322 6th St re-roof permit J3 y
CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
9' INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0028
Description: shingle re-roof- FL16305 & FL12328.10
Estimated Value: 2300
Issue Date: 1/25/2018
Expiration Date: 7/24/2018
PROPERTY ADDRESS:
Address: 322 6TH ST
RE Number: 169858 0000
PROPERTY OWNER:
Name: SHINEY REALL ESTATE COMPANY LLC
Address: 322 6TH ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AMERICAN ROOFING OF JACKSONVILLE
Address: 3047 St. Johns Bluff Road South #7
JACKSONVILLE, FL 32246
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$7,500.
Ading Permit Applicai . n
J �r
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
-rift Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 322 6th Street,Atlantic Beach, FL 32233 Permit Number: F— F1 0 ^0U aa
Legal Description 5-69 16-2S-29E ATLANTIC BEACH LOT 9 BLK 7 RE# 169858-0000
Valuation of Work(Replacement Cost)$Z 306 Heated/Cooled SF IV?Q 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): Commercial Residential
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No 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:
Complete Tear-Off and Roof Replacement of the detached garage located in the back of the property. 10 squares of Atlas
Architectural Shingles, FL 16305. Underlayment is Tamko TW High Temp Peel&Stick, FL 12328.10
Florida Product Approval# 3,123.00 for multiple products use product approval form
Property Owner Information
Name: Shiny Real Estate Company Address: 322 6th Street
City Atlantic Beach State FL Zip 32233 Phone (904)535-8504
E-Mail peter@armynavyoutdoors.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: American Roofing of Jacksonville Qualifying Agent: Daniel P. Kinkel
Address 3047 St Johns Bluff Road S,Ste 7 City Jacksonville State FL Zip 32246
Office Phone 904-385-4375 Job Site/Contact Number Chris Dennis,904-626-4636
State Certification/Registration# RC90227546 E-Mail dan@a mericanroofingiax.com
Architect Name& Phone# NA
Engineer's Name&Phone# NA
Workers Compensation Plymouth Insurance Agency,WC71949,expires 01/01/2019
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 YOUR NOTICE OF COMMENCEMENT.
i
(Si re of Owner or-A&nt including Contractor) (Signature of Contractor)
d)be re me this J�day of Signed and sworn to(or affirmed)before me this �Sday of
Signed ant�#`rn to(or afiGi
by glf�Za1' r)(A",.— JcLnacd colt , by pang Q e
(Si ature of Notary) (S na re 4 Wotary)
JENNIFER JOHNSTON
NANCY A.MARTIN :•'N:...et;•:
_ = MY COMMISSION#GG 042984
MY COMMISSION of FF 200387 ,_
EXPIRES:May 23,2019 EXPIRES:October 27,2020
ersonally Known OR o: ( ersonally Known OR =,F....•oe: BondedThruNofaryPubticUnderwriters
`oP Bonded 1hru Budget Notary Services
[ ]Produced Identification [ ] Produced Identificatio
Type of Identification: Type of Identification: