364 7TH ST - ROOF (-
iT.,,,, . ' CITY OF ATLANTIC BEACH
,,
s��1 ' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
%0lt19- INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0215
Description: SHINGLE ROOF
Estimated Value: 11000
Issue Date: 8/28/2018
Expiration Date: 2/24/2019
PROPERTY ADDRESS:
Address: 364 7TH ST
RE Number: 169901 0000
PROPERTY OWNER:
Name: NOVAK EMILY E
Address: 364 7TH ST
ATLANTIC BEACH, FL 32233-5434
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: STONEBRIDGE CONSTRUCTION
Address: 12550 AGATITE RD 6956 PHILLIPS PARKWAY DR N
JACKSONVILLE
JACKSONVILLE, FL 32258
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$7,500.
0 Building Permit Application Updated 12/8/17
City of Atlantic Beach
r 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 r n 7
Job Address: 364 7th Street Permit Number: I�GRI- 1 `� oz.
Legal Description 5-69 16-2S-29E Atlantic Beach W 30ft Lot 27, E 30ft Lot 29 Blk 8 RE# 169901-0000
Valuation of Work(Replacement Cost)$ 11,000 Heated/Cooled SF 1506 Non-Heated/Cooled 328
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes 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:
Roof Replacement-23 sq Shingle 3.5/12 Pitch&4 sq Modified Flat Roof Also New Construction Addition Roof-12 sq Shingle 5/12
Please tie to Building Permit#RESA17-0021 pulled by Tom Trout
Florida Product Approval# Shingles FL10124 Modified FL2533 for multiple products use product approval form
Property Owner Information
Name: Emily Novak Address: 364 7th Street
City Atlantic Beach State FL Zip 32233 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Stonebridge Construction Services LLC Qualifying Agent: Brian Vick
Address 6956 Phillips Parkway Dr N City Jacksonville State FL Zip 32256
Office Phone 904-262-6636 Job Site/Contact Number
State Certification/Registration# CCC E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Bridgefield Casualty 196-21219 05/26/19
Exempt/Insurer/Lease Employees/Expiration Date
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 NOTICE • COMMENCEMENT.
ignature of Owner or Agent) (Signature of Contractor'
(including contractor) -tl—
igned and sworn to( r affirmed)before me this day o 'gned and sw.rn to(or affirmed)before me this C9 ay of
C 22 , : L so /Iv u. , . /by
Atimifflor
Ar
I • : . ue . �•
�'! WILLIAM MICHAEL ELLEN
dicfeVit Notary Public State of Florida
(y.Personally Known OR ;'c MY COMMISSION#GG0115136 'I Personally Known OR a4 Jennifer Lynn Schiachter
[ ]Produced Identification :•* EXPIRES March 20,2021 [ ]Produced Identification c. My Commission GG 109844
Type of Identification: ype of Identification:
c".d� Expires 05/31/2021