318 SEMINOLE RD RERF18-0276 RERF PERMIT _ REROOF SHINGLE PERMIT PERMIT NUMBER
,ei .. `� RERF18-0276
r CITY OF ATLANTIC BEACH ISSUED: 12/18/2018
V�" ��� 800 SEMINOLE ROAD
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ATLANTIC BEACH, FL 32233 EXPIRES: 6/16/2019
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.
VOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
hat may be found in the public records of this county, and there may be additional permits required from other
:overnmental entities such as water management districts, state agencies, or federal agencies.
JOB ADDRESS: I PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
318 SEMINOLE RD REROOF SHINGLE SHINGLE RE ROOF FL10124 $6000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170431 0018 SALTAIR SEC 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
K & D ROOFING & JACKSONVILLE
74 6th St. S #104 FL 32250
CONSTRUCTION BEACH
OWNER: ADDRESS: CITY: , STATE: ZIP:
Speranzi Craig 318 Seminole Road Atlantic Beach FL 32233
NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
:OMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
NSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
toll 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 $85.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $89.00
Issued Date: 12/18/2018 1 of 2
REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF18-0276
800 SEMINOLE ROAD ISSUED: 12/18/2018
ATLANTIC BEACH, FL 32233 EXPIRES: 6/16/2019
Issued Date: 12/18/2018 2 of 2
BU LDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 ( F j�- 0 a �
Job Address: -Z4 5e.n--i- ef(C ^ (c Permit Number: rQSC-, -1 __OO?O
Legal Description rc ro Com'f- Parcel# 1 —] 6(-(� 1 — CC 1 b
floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 6(2 C.,(J Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition a ratio Repair Move Demolition poollspa window/door
Use of existing/proposed structure(s) (circle one): Commercial .'esiden '-
If an existing structure,is a fire sprinkler system •; tailed?(Circle one): •es No .NO)
Florida Product Approval# ♦ — .41,
For multiple products use product approva orm
Describe in detail the e of work o be performed: re._ rd c U S , •1� 5 0r
6/1—F c; t � t
( S
Property Owner Information:
Name: (''^t S 4 Cin Z ( Address: S-U J .e, ,'- a a�
City A p J- t i 2 StatgGL7ip 322.(0.L. Phone — /0(.23
E-Mail or•Fax# (Optional)
Contractor Information: f /
Company Nam/e^: A.01--(1,5 �� l G Qualifying Agent: �'l _ C
Address:7 y (f 5f5 t- /O City ' ... e Zip
Office Phone _—5— (t?U('( Job Site/Contact Number - 3- /3 / Fax# 3( ' _-5�5
State Certification/Registration# ("e_-_e_-_...73 Z"S2
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I terrify 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 laws regulating construction in this jurisdiction. This permit becomes null
and void if'work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six 6)months at any time oiler
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces, Boilers,Heaters,
Tanks and Air Conditioners,etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COlVEVIENCE1VIENT 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.
I hereby certi35,that I have read and examined this aappplication and/mow the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner e...--‘! ^4
Signature of Contractor
Print Name CP-414". 5.p.-.74.1)92-1 ---__. _.._.._.._ Print NamePc/ t.../+ //);
Sworn to and subscribed before mej Swo� 'to and subsc ed before me
this a Day of I .` .20 1I thi /1 b Day of . 20 (�S
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N_ )Z� . VW„tiirVh.- LOV S ANT I , � ,tiuc k--•
N. ublic ;;�:•" �'�: � . :1',.,_A- (JO
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MY COMMISSION#GG087345 - +�”'•u�,I LORI WHISNANT
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