2038 DUNA VISTA CT - ROOF 'r11,AAii.'`1rj,
'� ' CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
''''.401319 ' INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0211
Description: shingle re-roof FL16350 & FL21350
Estimated Value: 13212
Issue Date: 8/23/2018
Expiration Date: 2/19/2019
PROPERTY ADDRESS:
Address: 2038 DUNA VISTA CT
RE Number: 169506 1612
PROPERTY OWNER:
Name: JEAN ROBERT R
Address: 2038 DUNA VISTA CT
ATLANTIC BEACH, FL 32233-4534
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AMERICAN ROOFING OF JACKSONVILLE
Address: 2117 University Blvd. S
JACKSONVILLE, FL 32216
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$7,500.
,-11—Ail.0
Building Permit Application
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'. „f/P „ City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
on`'~ Phone: (904) 247-5826 Fax: (904)247-5845 / (� G
Job Address: 2038 Duna Vista Ct,Altantic Beach,FL 32233 Permit Number: 12_ �-1`” � p - 0a I i
Legal Description 40-37 09-2S-29E SELVA NORTE UNIT TWO LOT 61 RE# 1695064612
Valuation of Work(Replacement Cost)$ 13,212.00 Heated/Cooled SF 2,884 Non-Heated/Cooled 3,126
• Class of Work(Circle one): New Addition Alteration Repair Mo--lb- o Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residenti.
• 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: Complete tear ott and root replacement ,yam JQ
Florida Product Approval# FL16350 Arch Shingles,FL21350 Synthetic Underlayment for multiple products use product approval form
Property Owner Information
Name: Robert&Cynthia Jean Address: 2038 Duna Vista Ct
City Atlantic Beach State FL Zip 32233 Phone 904.673.1886
E-Mail dick.jean@stillwater.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) NA
Contractor Information
Name of Company: American Roofing of Jacksonville Qualifying Agent: Daniel P. Kinkel
Address 2117 University Blvd S City Jacksonville State FL Zip 32216
Office Phone 904-3854375 Job Site/Contact Number Chris Dennis,904-626-4636
State Certification/Registration# RC90227546 E-Mail dan@americanroofingjax.com
Architect Name&Phone# NA
Engineer's Name&Phone# NA
Workers Compensation Builder's Mutal Insurance#WCV0263113,expiration 4/24/2019
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.
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
RECOING YOUR NOTICE OF COMMENCEMENT.,,,,,,\"7:-.J jes,,,,-..._ , //
/ �� /
Signature of Owner or •:ent including Contracto (Signature of Cont actor)
'geed and sworn to(or affi :•')befor- me t is y of Signedp� and sworn to(or affirmed))before me this X33 day of
Zo byA '• � l.. & -� a-- 7`,//l�"k aot by C\&aA (-i' tCtI
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(Si nature of Notary) . Si:ature of Notary)
1 ;aP'P�'' TONT GINDLESPERGER1
Yzo.••a• Y., -
w ;. MY COMMISSION#FF 924951 .'o"•" •:91' JENNIFER JOHNSTON
EXPIRES:October 6,2019 :#. �•' MY COMMISSION#GG 042984
[ I Personally OJVt4`G •� Bonded Thru Notary Public Undervrtiters [ rsonally Known i,h,;i.;;�`P EXPIRES:October 27,2020
[ I Produced Iden 1 Ica Ion [ ]Produced Identifi.,ti9l18=....' �dedThru Notary Publ���
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