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2233 Seminole Rd #42 roof permit CITY OF ATLANTIC BEACH r r� 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: ROOF17-0016 Description: SHINGLE, MODIFIED AND INSULATION Estimated Value: 7000 Issue Date: 7/27/2017 Expiration Date: 1/23/2018 PROPERTY ADDRESS: Address: 2233 SEMINOLE RD UNIT 42 RE Number: 169519 0101 PROPERTY OWNER: Name: OCEAN VILLAGE ASSOCIATION INC Address: C/O SIGNATURE REALTY 8 MANAGEMENT4003 HARTLEY RD JACKSONVILLE, FL 32257 GENERAL CONTRACTOR INFORMATION: Name: GARY RIDGE Address: Phone: Name: JAMES SHELTON ROOFING Address: 252 SANTA BARBARA AVE CIA JAMES W SHELTON, III JACKSONVILLE, FL 32254 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 HVAC work exceeds and estimated value of$7,500. pruvi r Building Permit Application City of Atlantic Beach OFFICE COPY onw%' V 800 Seminole Road,Atlantic Beach, FL 32233 Phone: (904)247-5826 Fax: (904)247-5845 lob Address:�a�i3 Spm ir.nle., � R- 3u83 ��©OF ya AND44 ---��_Permit Number: Legal Description(9q-dS,79G ety_I Unit zfz � � VILL/{j[' OaV6YJI IUMNINIIrIYI .Qs //„ARE#Valuation -- 0 of Work(Replacement Cost)$ U�� Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial• esidentia If an existing structure,is a fire sprinkler system installed?(Circle one): yes No N/A • Submit a Tree Removal Permit Alitin if any trees are to be removed or Affidavit of No Tree Removal =7= d: ,On,�1�..//.'-+ ��—eoolc Florida Product Approval# for multiple products use product approval form Pro er Owner Inf rl tion Name: C!°R% L SSOC. �17C. City. Address:olo?33 SPatt 'n01t �Q, Q -J. tf2 E-Mail State Zip 37-.23 -3 Phone_ JW r R f - 61 Owner or Agent(if Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: 1�_/'N eG sfl2.l-1Dvs P G Qualifying gAgent:Address535^ Office Phone'404-_- City_,— umber I/j/�5tate_�21p 3276.5 { lob Site/Contact Number Stale Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Exempt/Insurer/Lease Employees/Explreilon 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 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 A ORNEY BEFORE RE:C—OR}/DIIpING YOUR NOTICE OF COMMENCEMENT. "rr f ISenature (Owner or Ag tl cluding[ontrayal{ (Sig ture f ntrattor) Si nt�e,2d]]]llnn�n�d sav�or (( affirme ) efor th'Mday of Signed and sworn to(o ffirm d) efor t 14 ay of V by by Si nature of Notary) (Signature of Notary) r °Drys, TONT GI#DLESPPA.3 r NVCOMNI651GIYrPa2r3GW LESPERGEF e . EXPIRES'Oereper6 p 9 MVCGIM$ h ppeP,g.l I [Personally Known OR Sad,( 6°�Mtay Pubr Ueer m, I` �' � FPI On JLr62919 —__� fl Personally Known aere.nu:, Tye of Idetlldenancation „- I )Produced IdentificebCM --- rvustir J...... Type of Identification: Type of Identification: