480 SKATE RD TORCH DOWN ROOF rj J'J
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
v~ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF NON SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROOF18-0029
Description: TOURCH DOWN ROOF
Estimated Value: 6275
Issue Date: 3/15/2018
Expiration Date: 9/11/2018
PROPERTY ADDRESS:
Address: 480 SKATE RD
RE Number: 171566 0000
PROPERTY OWNER:
Name: MCGOVERN CLAIRE S FAMILY TRUST
Address: 3620 12TH ST NE
WASHINGTON, DC 20017
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: RON RUSSELL ROOFING INC
Address: 4419 HUDNALL RD QA RONALD WAYNE RUSSELL
JACKSONVILLE, FL 32207
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
r 800 Seminole Road R�f--
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us L Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: `rt S o SK�,Ic Department review required Yes No
Building
� U_S�_Sc
Applicant: 2C�N 6C-(- C�d�c�C� annmg Zoning
Tree Administrator
Project: C,2 D'D
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:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. [5enied. [-]Not applicable
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: Date: / 3 e1vl
TREE ADMIN. Second Review: A roved as revised.
[�pp [-]Denied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date: 311 2v/
FIRE SERVICES Third Review: ❑Approved as revised. ❑De ied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017