760 BONITA RD - ROOF S A CITY OF ATLANTIC BEACH
' 800 SEMINOLE ROAD
\ ;w ATLANTIC BEACH, FL 32233
w1119%' INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0243
Description:
Estimated Value: 6000
Issue Date: 10/1/2018
Expiration Date: 3/30/2019
PROPERTY ADDRESS:
Address: 760 BONITA RD
RE Number: 171097 0000
PROPERTY OWNER:
Name: SMYTH JAIME
Address: 760 BONITA RD
ATLANTIC BEACH, FL 32233-4207
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$7,500.
4 }E' `*i Building Permit Application Updated 12/8/17
City of Atlantic Beach �( 0�
��1i � 800 Seminole Road,Atlantic Beach,FL 32233 e s Q 1`"
/ Ph e:`904)247-5826 Fax:(904)247-5845
Job Address: 76 (� SOrp ('` Permit Number:k_0.*-( -0Z3/3
Legal Description Lo-/-- 7 �]J/dcL <�O\pi Y cirnS (An - U/p RE#
Valuation of Work(Replacement Cost)$ Coi(.90) Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move- D o Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Resi ential
• 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:
1SC s til
Florida Product Approval# /0(47 9- I 10 41716 "R for multiple products use product approval form
Propertx2wner Infolmation
Name: �lyl.�r S1 Address:
City /7'� /raCh( o th State pe_ Zip ,?34),33 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: rn/7+e r3T .Me Quali in Agent: Artl RcS � G'?Cvv✓k—
Address �3 L-1 S L,je - ^t_ City ,)(,t.i(SJk,1/tit_ State(_ Zip c3, -ala y
Office Phone (9o&. ) •1� Job Site/Co tact Numb r
State Certification/Registration#C(( .34)41 g3 E-Mail P obi Ae... rub 054'20i r <cs—
Architect Name&Phone#
Engineer's Name&Phone# B
Workers Compensation f,r l Jr r 1 c a 4
xempt Insurer ease Employees/Expiration Date
Application is hereby made to obtain a permit to do the wor an 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 IMPROVEMENT. 0 YOUR ' • 'ERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LEN 'ER I R AN RNEY BEFORE
RECORD OUR NO CE OF MMENCEMENT.
Id
(Signat!• ion/ er or :ent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this I STday of Signed and sworn to(or affirmed)before me this �S day of
OCT (2� , 2O1 ,by Jfk Irn,E Smac ' , 2 O( ' ,bYJ F Y oYt
(Sig Tr re of Notary) 94-4\'
(Signature of Notary)
VI Personally Known OR V'Personally Known OR ,p•'""�t� JEN G. STEMACK
[ I Produced ldentificatio "' JEN G. STEMACK [ ]Produced Identification MYCOMMISS1ONkFF97/125
Type of Identification: ; . MY COMMISSION#FF977125 Type of Identification: '�' , EXPIRES:Mardi 30.2020