF17-0018
Description: SHINGLE, MODIFIED AND INSULATION
Estimated Value: 70M
Issue Date: 7/27/2017
Expiration Date: 1/23/2018
PROPERTY ADDRESS:
Address: 2233 SEMINOLE RD UNIT 9
RE Number: 169519 0101
PROPERTY OWNER:
Name: OCEAN VILLAGE ASSOCIATION INC
Address: C/O SIGNATURE REALTY&MANAGEMENT4003 HARTLEY RD
JACKSONVILLE, FL 32257
GENERAL CONTRACTOR INFORMATION:
Name: GEORGE E RIDGE
Address:
Phone: 9043536555
Name: JAMES SHELTON ROOFING
Address: 252 SANTA BARBARA AVE CA JAMES W SHELTON, III
JACKSONVILLE, FL 32254
Phone: 9043536555
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 HVAC work
exceeds and estimated value of$7,500.
r Building Permit Application
City of Atlantic Beach OFFICE COPY
.,__;��„ 800 Seminole Road,Atlantic Beach, FL 32233
M q.r Phone: (904)247-5826 Fax: (904)247-5845
Job Address:Ord ia� QDnti.v\n rt r� t n �A rv'�j3 R�c ,7- 001e!)
Legal Description — 'arc --�—�"'mit Numbeprli C__J
V � UMC' tl Ea °1Cr'--- 81b
Valuation of work(Replacement Cost r`�,.�,.�
)s--is-1�__Heatetl/Cooled SF Non-Heated/Cooled
• Class of Work(Circle on ): Ne Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commerclesidentia
•.,. If an existing structure,Is afire sprinkler system installed?(Circle oRne): es 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[he type of work to be performed:
QeQj�
Florida Product Approval#
Property Own—tion ave for multiple products use product approval form
Name; V't 2 `FG50Q,. ���, Address:gv.x3 �11Fi1 ��
City q
- Mall State _Zlp S h—" _Phone
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company°3(ancwC�y-�e �ro-_Ott Qualifying
Address7Name
_ NAge^t:
Office Ph �- ��e- V�—CItV+ZnCyC�^"`° lU State�2lp 5
State CeRegistration# Job Site/Contact Numbe
Architecthone# E-Mail Engineer Phone# _
Workers Compensation
Exempt/Insurer/lease Employees/Expiration Gale
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 standard,of all the laws regulat long
construction 1n 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 ATT RNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
Igignatu ofOwneror n incl[ Co trac Or
�igne antl sworn to ffirme ) efor m th / o a re ntractod _
day of Signe[„ or
rme ) efore t s of
Is � by
--- (Signatureo chary)
TGNIGISS1(A#ERGER
�qY MYOkdMISSIQNpFF 92S - TONI GI RGER
- F~ E%PIPES:October 6,2019 ^""'^!4"
I I Personally Known OR ar'" a m"N01ry p°O4`unacnn"rs 'S`pAy FA l'y WuMISSIONpn 6 sing
( 1Prpducetl Identification f l Personally Known OR s0d$t.`,: E%PIRES:Octcbar 6,2079
I I Produced Identification py9a1 a�xern"ra�wemu�aer aars
Type of Identification: ` M—�
Type of Identification;