664 BEACH AVE - PERMIT RERF18-0125 JS 1>r`lY�
7 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: RERF18-0125
Description: Reroof Shingle FL#10124 FL#12328
Estimated Value: 8820
Issue Date: 5/30/2018
Expiration Date: 11/26/2018
PROPERTY ADDRESS:
Address: 664 BEACH AVE
RE Number. 170128 0000
PROPERTY OWNER:
Name: MELANCON DEJEAN JR
Address: 664 BEACH AVE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: TOWNSEND ROOFING & CONSTRUCTIONS SERVICE
Address: 10418 NEW BERLIN RD UNIT 115 OA RANDY CRISS
TOWNSEND
JACKSONVILLE, FL 32226
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 pennit,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 govemmental 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$7,500.
Y ' Building Permit Application Updated SM17
"* n City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233 /��S ($_ D 1 Z 3
Phone: (904)247-5826 Fax:(904)247-5845 h Qp
Job Address: boy ou" AVC Permlt Number:
Legal Description `I-J5 Ib73-29E -`I�N�.keIF glf flklb RE# 17o I Z$-OO�D
Valuation of Work(Replacement Cost)$ g%i0 w Heated/Cooled SF Non-Heated/coded
• Class of Work(Orcle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esl entiaP��
• Ilan existing structure,is afire sprinkler system installed?(Circle one): Yes l_% N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
F
Describe In detail the type of work to be performed: i.p r kfp, IActm,"* 6/T F 7'•n 1,�t HO
Cinrl..slT twe ogd,14p ) /V)."y} �vt�rd ( 9,A,',.k Uttk44,v,--t FLI7,3L8
Florida Product Approval# 1017,4 for multiple products use product approval form
Property Owner Information
Name: urt z ¢AR Address: 41 ,V,4 /IK
City *& •c Aut&i, State�2lp 327,3)r Phone oy- 504' I
E-mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information /
d ri rf;a Y YwOuali ng Agent: rAr.�� T AO
Name of Company: N CN e 9 CoKs�rayl+m fyi PlyRst
Address-111—t-1 Nar bt�1:A Rd ilk Gty TAJr State FL ZIp 322716
Office Phone 104- 645-5067 Job Site/Contact Number 01
State Certification/Registration# [u.137,6Z199 E-Mail CZ;{ 10�+s+h fiP T�, Ue4
Architect Name&Phone#
Engineer's Name&Phone#
WorkersCompensation fell / 4cm. fi� SS x I7, 41 14
Exempt/Insurer/4ax Employers/Explratbn bate
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
RECORDIYONCL UROFCOMMENCEMENT.
(SIgnature of Owner Agent) (Signature cd
(including contractor) ,µ, 0Slgned and sworn to(or afBrmeQ)before me this T day of Signed and sworn to(or a n before r ay o/f
CHRISTOWNSEND_ /
Comma"JIGG188868 (SignaturedNotary) gnatureof Notary)
a` Explm March 25,2822
r�?ornd asa.a MuabprlNrM6•Nes NAyylie
Personally Known OR (n y Personal) Known ORI Produced Identification L I Produced Identification axta•+MNNwa•nr
Type of Identification: Type of Identification: