517 BEACH AVE - ROOF Si1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
34 v� ATLANTIC BEACH, FL 32233
"! s.)a INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0143
Description: RE ROOF SHINGLES
Estimated Value: 10876
Issue Date: 10/17/2017
Expiration Date: 4/15/2018
PROPERTY ADDRESS:
Address: 517 BEACH AVE
RE Number: 170152 0000
PROPERTY OWNER:
Name: SNYDER JANICE H
Address: 517 BEACH AVE
ATLANTIC BEACH, FL 32233-5323
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: PEAK ROOFING & CONSTRUCTION
Address: 8653 VILLA SAN JOSE DIR E
JACKSONVILLE, FL 32017
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$7,500.
0.,...,v,„,4Building Permit Application Updated 5/5/17
.� City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
�,'S Phone: (904)247-5826 Fax: (904) 247-5845
Job Address: Si? Beat/( p4ve A U 3.2233 Permit Number: R E. `F ( 7- t` 3
Legal Description /#7 / &/x .2a RE# /70/SW —el: 90
Valuation of Work(Replacement Cost)$ /o 87A Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): CommercialResidential
• If an existing structure,is a fire sprinkler system installed?(Circle o ). es 0N/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: / �,L t� z� ,
,Pe, y Sig /� O/j u n-°er-to meat--
Florida Y
Florida Product proval# /FL /e
( for multiple products use product approval form
Property Ownfr Information
Name: O4M6C
,, Address: l7 i tg 'City [Sfore,/ State f Zip t.3 Phone_ AVI.1
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Informa ;0 n / ( _,
Name of Company: Fa G / ' I 1 645 VL J Qualify: ent: .e/1�/Vr f/ the,
Address 13 iiiAaye inc- City State Zip 3Z2/ 7
Office Phone .2if ' /Z Job Site/ContafF t Nyin ber I '�
State Certification/Registration# KL/SL S5 1(3 E-Mail /17 D Gt e osi A.f• /'/'e
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation f✓/''I9/' e f//✓✓r
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 B FORE
RECORDING YOUR NOTICE OF COMMENCEMENT. C
1, \
_. . ._ _ 4. \1.A
\\ (Signature of Owner or Agent) (Signature of Contractor'
.e (including contractor) s ,
gn and sworn too affirmed)before me this•day of ed nd sw rn to col.yfir gefore e this /day of ,
o ,,
�X 0 /,by r//.:1!.�r��1'44i.,�T , `� Iy „, c � -J• _ •. e
airitiM
C -jr.-17v- i „QA I o -a l4,% TOtI1 $T� pre°:j Ota ip
�'� r 924951
�L•�t�/� r.OrTlrtl#FF194464 ,�* ^ _r= MY CO" 'JSICV
'' , p EXPIRES:October 6,2019
` Expires 1/29/2019 I `" horded PIN Nctay Public Underwriters
Personally Known OR [ ] ersonally Known OR
Produced Identificationroduced Identification /- ``--� //
Type of Identification: Type of Identification: L� 4_1V,,ss 0.....62 `� 7._
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. ,, Tax Folio No. /77/s ? �o0
State of frAP #1. County of fsv114 I
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF
COMMENCEMENT. D
Legal description/of pprperty being improved: �r 6/ A
&(pt tet/ 3c &f o d
/,O c ,4/ 7e. tw-s' e /Jo , ,t/ /s-/per"4'41/ /7/
Ad res of p perty being improved: �/7 /l ,M /KyStec JL
General description of improvements: �,ea
/47
Owner Ja m G Siplee
Address 377 ruG / "7/%4 e„,yee• 3z23.3
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
r
Contractorfre ,f'df /7 Adderess 1 (/`i
Phone No. 737' ' 9(7� Fax No.
Surety(if any)
Address Amount of bond $
Phone No. Fax No.