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2233 SEMINOLE RD #6 - PERMIT RERF18-0130 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: RERF1 8-0130 Description: REROOF- SHINGLE Estimated Value: 4392 Issue Date: 6/13/2018 Expiration Date: 12/10/2018 PROPERTY ADDRESS: Address: 2233 SEMINOLE RD UNIT 6 RE Number: 1695190112 PROPERTY OWNER: Name: HARRISON VIVA Address: 2233 SEMINOLE RD#6 ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Triton Roofing & Restoration LLC Address: 480 State Rd 13 Ste 106-348 St Johns, FL 32259 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$7,500. City of Atlantic Beach 'APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road ` F `9-0 13 0 Atlantic Beach, Florida 32233-5445 /0 hone(904)247-5826 - Fax(904)247-5845 X E-mail: building-dept@coab.us r uted: Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 27-255 3eM(*t1oI(0 =k%5p Department review required Yes 'No B di-1d in Applicant: Tr —Planning &Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services �Rey�iew fee Dept Siggature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [9-Approved. ElDenied. []Not applicable (Circle one.) Comments: �EAMDJN L3 PLANNING &ZONING Reviewed by:_ Date: TR.EE ADMIN. Second Review: FlApproved as revised. F V -]Not applicable ]Denied. F PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. F]Denied. F]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ion Updated 12/8/17 ntic Beach JUN 1 IL 800 Seminole Road,Atlantic Beach,FL 32 q __1 : OFFICE CopTuilding Permit Appli 2018 City of Atia Phone:(904)247-5826 Fax:(904)247_581�a Job Address: 0. � Permit_Nu_imb,_-9_E_WJ9:4(_3, Legal Description RE# zan Vj/ . Valuation of Work(Replacement Cost)$ q3 . /4g, Heated/cooled SF q00 Non-Heated/Cooled Iterati R�e air Move Demo Pool Window/Door Class of Work(Circle one): New Additio 11 Firat, 'r 'v Im r Use of existing/proposed structure(s)(Circle one): mterciaD Residential If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 0-Al 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: no Florida Product Approval# RZA for multiple proc1qJ1 use product approval form Property Owner Informat.ion KCO t�ITOC, Name: �)CeftnVl I Njd k_ 1I DIC- Address:192�; city State zip Phone E-Ma r I ct( Owner or AgentTt- lf Agentdower of Attorney or Agency L4vr Required) Contractor Inform*****ation R(-Y-fi-11 Q 4 f'ej- D Fa�iCO, all AE Name of Qompany: r City ,Tln�A ;ent: Address 4001�>V_0&1 Ic1q, 6 h Q!S_> State L_ Zi e — - p_ Office Phone_qQU. talq_K1_7f,1_1. Job Site/Contact N ber State Certification/Regis-tration# E-Mailth. 44T7rM71QCk5b!2V111e- cgyP? Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Bml)�Pnijln .1/ Exempt/Insurer/Lease Employees/Expiration Me 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 a's 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 )COU,R NOTICE OF COMMENCEMENT. J4 JSigAure_0f0wnerorAgVnt)l, o,*fSignature of Contractor) (including contractor) irnjelp�efore thi d y f o:r=ffirmMf re met i I %-Ie r p7A05ej by n LCsignArjamtary) C MMIff IO�NES & 1416sy KANIES ersonally Known 0 GG092596 rk�lrsonally Kr EXPIRES April 10,2021 My COMMISSION#GG092596 )fqproduced Identifica i ]ProducedidEl F. '0 EXPIRES April 10,2021 Type of identification, Type of Identific Ai Doc # 2018114760, OR BK 18387 Page 3, Number Pages: 1, Recorded 05/14/2018 04 :40 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDWG $10.00 OF F I C E C"'0"r"Y' T�QTXCX,or cow=XeWIM-T. (PPAPARE IN OUPUCATE) EL.�-0/170 Tax Folto No.see legal deWption state of F-Ma county C( GO— T*Whom ft may concern: realpropay. stated In Mjs,,NGTjCE OP 'COMMENCEWENT. LefialftscligonelpMeM being improved:G9-2S-ME Ocean Wage one4'�' Mnwfn Address of properly Wag Improved-2233 Sembole Read Units 6,7,14, 15 Atierft Beach.FL 3=1 Cienetal deselipflon of improvemeift:rerad of each mdmdual urut Wed below 5.7.14.16 Owner Ocean Village Assocbtlon,Inc C/O MeMn&Floyd Realty Inc. AddreU"1826-A North 3rd Street Jadmonvffle Bearh,FL 32250 Owners Inwest in sne of the im�nj PteadW of AmdartvA Geor"RWge Fee Stmple Titleholder(dother than m�ner) Nome Addless Contractor YMCA Roolho&Restamlion.U.0 Address 450 SM 13N-!Ste 106 S1 Volahr'Vil.32259 phone No. _Fax tja 90CIMM23 Surety(1fany) AdMoss of bond Phone No. Fax No, Name and addrm of any person makIng a loan for the catsinmtion of the Imptavaments. Name Address Phone No. Fax tft Name doemonvAlft the Swo of Florift.wher than wmsev.deg"eaby owrw upon wtwm notce,or uftj documenz may be smed: Name AftesS Phone ft. Fax 1n-z&ffw1o,'h1mzw(.owner -pemoni ioiwcavv a COPY Of#k&UWwfs WoUM as pwwded in ftdon 713.08(2)'jb).FwM Swam.(M im ej ovmr-9 gpft). Name Addfess PhoncNo. Fax No. r--xpftUon date of Notlasof Commencement(ft GxPbWJ*M date is one(1)year from the date of recordmq unless a dftmMale Is swft* THIS SPACE FOR RECORDER'S USE QWNSR DATE 57ri�f h a�wl�Mth a Far