2063 VELA NORTE CIR - ROOF REROOF SHINGLE PERMIT PERMIT NUMBER
i
CITY OF ATLANTIC BEACH RERF18-0267
ISSUED: 11/27/2018
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 5/26/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
2063 VELA NORTE CIR REROOF SHINGLE $12900.00
TYPE OF REAL ESTATE i ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169506 1092 SELVA NORTE UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
GIFFORD ROOFING 11828 New Kings Rd Jacksonville FL 32219
OWNER: ADDRESS: CITY: STATE: ZIP:
HARMAN HOWARD K 2063 VELA NORTE CIR ATLANTIC BEACH FL 32233-4533
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $115.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $119.00
Issued Date: 11/27/2018 1 of 1
•
,', ,,,, Building Permit Application Updated 10/9/18
iL,(u A )'; City of Atlantic Beach Building Department ••ALL INFORMATION
800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 2063 Vela Norte Cir Permit Number:
Legal Description 39-94 08-2S-29E SELVA NORTE UNIT ONE LOT 46 REX --
Valuation of Work(Replacement Cost)$12,900.00 Heated/Cooled SF Non-Heated/Cooled_
• Class of Work: eNew ITJAddition DAlteration ❑Repair DMove :Demo OPool ❑Window/Door
• Use of existing/proposed structure(s): (Commercial EIResidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes EJNo
• Will tree(s)be removed in association with proposed proiect?Ares(must submit separate Tree Removal Permit_) ao
Describe in detail the type of work to be performed:
RE-ROOF
Florida Product Approval U 1 01 24.1 for multiple products use product approval form
Property Owner Information
Name HOWARD HARMAN Address 2063 VELA NORTE CIA
City ATLANTIC BEACH State FL Zip 32233 _ Phone 904-219-0488 _
E-Mail kharman@batson-cook.com
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) nia
Contractor Information
Name of Company GIFFORD ROOFING,LLC Qualifying Agent RICHARD GIFFORD
Address 11828 NEW KINGS RD City JACKSONVILLE State FL zip 32219
Office Phone 904-860-8740 Job Site Contact Number 904-763-9550
State Certification/Registration tt CCC1326277 E-Mail giffordroofing@gmail.com
Architect Name&Phone U
Engineer's Name&Phone U
Workers Compensation Insurer SouthEast OR Exempt o Expiration Date 01-01-2019
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 regulating
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 I F COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO Y R P• •P RTY. IF YOU INTEND
TO OBTAINFl ANCINGI, CONSULT WITH YOUR LENDER O' A) .TTO' EY BEFORE
RECORDIN O ICE OF COMMENCEMENT. j
s
Signature of Owner or Agent) r -ignature of Contractor)
Si ned and sworn to(o��r'ffirmed)before me thi• day of Signed and sworn to(or affirmed)before me this Z,��ay of
aO(K,by -4.A . ' NO\ .r ,L( 2ot5,b f 'c-ac'o. a - , �%,)�
__ 4 -
(Signature of Notary) (S .•••• •• r•
:•,.,,,' H•ISTIANA V O'CONNOR
St Notary Public-Stale of Florida
• Commission M GG 177533
I Personally Known OR Notaryt A NIC Stale or FbAda [ ersonally Known OR ',;'��14'".�My Comm.Expires Jan 22.2022
( I Produced Identification •+i
• My Conxrdwlon OG T3�693 Produced Identification Q� Boro.n through Na•�"Na"nA'"'
Type of Identification:_Y__ `► ExPM•�0771N2022 _ T l•e of Identification!
' �-
Building Permit Application Updated 10/9/18
• City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road,Atlantic Beach,FL 32233 HIGHLIGHTED IN GRAY
°ft r Phone: (904)247-5826 Fax:(904)247-5845 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 2063 Vela Norte Cir Permit Number: •
Legal Description 39-94 08-2S-29E SELVA NORTE UNIT ONE LOT 46 REk
Valuation of Work(Replacement Cost)$ 12,900.00 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: fiNew OAddition DAlteration DRepair DMove ODemo DPool DWindow/Door
• Use of existing/proposed structure(s): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?: Eyes ENo
• Will tree(s)be removed in association with proposed proiect?❑Yes(must submit separate Tree Removal Permit) a.
Describe in detail the type of work to be performed:
RE-ROOF
Florida Product Approval#10124.1 FL 1614`61 for multiple products use product approval form
Property Owner Information
Name HOWARD HARMAN Address 2063 VELA NORTE CIR
City ATLANTIC BEACH State FL Zip 32233 Phone 904-219-0488
E-Mail khannan@batson-cook.com
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) n/a
Contractor Information
Name of Company GIFFORD ROOFING,LLC Qualifying Agent RICHARD GIFFORD
Address 11828 NEW KINGS RD City JACKSONVILLE State FL Zip 32219
Office Phone 904-860-8740 Job Site Contact Number 904-763-9550
State Certification/Registration# CCC1326277 E-Mail giflordrooting@gmail.com
Architect Name&Phone#
Engineer's Name&Phone ft
Workers Compensation Insurer SouthEast OR Exempt ci Expiration Date 01-01-2019
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 regulating
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 •F COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO Y• R P' •P RTY. IF YOU INTEND
TO OBTAIN Fl ANCIN , CONSULT WITH YOUR LENDER 0' ) TTO• EY BEFORE
RECORDIN 0' ' OtICE OF COMMENCEMENT.
'5.. A
Signature of Owner or Agent) Irr ignature of Contractor)
Si ned and sworn to(or ffirmed)before me thi day of Signed and sworn to(or affirmed)before me this-2_0%y of
Si
00(K,by // - . . '1,10vermo 2Ot8,by_ Ch( r`o. Cpnn��
(Signature of Notary) IS
H ISTIANAVO'CONNOR
;� ��•/ ': Notary Public-State of Florida
' Commission b GG 177533 )
[ Personally Known OR Of Notary Publics Stale of Florida [ ' 'ersonally Known OR `:`q �1/My Comm.Expires Jan 22,2022 (
Produced Identification Martha A EAnpen M +.,.r
[ I l My Comminfon0(32386✓)3 Produced ldentificatiop. r Naa�almermauswierimamomipornipwi Alis
Type of Identification: . , _Errs 07/1W2022 T 4.e of Identification: C L