1753 MARITIME OAK DR - ROOF , i r
,i I P. CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
eai75v, V� ATLANTIC BEACH, FL 32233
x!e;3 .!_ INSPECTION PHONE LINE 247-5814
ROOF NON SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROOF17-0034
Description: remove & replace metal panels-warranty claim
Estimated Value: 0
Issue Date: 9/25/2017
Expiration Date: 3/24/2018
PROPERTY ADDRESS:
Address: 1753 MARITIME OAK DR
RE Number: 169505 1800
PROPERTY OWNER:
Name: PYLE MICHAEL A
Address: 1753 MARITIME OAK DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CACHE CO LLC
Address: 633 W 46TH ST CYNTHIA M PAQUET
JACKSONVILLE, FL 32208
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.
t \, J City of Atlantic Beach APPLICATION NUMBER
j'rrc tBuilding Department (To be assigned by the Building Department.)
800 Seminole Road p hDF ll— ()Day
., Atlantic Beach, Florida 32233-5445 �—lJ
Phone (904) 247-5826 • Fax(904) 247-5845 r�� /1
4o1119,- E-mail: building-dept@coab.us Date routed: / !
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: II-53 V'O Yc rrL Oa -OI • Department review required Ye�No
/�
(Buildin�c,D
Applicant: CAcrn•Q_. Lie--L-•- _Planning &Zoning
Tree Administrator
Project: ` . CK. ' t,, \ (t)t�T r LAI& k i C, '
A Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required T Review or Receipt Date
of Permit Verified B y
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: roved. ❑Denied. [Not applicable
(Circle one.) Comments: L/ 1
1411 ��U��ea, l�t/'aiVeO� �� ��0 2�aCT ,•,�,P�a/ Roo-P
BUILDING
Producd. i s {p be .Y1 S /(er2 be pPrson pit 1,k S v p Rerrur.
no-AP 4.1os on f Ae. q I►Za�ic/rk. The re wy I b* 2 ,r Spee loin r .
PLANNING & ZONING Zr pros{,*s e Fiat&I ^��� �'"J RY on 'N sperfior- 9
Reviewed by: Date: "/y'/ 9
TREE ADMIN. Second Review: (Approved as revised. fDenie . F 'Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. ['Not applicable
Comments:
0
Reviewed by: Date:
Revised 05/19/2017
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` `�' BuildingPermit Application L`�-, �'
(:,-
. ' City of Atlantic Beach � SEP
i Beach, FL32233 1 i� - 6 coil t'
800 Seminole Road,Atlantic eac i ([ I�
j" Phone: (904) 247-5826 Fax: (904) 247-5845 555 _'__f
Job Address: 1753 Maritime Oak Drive, Atlantic Beach, Fl 32233 Permit Number: 2-00 Fri-- 3(f 3
Legal Description 67-132 08-2S-29E .193 Atlantic Beach Country Clun Unit 2 Lot 101 RE#
Valuation of Work(Replacement Cost)$ 0 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one):XNew Addition Alteration Repair Move Demo Pool Window/Door Re_ Rua f
• Use of existing/proposed structure(s)(Circle one): Commercial X Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes N• ' 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 be performed:
Remove and replace metal panels. Warranty claim and no money being exchanged..%� (( 11
IIP f S 44 fa /6 '` ,ayeJ1 t./ filet/ ;6,4 /6".T,1uce f- r5''n, g
Florida Product Approval# Fc-41Ebe=4 "FL (-4 (04.c. II -122 for multiple products use product approval form
Property Owner Information
Name: Michael A Pyle Address: 1753 Maritime Oak Drive
City Atlantic Beach State FL Zip 32233 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Michael A Pyle
Contractor Information
Name of Company: Cache Co LLC Qualifying Agent: Cynthia Paquet
Address 2100 Perry Place City Jacksonville State Fl Zip 32207
Office Phone 904-887-7663 Job Site/Contact Number 904-887-7663
State Certification/Registration# CCC1327143 E-Mail less.cacheroofing@gmail.corn
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation FRSA SIF-01/01/2018
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 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 ATTORNEY BEFORE
RECORDING Y• - ' NOTICE COMMENCEMENT.
A A 6ft,&a- M. tea
(Signature of Owner or Agent in din ontract. (Signature of Co actor) /±1—
Seed
,
Se ed and sworn o(or affirme. before me this , .a;.,/ Si ed nd sworn to or affirm•d)be ore me this t. day of
'�J t , al //, b �A , e 0:'
30�7 , b1
IIIP
,,;,cJESSICALAUR A'�,1, Commission #GG l 0 i.ignature of Notary) / (Sigi Notary)
r iresiffP
3■R"��;� My Commission c p �/ -/—d='�
';`� '.$ 2020 ih� JESSICA LAUREN CRES
•,e„1I October 06,
. • a «_ Commission S GG 36860
0 `f Personally Known OR �(J Personally Known OR t « My Commission Expires
[ ]Produced Identification [ ] roduced Identification �% idlit, October 06, 2020
Type of Identification: Type of Identification: AMP �� �
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