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1975 JORDAN ST - PERMIT ROOF18-0049 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 7, 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: ROOF1 8-0049 Description: Replace and Repair Roof Substrate Estimated Value: 3662.2 Issue Date: 5/9/2018 Expiration Date: 11/5/2018 PROPERTY ADDRESS: Address: 1975 JORDAN ST RE Number: 1721060000 PROPERTY OWNER: Name: JORDANTHEODOREL Address: 1975 JORDAN ST ATLANTIC BEACH, FL 32233-4371 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Address: 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 forwork 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$7,500. City of Atlantic Beach APPLICATION NUMBER Building Department (To'be assigned.by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 c6 00 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us L at'��'�oqted:. S/ City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Aq-4�-7) PNVr-t91qnt review required Y No Q_QuiIding_,ZD, Applicant: Planning &Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services eview fee Dept Siq nature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: MApproved. []Denied. E]Not applicable (Circle one.) Comments: S" -f P7-Pk" fA Sffr C-4 rd. C—EU17L D 31 )� PLANNING &ZONING Reviewed by: rI.- Date:5 '7'2a 4 TREE ADMIN. V Second Review: F_]Approved as revised. E]Denied. F]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. E]Denied. E]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit ApplicationOFFICE Dra'42)(12/13/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: Permit Number: Zoo'r L�S-- C04(,C1 Legal Description RE# Valuation of Work(Replacement Cost)$ Heated/Cooled'SF Non-Heated/Cooled 4 66) J 0 • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Cornmercial CR�e s�i d e nfi a—I • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes (J�DNIA • 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: t; v-b-C 7L;,,,t- T, 4 4-C C to. W 0 Florida Product Approval# rL /17/S.-K1:2 F L Q q 7:Z q for multiple products use product approval form Propertv Owner,linformation Name: I haa A tv e / , 1tjr1r_,A,, Address: Cit )_b� R,04& State a zip P�one (Ife E-Maill Owner or Agent*Agent, Power-of Attorney or Agency Letter Required) Contractor Information Name of Company: Qualifying Agent: Address City_State Zip Office Phone Job Site/Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation 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,etci!N'@ITII�.C-E.]I-nTa-dj-diliotoat.�eq_,i Ue—m,,eR-,srofJffl,-i.9 Ile I L!h 2 M1,ay Me e a i i riaI0iEe_sVrii_Cti5nAs!1 ffct 6 i:i RMffisi 1� jo7u7n-dii-nT.FpuOl�i�cor�-srofCt-ii agglan, a 6 0W F, T 1 11 1� �E���nL.t.lt S% __ vii e, Re I O!V Lm e n ta I e n ie a Men,laistriic-fsis telagen,ge q 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 NOTI_ OF COMMENCEMENT. C1 (SignTture of_0—wRe"r or Agent) (Signature of Contractor) (incl ud!7gcontractor) d)befo[e me this 30 day of Signed and sworn to(or affirmed)before me this day of NIFER J L)dbe(0- 1&7&af� by Y MYL;UMMIS-510 EXPIRES:0dober 27,2020 I a t rs .A,,0:_0. Bonded n"Notari Public U igNA�jdof Notary) (Signature of Notary) Personally Known OR Personally Known OR [V�roclucecl Identification Produced Identification Type of Identification: FL_ &(�J��s �,L,0,�k- Type of Identification: UOC ff ;eU1114U4U2, UR BK lUU19 Page 1091, Number Pages: 1, Recorded 06/15/2017 at 08:55 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 Py NOTICE OF COMMENCEMENT OFFICE L;U (PREPARE!IN DUPLICATE) Permit No. A Tax Folio No. Slate at pkcr�c�c, County of To whom It may concern. The undersigned hereby Informs you that Improvements will bo made to certain real property,and In accordance with Section 713 of the Florida Statutes,the following information Is itatod In thlj NOTICI!OF COMMENCEMENT. Legal description of property being Improved'. e)-c-f -61f) fT z 12-SaC) 6/11 A�L. VQIR Address of property being Improved' t9`76 General descriptIon of Improvements: 9--r- Owner 3 Q C-6C:k n -TVCf-IQ& Address rzo-- eiytC:kC6Q Ownaes Interest In site of the Improvement OLL...,j3-C C Fais Simple Titleholder(it other than awrier) Nume Rogero anrl Williams FILdIding and 0 onfing Conlracials Address 3415 Karl Read,Jacksonville Florida 32257 Corittactori erem8y S.Rogero Address 3415 Karl Road Jacksonville Florida 32257 Phone No.004-519-S463 Fox No,004-619-2400 Surely(if any) Address Amount of bond Phone No. FaxNo. Name and address of any person making a loan for the coneStrUction of the Improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon wht]rFk notices or ather documents may be served' N.ame I oramey S.Raywo Address 3415 KoN Road,j acksonville Florida 32257 Phone No.904-S18-5463 Fax No.904-619-2400 In addition to himself.owner designates the following person to receive a copy of the Llenoes Notice as provided In Section 713.06(2)(b),Florida Statutes.