2233 Seminole Rd #31 roof permit D19
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF NON SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROOF17-0017
Description: SHINGLES, MODIFIED AND INSULATION
Estimated Value: 7000
Issue Date: 7/27/2017
Expiration Date: 1/23/2018
PROPERTY ADDRESS:
Address: 2233 SEMINOLE RD UNIT 31
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: 140 BAY ST E
JACKSONVILLE, FL32202
Phone: 9043536555
Name: JAMES SHELTON ROOFING
Address: 252 SANTA BARBARA AVE QA 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$7,500.
Building Permit Application
City of Atlantic Beach OFFICE COPY
rn i i• 800 Seminole Road,,Atlantic Beach,FL 32233
\ Phone:(904)247-5826 Fax: (904)247-5845
lob Address: Q 0 • l � + ;�y,������� 6� '(''L,3 � RCDOF17-0017
�.uYH9LL Permit Number:
Legal Descriptio — -® •i 1 0"T1% 0 V-UV_- -b9'
Valuation of Work(Replacement Cost)$ Heated/Cooled SF
Non•Heated/Coaled
• Class of Work(Circle one New Addition Alteration Repair M o Pool Window/Door
• Use ofexisting/proposed structure(s) (Circle one): Commercla Residentla
• If an existing structure, is a fire sprinkler system installed?(Clrcle on . No N/A
• Submit a Tree Removal Permit Application If any trees are to be removed or Affidavit of No Tree Removal
escribe In detail the type of work to be performed:
D
&—
Florida Product Approval# for multiple products use Product a
Prolierty,owner InformaH__ �x�nn yyii P Pproval form
Name: OC PVSS OC. X Address:IIfC-L2 ]+SYY11rV>U 9066 � '
City t(,LfA _State�_Zlp 9la/Yi� Phone
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Companyk Qualifying Agen/
t:Address � ng"
Office Phone C.ty ) Y
`State_21p
State Certrflwnon/RegistJob Site/Contact Numbe ,
ration#
E-Ma -7-4 f d C
Architect Name& Phone If {� ?
Engineer's Name&Phone It fa I 1F
Workers Compensation f
Exempt/Insurer/Lease Employees/Expiration Date
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 priorto the issuance of a permit and that all work will be performed to meet the standards of all the laws regulation
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 TTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT,
g qn Ignature of Owner or ncludin Co trac��ooff) (SI ture ractor)
$ig Born to or affirme fore e s 7 V y of Signed and sworn to( affirm d) r m his BY of
701-1 by __ 740 1 '7 by
Signatureof Notary)
(Signature of Note
TONIGCOMMIINDLESPERGc1`
M1+PIRESSSIQNer6, «SI
SP IRES:Ocfober 6 ZJ19 IJ I "'w ry TONIDINOLESPERGER
( I Personallylent # 6r 1Thm Nowrr bkU6 r - Ny COMMS IDNArf9EI9
-�,... ` I 1 I Personally Known OR a EXPIRES.Ocrobe 6 2919
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Type of ldenutltation. Ile of Identification.
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