920 SAILFISH DR - RERF18-0111 `t� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
: ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0111
Description: shingle re-roof FL183551.1 & FL15216
Estimated Value: 8000
Issue Date: 5/15/2018
Expiration Date: 11/11/2018
PROPERTY ADDRESS:
Address: 920 SAILFISH DR
RE Number: 171164 0000
PROPERTY OWNER:
Name: JODY LYNN SOMMERS
Address: 1648 ATLANTIC BEACH DR
ATLANTIC BEACH, FL 32233-4219
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Cost Plus Roofing
Address: 1438 Lewis Street
Fernandina Beach, FL 32034
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$7,500.
Building Permit Application Updated 12/8/17
City of Atlantic Beach
e. 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: !�ZO 4 loo G /�-(i ��efvn/G � t' Permit Number;__(�_ 3 � _ p 111
-
Legal Description Z. -� �U�/(> //71ZJ 4�—&"0 620
Valuation of Work(Replacement Cost)$_T�/J U Heated/Cooled SF?7S� Non-Heated/Cooled_
• Class of Work(Circle one): New Addition Alteration epair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
e If an existing structure,is a fire sprinkler system installed?(Circle one): Yes � 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:/� T t�s��� �u�/fv�C�✓� o� Op¢
Of
Florida Product Approval# e- `�� r ultiple products use product approval form
Property miner Inforrrtation
Name: U ! Acress: L
city .Zr/ State L zip 3 _Phone �/ ,�,( Z-1 j
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
c _
Nameof Coma y: U �+ 2U , qualifying Age t-==f-
Address an City--5tal 1
; State rp_3ZCi 6-/
Office Phone V �- Z _ Job Site/Co tact Number
State Certification/Registration E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
xempt Insurer/Lease Employees f..Expi pM4- 2 Z -� j
Application is hereby made to obtain a permit to do the work and installations asndicated.l certi o work or nstalla ion hasY�
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.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.
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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO�}RTAIN INANCI G CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING OUR N 'VICE OF COMMENCEMENT.
(Slk ature`ef-bwner or Agent) � V (Signature of contractor)
including contractor)
Signed and sworn too affirmed)before me this day of Signed and sworn to(or affirme )before me this til day of
zr t by ��c�� Som mer V-"Ic � by
=oµ+;;�4� JENNIFERJOHNST N
MY COMMISSION#GG g Notary)
now
- '
EXPIRES:October Zr,2020 i r Nota ( g a of Notary
'O°`�^� �o ded �ryPublicUnden�iters
[ j n QR Persanaily Known OR
r uc Iden-f ratio Ripf duced identification
Type of identification: (',J 1[ L P_'j
JENNIFER JOHNSTu
=q MY COMMISSION#GG 042984
�• ;a EXPIRES:October 27,2020
'%;FGF FCo?•' Bonded Tlw Notary Public Underr+riters