325 17TH ST - ROOF r. r 's1 CITY OF ATLANTIC BEACH
9.:- l
7.a ���'`�� ,> 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'"!WI > INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0110
Description: SHINGLE ROOFING
Estimated Value: 12285
Issue Date: 10/4/2017
Expiration Date: 4/2/2018
PROPERTY ADDRESS:
Address: 325 17TH ST
RE Number: 172020 0242
PROPERTY OWNER:
Name: WHITTINGSLOW JOHN D
Address: 325 17TH ST
ATLANTIC BEACH, FL 32233-5822
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: JOHN GILMORE ROOFING, INC.
Address: 11647 GWYNFORD LN QA JOHN CHARLES GILMORE
JACKSONVILLE, FL 32223
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$7,500.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845
Job Address: 2 25 I 741' S4 Permit Number: RER F r7-b ( t 0
a3 1K l 4 �e Iva annq Ui'/pLegal DescriptionLofaril #
oor ea o Sq.Ft. Sq.Ft
Valuation of Work$ / a76-D. Proposed Work heated/cooled non-heated/cooled
t
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial _ � ;
If an existing structure,is a fire sprinkler s st m } stalled? (Circle one): - , No N/A
Florida Product Approval# FL" 1 tL7 L,1 ' .-- � /
For multiple products use product approval form n G 't'r/ 5 /
Describe indetailthe type of work to be performed: P rn4pV� Rei acP tP�(t S-ti no R� f v'
ft L1-1
riuvt r 'mac-c -
Property Owner�Information:
' ✓� n 1—
Name: 0�r1 IN►'t t e'l sI Address: of�S 1 l 4-h � `�
City �10i fli1 G '3e StateaZip Phone —1 10 - 5(900
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:Vl0h/1 Sal l hair R(X) , C Qualifying Agent:�`1 Lj0hrt_ G1(rnorr 3 Zu
Address: 16°150-GO 3(Y� B1ud q� City kJ 1C9��7 State 1 L Zip 3
Office Phone°ICA-UO V(43-1. Job Site/Co tact Number q 55—i SS7 Fax# $ )
State-Certification/Registration# C�057 G 74 $$O -(p
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address ,P .5--, 4 74 43.7?C 0 `P4.7i;7- 3 777
...
Mortgage Lender Name and Address ��"te i 2e. 17 AtoY 1 2 t r
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 ofa 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 o fsix(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 hereby certhat I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type
of work will be complied with whether specified 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 onstruction. /
Signature of Owner ��� / Signature of Contracto ,� r,
/;-//).„7/14<c)
Print Name (T44 h VI,4+1-p/vw Print Name V • , (r) (S I 1 (macrif,
Before me Before me
this 7i° Day of 'Q ""(iz-il' , 20 I / this bay of D e fed,e-/ , 20 /7
(17 r '., � SANf�RA C SL■MF20
.;. e../� ' TAMMY NISHIYAMA i �1 ;r '" MY COMMISSION k rr9011C3
Notary Pujfambh ,.� ,: Notary Public - State of Florida f otary Public �•
,; Commission # GG 064732 7���y �qc�pp�y
•:
R N I P { (jy
M N •
C if
�, 1nj l�+ 'V
c c c
T N C 90
= y V,
`=' "' a aLZ C9 fi''lP7 t±5r 0, '7cn-� + uewvip.awd
.
} u a Lu --aC -saudxeuo uauaoAn
a N � Z�
E E +i1 ria m p s esn,w d n o0 oG$orvia�o�3�
�j�j� �1Nnoe
~ „ o ,o ks �� l l �� ld�fl4 1�1f10�11f1�2i1�?i2i3i�Ilassn aiuuob
z " ----'v+D • o 6le i loZ b0/o l pap�ooa�l aa6ed JaquanNbo,'% weanoQPusanna gS08 abed 6142:71 >19 tlo:69ZZ_/loZ#004
:s' �o: warottDua 11
"• Pa da f3W 'tPanoss
�A+9 M1 �3o6aP t VW 910180
A1NO 351)S.?t3aH03311 aOA 301fdS MMl.
(Peilloeds s!eisPluweISP
e ssePm thuipexeu to exp eta ueou seat(L)euo sh epee uphill/Ore CU)pistueoususuoop smogfo asp uogescaj
'oN ma 'aN eui yd
SsaPPy
euieN
(uopdo VOumO Ie u1 M)'eefnleis ep zc (q)(Z)SITELl yes
W pelted se eopoN vowel,ehp Io Moo a egeo®i oh uosiad eta hep Iwo esue414 uaglppe ul
13N xdd .CN euovd
Sseippy
mush,
:paves eq dew SenndloOP
,apo JO miaow humps uodn AMMO dq pip jieswiq uept MVO'2111J014 to a214S sip ulyI)M uosied Jo euneN
'oh,xed •oh,amid
sseuppq
eWUN
'wuawdmudne sip In tionorkissuoo eel Jai UeOJ a 6ussui uosned due to sse4ipe pus ewes
6.
TIN=4 '0N ecoid
S Pude to Iunowd steiPPV
p t_ ' OlUe1!)AIDS
1 O d1 -0 5.O - h 9 b oh,xed � ?O p o - Q 2.2, �-0�'uN'id
'-222 C '7--11 -)(-1-1r °/b 1 V- >13 s' U3oS (P)-QGKII
U IOU !JUZ6T6 D.AOIAA) Qr) 11vt0 S` UOO
ssaippy
eLLwN
thaulve uBMi J0100 1£)JaPPLIWILL eidwlS mad
.. ,j-u-• pT.s,?--7111suishuudue e4110 see u!ISeisiol vau+uo
72 E' '1,04-1 )1 f ul.- / - 2-4- 4 L I '€
61 -a•ti xeuetueleudwi1op"we
�Yz-z g " )j lam 2,420f -f �4.I Y I ss
` d) ----i a tib, bu t._+IN vA vs -01 711 c r---dol :Pai►oidwl Bum dlisdaid to uo!>dlsosep WWI
AO 33U.ON RIR el PWS of uonetwOM allimpnai all'MOM «ale tit+opp•s awn itoeepioaaa
III Pug•*,»decd IMm Wino 01'Pau eq Illm stuseuemudtuf IIIA Hell mom dgsw f peueitispun esu
:uiaouo3 A.w N wow*of
low 10s
VIM 04.0d Icel. .0N Vowed
(31v ndno et 3liod3$d)
IMI23112WIffilni .ttn a ' T