(FIJI In aj Owner's option), Noma Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date of recording unles-4 a different date Is specified): A Nis SPACE FOR RECORDER'S USE 014LY OW R G onfid:Y &A 1)4�1,ftth. wain fly PAUL ROOERT CASSE"A are true and aCCLItAtO Commission#FF 39166 My Commission Expires July 24, 2017 rPubl.1call-drge.-Slat"Ll,kou '*-- It co ninlission expires: I.! arsonaliv 11(nown ........ of CITY OF ATLANTIC BEACH OFFICE COPY OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RE SIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT I-ERE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. __j 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. 111. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ADD�RE S PHONE NUMBER PRINT NOME L; 9t(9NATUKE DATE Before me this day of 201%in the county of Duval,State of Florida,has personal�y appeared he'rin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of County of 1OHNSTON 42984 1 0 My )N#GG DO E ,27,2 Pubk UW d �0 P nally Known JENNIFER JOHNSTON Zo,ou.ed Identificafion- V uo J,-F My COMMISSION#GG 042984 i EXPIRES:Oct0ber27,2020 B&GInded Thru Notary Pubft Uriderwft. Notary Signature: FJBLDG/Omer-Build -tv-SED:4/16/2009 'ATLANTIC BEACH CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION—PHONE LINE-147-59-14 ROOF NON SHINGLE - OFFICE Curt MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFOR14,KTION: PERMIT NO: ROOF17-0050 Description: SHINGLE AND TOURCH DOWN ROOF Estimated Value: 5981 Issue Date: 12/21/2017 Expiration Date: 6/19/2018 PROPERTY ADDRESS: Address: 1975 JORDAN ST RE Number: 1721060000 PROPERTY OWNER: Name: JORDANTHEODOREL Address: 1975 JORDAN ST ATLANTIC BEACH, FL 32233-4371 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: FLORIDA ROOFING EXPERTS, INC Address: 4320 DEERWOLF LAKE PKWY SUITE 403 JACKSONVILLE, FIL 32216 Phone: PERMIT INFORMATION: Please see aftached 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 NOTICK OF COMMENCEMENT. * A notice 6f 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. A OFFICE COPY Residential Roll Roofing I Techado Residencial de Rollo Residential Roll Roofing Techado Residenclal de Rollo APPLICATION INSTRUCTIONS FOR MINERAL GUARD'RESIDENTIAL ROLL ROOFING INSTRUCCIONES DE APLICAC16N PARA TECHADO RESIDENCIAL EN ROLLO DE MINERAL GUARD" CAUTION!Keep rails dry and off ground completely protected from weather. iPBECAUCIIJN!Mantenga los rollos secos y lejos del piso completamente protegidos de las condiciones climdticas. 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ROLLO DE TAMANO METRICO uFFICE COPY INSPECTIONS REQUIRED FOR PERMITS To verify compliance with building codes,inspection of the work authorized at various points of the construction are required.The following inspections are typically for residential projects Date: Initial: Date: Initial: Power Poie Swimming Pool steel Swimming Pool Safety Piers Electrical Grounding&Bonding Underground Plumbing U11617 the pool and deck steel is in place but before it Is covered. Underground Electric swimming Pool Final Foundation/Footing Slab Additional Inspections may apply to your project,if your project Retaining Wal-I Footing contains these elements. Rough Electric rFormed Columns/Beams *W17en forms and reinforcing steel, anchor bolts, sleeves, and inserts, and all Rough Plumbing/Top Out electrical,plumbing,and mechanical work is in place,butbefore concrete is placed Rough Mechanical *When a#rough electric,Plumbing,mechanical are complete but before any work is [Structural Steel covered up. *When all structural steel members are in place and all connections are complete,but before such work is covered or concealed. House Wrap V T-ie-down Framing Connections Swwae %. To-PzH Wall Sheathing PermitType Rough Framing Roof Sheathing Roofing In Progress Window Installation-Door Insulation Ceiling os 0 Insulation Wall Permit No. Exterior Lath 19*75 -S o#t0WWS7r Scratch Coat Job Address Drywall/Tile Backer Board rLDRIOA, RooPi0a 6 lop .Whe�, all wallboard is in place but before joints are taped and finished. Contractor I Early',Power POST THIS CARD WITH PERMITS Gas Rough IN FRONT OF BUILDING Gas Final Inspection Line;904-247-5814 *When all gas piping Is complete and wallboard is installed but before gas is attached to Must Gall By 4PM Previous Day any appliance.All outlets must be capped and pipe pressurized at a minimum of 15 lbs. Building Department Fire Department Phone:904-247-5826 Phone:904-630-4789 Final Plumbing Fax:904-247-5845 Fax:904-630-4203 Final Electrical Public Works/Public Utilities Final HVAC Phone:904-247-5834 Final Building Fax:904-247-5843 1 GC Final Construction Hours per City Code *When all construction work including electrical,plumbing,and mechanical,exterior finish 7 am-7 pm Weekdays grading,required paving,and landscaping are complete and the building is ready for 9 am-7 pm Weekends occupancy but before being occupled.