151 Seminole Roof18-0076 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
INSPECTION PHONE LINE 247
ROOF NON SHINGLE -
MUST CALL BY 4PMI FOR NE)Cr DAY INSPECTION: 247-5814
PERMIT IN ORMATION:
PERMIT NO: ROOF18-0076
Description: Metal Foot for Screened Enclosure
Estimated value: 5000
Issue Date: 7/11/2018
Expiration Date: 1/7/2019
PROPERTY ADDRESS:
Address: 151 SEMINOLE RD
RE Number: 1706090000
PROPERTYOWNER-
Name: TREUEL LISA A
Address: 151 SEMINOLE RD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Belmar Contractors, Inc.
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,them may be additional restrictions
applicable to this property that my 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 RVAC 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 Cro be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 Uo F I Z_-0_0_7_(6
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@mab.us Date routed�n�Y�____
City web-site: http:#�.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Y-\ Department review required Y No
Building
Applicant: Planning&Zoning
Project: Mf;6�u� Tree Administrator
ti, WeeAe Public Works
Public Utilities
Yby-6-\ Rublic Safety
Fire Servioss
Review fee $_ Dept Signature
Other Agency Review or Permit Required Review=iBy Date
of Permit
Florida Dept.of Environmental Protection
_�iond.D.pt of Transportation
St.Johns River Water Management District
Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: RA__p�proved. E]Denied. []Not applicable
(Circle one.) Comments:
PLANNING&ZONING Reviewed by: Date: 7-10-doi
TREE ADMIN. Second Review: ElApproved as revised. [IDeniecr E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:-
FIRE SERVICES Third Review: E]Approved as revised. E]Denied. E]Not applicable
Comments:
Reviewed by: Date:-
Revised 0511W2017
OFFICE COPY
Building Permit Application Updatesol 5/5/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,I.L 32233
Phone:(91)247-5826 Fax:(904)247-5945 0 T
Job Address: 1,5 f lWd r Permit Number: ebbr-71 g
Legal Description 11 RE#
Valuation of work(Replacement Cost)$ Heated/Cooled SF_Non-Hearted/Cooled—
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Widdow/Door
• Use of existing/proposed structures)(Orcle curi Commercial Residential
• If an existing structure,is afire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Aff!davit of No Tree Removal
Describe in detail the type of work to be performell I , P �-In,v-
C_ \/"
M a:�CbiLt yl I %-,/- I afi 11 PAC ha
Florida Product Approval If /M5 (2 :o? I-L — IC J 'j for multiple products use product approval form
Pronertsir Owner informal Join I
Name; e,gle-f Acldr
C ity fi+11hAt�_ I f f%L IL, State zip� r�'g Phone
E-Mail
15;7ner or Agent(if Agent,Power of Attorney or Agency Letter Required)
Contractor hfifor,�ad X
Name fCD a Qualli ing ent:
0 Kne
Address State
_4 _�City MN ber�al 4— 4
Job Site/W
k- E?OE TXO Il, P Of��I , eja
State Certific E-Ma
Office Phone' —
.ticsReRistra ion�# V
Architect Name&Phone#
Engineers Name&Phone#
Workers Compensation. ta I&Oka, Exernifl>urar/lun.E.&Y.1/Upiradixi Date
Application is hereby made to obtain a permit to work and installations as indicated.I certify that no work or instal ation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of ali 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
RECOTYOUR NOTICE OF COMMENCEMENT.
(Signature of Contractor)
(Signature of uwner or Agent)
(including contractor)
S d and sworn to(or affirrin d)bef re e thsIday of S d and sworn to(or affirmed)before me this "I day of
by � _1 M77
to
X1 0 Not,
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of Identification %--,v Type of Identification: