155 OCEANWALK DR S - ROOF ICITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0101
Description: RE ROOF SHINGLE- FL10124.1 & FL15487
Estimated Value: 25060.91
Issue Date: 9/22/2017
Expiration Date: 3/21/2018
PROPERTY ADDRESS:
Address: 155 S OCEANWALK DR
RE Number: 169463 0178
PROPERTY OWNER:
Name: FRANCO BRIAN D
Address: 155 ON:CEANWALK DR S
ATLANTIC BEACH, FL 32233-4679
GENERAL CONTRACTOR INFORMATIO
Name:
Address:
Phone:
Name: Carroll Bradford, Inc.
Address: 4776 New Broad ST#201
ORLANDO, FL 32814
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$7,500.
1 rip-•lIP, C' it-i , 1vL
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SEP 21 2017 hJJ,.
',, Building Permit Application j_...„) '
t 'v Clty of Atlantic Beach
'g
SCO Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 RL il
Job Address: 155$ Ocean Walk Drive _ Permit Number: L�F I-4— 01 cJ
Legal Description 42-1 08-2S_29E OCEANWALK UNIT 1 LOT 87 _REM__ _
Valuation of Work(Replacement Cost)S_,,:f`s (.)s(i-(I I Heated/Cooled SF ) ltd`I Non-Heated/Cooled [ I (
• Class of Work(Circle one): New Addition (Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Resldentl l
• 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 of work to he performed:
Describe
Re-roof
Florida Product Approval 11.10124.1(GAF Timberline HD)--FL15487(TlyarPaw_L _for multiple products use product approval form
Property Owner Information
Name:Brian flanco .--_ Address: 155_S.Oceaawalh Dr,____
oty Atlanlic_Be ch___ State FL zip 32233 Phone
E-Mail.(7frlacQ — —
e�j2aradl;lf:lCOCDspM_____.
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)_N/A___
Contractor Information
Name of Company:_Carroll BredfordJnc—__ Qualifying Agent:_,1DLlat11af1_Q,_MQnke__
Address_47.511e.Y_B.rDad.8ireel Ssdle-20.1.__._, city-_Qrli3ndo �__- State EL ZIP.32814____.
Office Phone_(407(407)647-942Job Site/Contact Number (407)647-94W
State Certification/Registration rift-C.—
C1330656 E-Mnli OomItStcarrol(bracfford,com
Architect Name&Phone M
Engineer's Name&Phone if _
Workers Compensation AL22 QQ1 ,Fxn.2-12.16 ••p1e j itac ed
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 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 fn 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 0; : , ANC/NG,CONSULT WITH YOUR LENDER OR AN A RNE BEFORE
R •O•DIN OUR NOTI E OF COMMENCEMENT.
1.1b1 .----* / .
• we of Ownar or Agent Including Contractor) (Signa re of Conti or)
Signed and sworn to(or affirmed)before me this j. day of Signed and sworn to(or aft med)befo a me thls2-° day of
SeAl�kfr_.., 217 ,by'.__ jl_r _12. ELQ_4'• , 20 1-7,by O►'ti{'4/\(.¢y1 L Q -
(Signature of Notary) •19fOeture of No ': "
;'.,'1 Notary Public .Stile oI Florida
Commission.y lit; '26363
MPersonally Known: ',N �
ersonatly Known OR �. My Comm Expire':ug 31.2020
%( I Produced identlll WILLIAM L.JOEL 1 J Produced Identification Ccadud iI,rough Nationai Notary rtr,
Type of identification ' MY C0AIMISS1ONLQ0Oe
Type of identification:
t o. EXPIRES:Aped8,1011
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Doc II 2011208039, OR BK 18113 Page 1668, Humber Pages: 1, Recorded
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