546 AQUATIC DR - ROOF j!yL`171:
4.4
LS CITY OF ATLANTIC BEACH
Mya ? 800 SEMINOLE ROAD
s,n ATLANTIC BEACH, FL 32233
'� il5) INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0172
Description: RE ROOF SHINGLES
Estimated Value: 6500
Issue Date: 11/9/2017
Expiration Date: 5/8/2018
PROPERTY ADDRESS:
Address: 546 AQUATIC DR
RE Number: 171818 5182
PROPERTY OWNER:
Name: LES CONSULTANTS PIGE INC
Address: 60 OCEAN BLVD SUITE 15
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ELS ABATEMENT & CONSTRUCTION INC
Address: 1408 ST JOHNS BLUFF RD N
JACKSONVILLE, FL 32225
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$7,500.
Nov 01 1705:58p p,1
•
ilo� . r Building Permit Application updated s/5/17
_ ( City of Atlantic Beach
c ..
800 Seminole Road,Atlantic Beach,fL 32233
Phone:(904)247-5826 Fax:(904)247-5845
��(( / j� Rea?'/7 I ,..
Job Address: �7'[�P ��GL�(=j G,��-� `T`�(�� Permit Number: 6 �
Legal Description 3$--I t I/—251-2: slucp,+�-c,44... a L TQQE# I—it Sig '-v beZ
'Valuation of Work(Replacement Cost)$ (pSbC) Heated/Cooled SF Non-Heated/Cooled
• Class of Work(circle one); New Addition Alteratio Repai Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esidenti
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes 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 toerformed:
Florida Product Approval# Rt ct 2 L}- R 14-1 i-j_gilt-LRYARNOultiple products use product approval form
Property OwnerInformatijo"„n �
•
Name: Le d 1.a1'tCtaK6 e__• Address: P.O. GOK 33(09
E-Mailcity ` !® '1,; �.:tee— Zip 3OZD5SA ! one /03— gt (.c�
Owner.or Agent(If Agen Power of Attorn-y or Agency Letter Required) t °el 1 'Pp,
Contractor Information
Name of Company: . .t. - M.- ' :i4 St. iigialifying Agent:elAr4 1- Word$ft;t 4.2tir 6A R O
LM
Address 1408 St 311",-,..s.
CIU.-44r"'tZd City .5•1/44...14.9ar�Ki tt¢State Ft. Zip 3kz.7sr-
Office Phone zi oto- Zl3,t0-1441 Job Site/Contact Number cf o'4-rjSQ..-,4 17•
State Certification/Registration# P AC...o_$41g I E-Mail j 1Do:.,tv,t.s.0 -ells‘G-10 is,r„ o_e,wk
Architect Name&Phone# OA
Engineer's Name&PhD,§..:.. _ •
WorkersCom ensatio ln) s3� iF�_ lIkk ` !i !/ ~,
p N � i �a'i '� 'd'�� .ir2%'` 4.4� ;�1: �
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
R CO• s'ING YOUR NOTICE OF COMMENCEMENT.
{Signature of Owner or Agent} lr .
(Including contractor) _ (Sture of Cob/ ,
Signed and sworn to(or affirmed)before me this 9�
I"day of Signed and sworn to(or affirmed)before me thisq�day of
Uerewr eP' , 261-1 ,by `,EIVIIIIIK� Ke. N.)`4eAwt.�ey Oct by ZTarle4- Millon 1qt : i.•me5
Burma
„1 NOTARYFUaue7ao6,ai Signatu- tary)OOIddNONPIFAgN[iF.taiG2llll � iSignatg e€Uatal=., _ _ _
NYLOMUSSIONpiPCESOLTOSEA91,2718 110/ ” . ii'+'•" \•
r;'wv' BROOKRENEELYDTiN�
+��• N Notan,Public-5tateofFlarida
1,,,,.1.4 iikCommission r GG 142858
[]Personally Known OR ' = MyComm,ExpiresQct20,2021
[]Personalty Known OR .,,,
Lii(Produced Identification _ rpers.uughNatio,____ _
1. tY W&' C L1 ¢y Produced Identification
Type of Identification: Cox Type of identification::_,fL1DL IA:5-m'3 q``-i1/4iSP. t,
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