697 BEACH AVE ROOF NON-SHINGLE ' 1
r
11_. CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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: ROOF18-0042
Description: tear off shingle roof& install aluminum metal roof
Estimated Value: 15849
Issue Date: 4/12/2018
Expiration Date: 10/9/2018
PROPERTY ADDRESS:
Address: 697 BEACH AVE
RE Number: 170119 0000
PROPERTY OWNER:
Name: DEHART ANDREW
Address: 697 BEACH AVE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AMERICAN ROOFING OF JACKSONVILLE
Address: 2117 University Blvd. S
JACKSONVILLE, FL 32216
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.)
800 Seminole Road
j � Atlantic Beach, Florida 32233-5445 l Q`
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: CP
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: - I ( (/\ /�1Q De artment review required Yes No
Buildin
Applicant: Planning &Zoning
Tree Administrator
Project: (\S ky ��"l (OU J—r 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 B
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. []Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING ` 20�
Reviewed by: � Date:
TREE ADMIN. Second Review: []Approved as revised. ❑Denied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
I Building Permit Application
OFFICE COPY
City of Atlantic Beach
'J
800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 697 Beach Ave,Atlantic Beach,FL 32233 Permit Number: f'yU D — 00 LJa-
Legal Description 5-69 16-2S-29E.13 ATLANTIC BEACH LOT 6(EX W 90FT) BLK 15 RE# 170119-0000
Valuation of Work(Replacement Cost)$ 15,849.00 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): 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 of shingle roof on main house only. Install Gulf Coast
.032 Aluminum Standing Seam Roof.
Florida Product Approval# FL 11651 for multiple products use product approval form
Property Owner Information
Name: Andrew Dehart Address: 697 Beach Ave
City Atlantic Beach State FL Zip 32233 Phone
E-Mail
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 2117 University Blvd S City Jacksonville State FL Zip 32216
Office Phone 904-385-4375 Job Site/Contact Number Chris Dennis,904-626-4636
State Certification/Registration# RC90227546 E-Mail dan@americanroofingjax.com
Architect Name&Phone# NA
Engineer's Name&Phone# NA
Workers Compensation Builder's Mutal Insurance#WCP1052393,expiration 5/3/2018
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.
Signature of Owner or Agent including Contractor) ignaturteof Cont actor)
Signed and sworn to(or affirmed)before me this day of Agneedd and sworn to(or affirmPrll hafor+eJme this;?—(,a day of
Mr /�
Mrd, 2018 by r��4MW DItt�k T 'h Ca,fJr% by[>-v) V—take-Illi
(Signature of Notary) (Signature of Notary)
Denise A.Ennis
Deritse A.Ennis \ NOTARY PUBLIC
]Personally Known O NOTARY PUBLIC �+personally Known OR " ` STATE OF FLORIDA
[ ]Produced Identifica STATE OF FLORIDA [ ]Produced Identification t Gomm#FF966426
Type of Identification: Comrrr#FF966426 Type of Identification: "��`��' Expires 3/1/2020
Expires