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1221 MAYPORT RD - METAL ROOF 1) .-- �4"A CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD Ti �. �z ATLANTIC BEACH,FL 32233 '''JR !-) INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: 16-ROOF-2692 Description: RE ROOF - METAL Estimated Value: 14369 Issue Date: 10/9/2017 Expiration Date: 4/7/2018 PROPERTY ADDRESS: Address: 1221 MAYPORT RD RE Number: 171090 0100 PROPERTY OWNER: Name: Address: GENERAL CONTRACTOR INFORMATION: Name: Address: , Phone: Name: Address: 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. BUILDING PERMIT APPLICATION I CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 I ( — IZ C C) F - GA 7 Job Address: /2a( /140 f ot-'1" Permit Number: Legal Description"'v 'g-•(?-2qE . I I\`%,0.( putt c/D Parcel# 6 7/O% '0/ID l�2/ Floor Area of Sq.Ft. Sq.Ft Valuation of Work$1(j/b1• ©0 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration 'epair Move Demolition pool/spa window/door Use of existing/proposed str • e s (circle one): o - - •ential If an existing structure, a fire sprinkler system installed? (Circle on• . Yes No N/A Florida Product Appro al# 07544, R c, n G e-D For multiple products • • •eruct approvalorm Describe in detail the type of work to be performed: G�� ` "r�`, eA !� s 11/PJ✓ /'ems etc\�d /le�m i ft9 14/I�-�; 1 ivs /lin j /1",a/ C'z .�fv 1r C, .441/1/14 p. ct ll At q 71.0, At 4'fly le/.49,4444 A,ead,,c, 4,„5. PropertyOwnerInformation: r �/ �/[ r� Name: :- fer c4fc u-g ( OfPee 6TA AJ Iddress: �2 7 mvtyCity 3aSvvt((e State rZZip -22(6 Phone ?o4{, 373•• as'78 E-Mail or Fax#(Optional) `c. u ' r �, - -- . �C• 0141 Contractor Information: 7 le Company Name: Cic r Cc efe,(51./ Qualifying Agent: PA7/�o �Address: tf/ �� /2-i. g, City LiU/oL State f[ Zip ?Zprn Office Phone '7oy 6,5/6 -8601 Job Site/Contact Number / 901/ bVG- R7o9 Fax# State Certification/Registration# Architect Name&Phone# $77 -71G Engineer's Name&Phone# 90Y—.200'0V 5-7 Fee Simple Title Holder Name and Address gi 3 frfeLt "? y— l v 0 Bonding Company Name and Address Mortgage Lender Name and Address CaP14r1v&4-1 Ftc C/'eM (14;isti e 3 ckSukv1' 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 laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers,Heaters, Tanks and Air Conditioners,etc. 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 YOUR NOTICE OF COMMENCEMENT. I herebycertify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type ofworkwill be complied with whether specid herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state,or local law regulating construction or the performance of construction. ) A '"i / �� 0......0i► Signature of Owner �`�� Signature of Contractor 'WARM A(a,(-' Print Name D(� Print Name l 1....1-1 (4.1 p..... TZ0. ).6,ry Sworn to and subscribqd..before ripe Sworn to and subsc 'ted before me this " cji a f /V 1 en1,b-c , 20 r4 this bay of :�;:;.',. ,. 11P" '144,- 20 (MLAiZ _. 3f Notary Publi 'otary ' blic Revised 01.26.10 ,, ;:'P ALEX N.POWERS S IY P�� +a',., ;= MY COMMISSION#FF 897944 .►a �e� , TIFFANY LANE - �� '*' 'i ° ` EXPIRES:July 12,2019 *� s Notary Public-State of Florida °%} Public Ondervrcilers i �= My Comm.Expires Jun 1,2018 ..4,1 kl,,• Bonded Thio Notary '' r� o� ,48FF‘o?``' Commissio^ # FF 12811= sytv_ty:, City of Atlantic Beach � �1 Building Department APPLICATION NUMBER j � (To be assigned by the Building Department.) Y • 11 800 Seminole Road �� _ r� Atlantic Beach, Florida 32233-5445 „ - 1 00 - Z; Z � , Phone(904)247-5826 • Fax(904)247-5845 -711011.r- I E-mail: building-dept@coab.us Date routed: Z City web site: http://www.coab.us mi APPLICATION REVIEW AND TRACKING FORM Property Address: I ZZ- ' PAIWPO -T (g i) De artment review required Y‘75r No uilding Applicant: Gp,�op_C TL( \z�.., p-�,�C; •ng &Zoning Tree Administrator Project: Nk..(2_77Pi K.cD Q Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: iAPP ATION STATUS Reviewing Department First Review: I Approved. I 'Denied. (Circle one.) Comments: n l BUILDING i U PLANNING &ZONING I .iDate: Z"C(9-1- b Reviewed by: TREE ADMIN. V Second Review: DApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: I 'Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09