2039 SELVA MARINA DR - ROOF (2) f ROOF NON SHINGLE PERMIT PERMIT NUMBER
, CITY OF ATLANTIC BEACH ROOF18-0099
\ 800 SEMINOLE ROAD ISSUED: 11/16/2018
':!01319' EXPIRES: 5/15/2019
ATLANTIC BEACH. FL 32233
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:
2039 SELVA MARINA DR ROOF NON SHINGLE Metal Roof Tear Off& $31739.00
Replace
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169506 1076 SELVA NORTE UNIT01
COMPANY: ADDRESS: CITY: STATE: ZIP:
AMERICAN ROOFING OF
JACKSONVILLE 2117 University Blvd. S JACKSONVILLE FL 32216
OWNER: ADDRESS: CITY: STATE: ZIP:
BOWLES CHRISTOPHER HF 2039 SELVA MARINA DR ATLANTIC BEACH FL 32233-4554
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $210.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $105.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.73
STATE DCA SURCHARGE 455-0000-208-0600 0 $3.15
TOTAL: $322.88
Issued Date: 11/16/2018 1 of 2
5.-An-,... City of Atlantic Beach APPLICATION NUMBER
c Building Department (To be assigned by the Building Department.)
800 eaRoad
-0 Atlantic Beach, Florida 32233-5445 k-001
c,
Phone(904)247-5826 • Fax(904)247-5845
-j 3 E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3'i Set ' ' l Ct Y ( v CtDement review required Yiep4lo
Applicant: Petr( Cattle 1bO41 ri Planning &Zoning
Tree Administrator
Project: i'e -Q( Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. nDenied. fNot applicable
(Circle one.) Comments:
BUILDI
PLANNING &ZONING !�—/,S 9 01
Reviewed by: n � Date:
TREE ADMIN. Second Review: nApproved as revised. nDenied fNot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. nDenied. fNot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
- y� Building Permit Applica___ n Updated 12/8/17
City of Atlantic Beach
'kW,<i - 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: 2039 SELVA MARINA DR Atlantic Beach FL 32233 Permit Number:ROOr" O —QO 7
Legal Description 39-94 08-2S-29E 2 SELVA NORTE UNIT ONE 3 LOT 38 RE# 169506-1076
Valuation of Work(Replacement Cost)$ 31, 7 59.00 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteratio Repai M. oma.-mo • ,ol Window/Door
• Use of existing/proposed structure(s)(Circle one): Commerci. Residents.
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes N. N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit o lo Tree Removal
Describe in detail the type of work to be performed:
Complete roof tear-off and Re lacement. gee'," iC' �'"/O /'' 54�Ai 5(. ?
ST--___� _, ,S-71; ✓ :/j
Florida Product Appro al# /01 7 j.S, / ' for multiple products use product approval form
Property Owner Info ion
Name: Trish Bowles Address: 2039 SELVA MARINA DR
City Atlantic Beach State FL Zip 32233 Phone 904-497-8655
E-mail Trishabowles@icloud.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) BOWLES CHRISTOPHER HF
Contractor Information
Name of Company: American Roofing of Jacksonville, LLC. Qualifying Agent: Dan Kinkel
Address 2117 University Blvd S City Jacksonville State FL Zip 32216
Office Phone 904-385-4375 Job Site/Contact Number 904-385-4374
State Certification/Registration# RC29027546 E-Mail admin@americanroofingjax.com
Architect Name&Phone# NA
Engineer's Name&Phone# NA
Workers Compensation Builder's Mutal Insurance#WCP1052393,expiration 5/3/2019
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. 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 OF COMMENCEMENT.�/
// w_ 40.,�
(Signature of Owner or Agent) ____ (Signature o Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this 3 day of (�igned�annd sworn to(or affirme before me this 3 d y of
A)ovtwtEy.- , Zcw►`5 byC-hr,51o¢�I,zr �,,,[c• 1 , wiS , b l.y;n�C•e... 1
yir..,,d.7i,
6.........bleit---- _ei --_
(Signature of Notar -
DACODAH PARRISH Nagy Public State of Florida
[ i Personally Known OR ro,,!':°"r'., ission#GG 009947 [ rso :lly Known OR •. ChristopherChaste
[ _� ,• •;•=Comm 10,2020 1 E C ttwn(3G273130
roduced Identification s.; , ,� • •Expires July �sYj18 '•-d Identification ww'
:N,•may-.; 1 Faminsuranca(SOb r<pkN 1t�31/2022
Type of Identification: (-1.��._ +, o. .„•ad•hrUTr0y . • •entification: