890 SEMINOLE RD - PERMIT RERF18-0133 ri�l
CITY OF ATLANTIC BEACH
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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: RERF18-0133
Description: SHINGLE ROOF
Estimated Value: 15600
Issue Date: 6/4/2018
Expiration Date: 12/1/2018
PROPERTY ADDRESS:
Address: 890 SEMINOLE RD
RE Number: 171970 0000
PROPERTY OWNER:
Name: LINING JOHN H
Address: 890 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5446
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SUNRISE ROOFING COMPANY
Address: 762 7TH AVE S
JACKSONVILLE, FL 32250
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 W8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 Q p /l
Job Address:890 SEMINOLE RD.,ATLANTIC BEACH,FL 32233 Permit Number: r \ ERPI— JP — 0133
Legal Description 29-27 16-2S-29E SELVA MARINA UNIT 3 LOT 3 BLK 7 RE#171970-0000
Valuation of Work(Replacement Cost)$15,609.00 Heated/Cooled SF 1985 Non-Heated/Cooled 1398
• Class of Work(Circle one): New Addition Alteratio Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Click one): Commercial CResulant
• If an existing structure,is a fire sprinkler system installed?(Clack one): 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:RE ROOF WITH OWENS CORNING DURATION ARCHITECTURAL SHINGLES AND
RHINO SYNTHETIC UNDERIAYMENT
Florida Product Approval#FL10674R32 SHINGLES,#FL15216 RHINO UNDERLAYMENT for multiple products use product approval form
ProoertV Owner Information
Name:JOHN LINING Address:890 SEMINOLE RD.
City:ATLANTIC BEACH State:FL Zip:32233 Phone:904-607-4766
E-Mail: JOHNUNING@ATT.NET
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company:SUNRISE ROOFING COMPANY Qualifying Agent:TRAVIS BERKEY
Address:7627TH AVE.SOUTH City:JACKSONVILLE BEACH State:FL Zip:32250
Office Phone 904392-8580 lob Site/Contact Number:TRAVIS BERKEY 904-495-1835
State Certification/Registration#CCC1332238 E-Mail:LESLEY@SUNRISEROOFS.COM
Architect Name&Phone#
Engineers Name&Phone#
Workers Compensation:EXEMPT to i5 20 IS
Emmet/Insurer/lease Employees/Expiradon pate
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.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 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 NOT[CE OF COMMENCEMENT. T- /4
,
tureof Owa or Agent) (Signature of Contraeft
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Doo g 2018131111, OR BK 18408 Page 2110, Number Pages: 1,
Recorded 06/04/2018 10:51 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
�--- � Tac Folio No. 171970-0000
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