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816 CAVALLA ROOF18-0088 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 ROOF NON SHINGLE - MUST CALL BY AIPM FOR NE)rr DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ROOF18-0088 Description: TORCH DOWN ROOF Estimated Value: 5250 Issue Date: 8/24/2018 Expiration Date: 2/20/2019 PROPERTY ADDRESS: Address: 816 CAVALLA RD RE Number. 1717170140 PROPERTYOWNER: Name: SOWDER STEPHANIE M Address: 816 CAVALLA RD ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: 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, 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. 5 1-1VIT, City of Atlantic Beach Building Department Boo Seminole Road Atlantic Boach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 E-mail: building-deipt@coalbus City"b-site: http:/hwnv.co,b.,, APPLICATION REVIEW AND TRACKING FORM Property Address: ?�21L EAVALLA Department review uhred Ye No 'tT 13 ig .2 Applicant: RC)(YJP&OC�> k_��JZC)_TkC-4S P nn-;7cg &�oning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt of Pennit Verified IS Date Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management Dishict Amy Corps of Engineers Dim 0.�of Hotel.and�Resta.mM�. � Division of Alcoholic Beverages and Tobacco Other. -- ,Mq APPLICATION STATUS Reviewing Department First Review: EKPP"ved. [-]Denied. E-INotapplicable (Circle one.) Comments: PLANNING&ZONING Reviewed by: —Date: Y12-VI TREE ADMIN. Second Review: DApproved as revised. E]Denied.' E]Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date, FIRE SERVICES Third Review: DApproved as revised. ODenied. [:]Not applicable Comments: Reviewed by: Date: Revised 05119/2017 Building Permit Application C'rtV of Atlantic Beach C 0' Road,,A 11;:3h,1132231 TSO�12)247. 2tli 247-5845 Job Address: �—Q va o P000840p, 0 F3 Z L V e a 'a De� ' y"c I Scion P1 U_ CIO S2 .00 Use 0 If On S z M za -b 14. < V) z U. U. 9 UJI 0 ac 2 Ck Florida Product Approvel*'—��' All ro 0. for multiple pruducts use product app%v U9 N. Name: W C.) So Address: 5; 9C city —Ue 1�1 State state ZP —1,9Q53 Phone /2225�1 :5�� E-Mail 9C Owner or Ap� Power of At t' or Agency Letter Required) con"UnctDr In rin 1. Narneof an Address I V Quail nt: rN Office Phone City State zi State Cerfification/Registraflon L Job Site/COntact Number Architect Name&Phone# E-Mail Engineer's Name&Phone# Workers Compensation LA.�)c t)D ' - - —Pt pkw��/!Piad..D.W' Applicabonish-eEm�bymLtLQbtainape itto do'the work and installations as Indicated.I o&F commenced prior to the Issuance of a permit and that all work will be performed to meet the s , 1-k-Cl�-riW&nhas construction in this jurisdiction.I understand that a separate permit must be t1ndards of all the laws regulationg WELLS,POOLS,FURNACES,BOILERS,HEATERS, secured for ELECTRICAL WORK,PLUMBING,SIGNS, TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the require entsofthis permit,there maybe additional restrictions applicablato this Property that maybe found in the public records of this c+ounty,and there maybe additional Permits required from other governmental entities such as water management districts,state 0 enciesor federal agencies. 19 OWNER'S AFFIDAVIT.I certify that all the foregoing information is accurate and that all work w!III be done In compliance with all applicable laws regulating construction and zorIng. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOUINTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECCIPING�YOUR NOTIC IENCEMENT I POF COMM signaturebfOwnerorASent) (SignatIvre (Includingoontractor) S d d t I Affirmed ,,?"—,— b hfore me this_ edandswo to(oraffir=!g�dayof A��M by )e1r (Stinaftanol'Notanr) Personally Knpwn OR f4tTiensonally Known OR PrMod.ced ldenfif,.,U,n Type of Identification: [ I Prod.ced d..tffi.tI,n Type of Identification: .J BLOIS,00 vo,o,!..0 An 1% myco�lft GGIS19r, jamcus 'enIwor SPIOW-N 0=1MV S�Wd�M6N OT�CS OF COMMBNCEMENT Peranit NO Flo�ME IN DUFU�TE) state of Tax F.11, To Whom It my... County or The UnderSignial hmhy inform . Retards 5 YOU that Impr"Mumb, fles s"th"ec"on 713 If the Florida Shihnift Will be ,in mamt,.1 Phoperty,and In COMMENCEMENT. —M the"'llmlong"Imadiml Is Stated in this NOTICE Op Address Of POP"being Impro,,d. C—) ,mm,Spain, Clemenal desOlptlon oftee,,,,, Uj Lj— wr k Lj- -*Address AZE i I C Vner's Internet in Sinaf the urpm...., Fee 8ftnPle Ti"oholder(it other than owner) Nam Address COnnachrHax-.Bxxm�!,,!,gim, Achim— oe. H Sam Surety(if MY) -------�Fax No, Address ——————�Annxxllflt Of bond 9 Phone N I ———————— Nam and addae"I'mypaseen makinga loan for the p,3truWoh WMe bnMvenmtL Name Phone No.--�Fax No. Name of person"'No the State Of Florida,Other Man small,designated by O-ner upon whom noticas or other dacumni,may be xa�ad Nam DersyS.Flosenno Addhxh; '55 g-L�Fix,Aden&Bail z z Phors N,SS`i)2406SH) ------------ Fax No. In addition In hansalf,Gemr designates the fuliming[Mmam be ainx,Ws a ,py of the Lineoft Secthn71a0Sq)(bL bm�ft MmOVIdedin �Hj Name "- do Statutes.(Fill in at OMWs option). Z2. Add� Phone No. Fax No. Expiration data Of Notice of c,maumamort diflament date is Wended): ("'a expiration date'.one(1)Yeah b0th the date of recondinguIlme THIS SPACE FOR RECOROER-3 USE OMLy am IWO 00gl! shwain Goo '0181985M OR BK 18501 page 70,, hl,nalwhe umber Pages I ' "Weanox=mw M.I nene lionsheek I R'son"had C&Zi�018 12-47 PM ONNIE FUSSELL CLERK CIliCUIT COURT DUVAL COUNTY RECORDING $11.00 lay!"acat .0 'aaenfly or ug HIM Hai III gilt p pr If 9 HIT 37 Ell *a a;, . 19 XON :e a ." so 2,v §3 na" 30= . .- I�3 ,-. -g' &R ip . �ft . 6" Zo 10 C, x I 0 Er af i; FU W a a�fo 3- 7 a ea Am F to z Sr S MY go A M3 rri RIX 'Rj,a a ja rL 53 300 AM a I 22 T,S -40 =" a 0