1886 Beach RERF18-0203 Aft
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
IV INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0203
Description:
Estimated Value: 5000
Issue Date: 8/16/2018
Expiration Date: 2/12/2019
PROPERTY ADDRESS:
Address: 1886 BEACH AVE
RE Number: 169542 0604
PROPERTY OWNER:
Name: PELKEY LISA S
Address: 1887 BEACH AVE
ATLANTIC BEACH, FL 32233-5938
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HAMMER TIME ROOFING
Address: 13465 SOLEDAD CT DR
JACKSONVILLE, FL 32204
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$7,500.
34axL 0
^ar BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH /
800 Seminole Road,Atlantic Beach FL 32233
✓l
Office:(904)247-5826 • Fax:(904)247-5845
Sob Address: D,,, L A,,. " 1i 1 &,,L =l3o�a231 Permit Number: �'($-o�3
/�9
Legal Description 4l-t99 -AS- �� l.,� 3d dtlf l RE# l"4d-/36001
d9s
Valuation of Work(Replacement Cost)$', ,' _Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing(proposed structure(s)(Circle one): Commercial n
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes o UY
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: j
jt c,p [ (4
Florida Product Approval# A In r94- ,CI for multiple products use product approval form
Property Owner Information
Name: Address: R.
R C. .r�tsro
City State ilt_3a[22,3 Phone (9041 S d t-4
- ( 3
E-Mail ` - - ' a� - a i r
OWneror Agent (lf Agaa,Powaof Agency Lean Req '�
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 NOTICE OF COMMENCEMENT_
Contractor Information:
Name of Company: /�_ -5 �_9>,F Qualifying Agent: .e�is-.�-,..{
Address: / Mr/ ,j' C / r6 rt C-F —City , -Iran, ,j State 1, 2. 312 a N
Office Phone &4J 7�/- 114Y4) Job Siti%(ContactNmnlaerld_ri Y6 4
State Certification/Registration# r er 11;jA9P? E-Mail._J,�,�,�� ¢��' •r..,.
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation 'e
xempt nearer mu m oyw l�ruiroa�
plimtion is hereby made to obtain o permit to do the work and iota//adoos as indicated, l eaT�that no worker installation has mnrm red
oar to the issuance of a permit and that a//work will be performed ro meet the see.darrl{ all lows rega/aGng ro tnrction int ju n.
is permit becomes.1I and wid if work u not commenced within.rix(6)months,or ii rection or work nded or on¢d r n
No. natio(siz(Va,anthsata,,h,aeafterwork commert lundentartd thatsepamee permto..,be seta fo !ea ' k,Tt flog,
alts,P o(s,Furxaces,Boaers,Nvn ,TaNu d Ir Cond&iom_ etc
sLL�
a ie z ignetmo of Property Owner: Signature of Cc
2ga`- efore,me P f
"e to € is 51 Day of 1AX y Before me this Da
r
otarypuQ Notary Public:
S er eby cern that l have rsvd and exvaii,red this application and knmv the sonic to be/pre rend correct .411 ro�isibns Imre and
m inure,.,governing this type o% w,4 will be comptietl with rnhiaherspeoi ted hzrein or not The air ink of a permit does pat
nresrmte m give awhord3 to mo ate a-cancel the provtsioas of am•othe,fe cra, flung const,",bore a, the
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NOTICE OF COMMENCEMENT
PSrmflnb. T"Follo No _ )G?fjd-ooq
34=_rear ca,say of i a:rn
To whom it may conoem;
The undersigned hereby Informs you that improvarramus will be mads to Certain mat property,end In
accordsnos with Sabtlon T13 at the Florida etatdtas,.iha following Information is stated in this NOTICE OF
COMMENCEMENT.
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In addition Is hemsaff, vmar tle t m ee the iollo:wklg:Parson b recaivaa copy of ffie Venal,Notlee as pmvld.dI.
8saixe]43.055;21 ib},FJb6ds.8;etut5s.(:Fh.a at Odrners optism,
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Phone.No. . Fax No.
_xplmtion d-se Of NOhc5 0i COnl:lenCsrftm if IN al4 begah dais 11 am III Yaw from the da2C of reasniing utiles,a
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Number Pages:1 awa, a
Rewrded 08/0]2018 01:29 PM.
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY bn.r eoeras.sao .or �45 so
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RECORDING $10.00 ra=c'naao—wra
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