315 E SAILFISH DR RERF19-0012 ROOFING PERMIT REROOF SHINGLE PERMIT PERMIT NUMBER
RERF19-0012
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 1/18/2019
~dost ` ATLANTIC BEACH. FL 32233 EXPIRES: 7/17/2019
MUST CALL INSPECTION r • • i PM FOR + INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' + 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:
315 E SAILFISH DR REROOF SHINGLE SHINGLE ROOF $7500.00
TYPE OF
• iGROUP:
171389 0000 ROYAL PALMS UNIT 02A
COMPANY: ADDRESS:
HAMMER TIME ROOFING 14286 Beach Blvd JACKSONVILLE FL 32250
OWNER:
+ + '
CARTER JACK E 315 SAILFISH DR E ATLANTIC BEACH FL 32233
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.
x
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 4SS-0000-322-1000 0 $90.00
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00
TOTAL: $94.00
Issued Date: 1/18/2019 1 of 1
r` '.""''" BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 Fax: (904)247-5845
Job Address: :5�, l r L �D�. �. Permit Number: R(= RF1 c -UDI L
�
.+ A
Legal Description 31 - / ! - a S -a 9 C- AUa� /��AN N„ RE# /712x5 - QMc)
Loi• 1 L 131KTd'
Valuation of Work(Replacement Cost) $ TV V Heated/Cooled SF Non-Heated/Cooled
■ Class of Work(Circle one):�� Addition Alteration Repair Move Demo Pool Window/Door
Use of existing/proposed structure(s) (Circle one): Commercial Residentia
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No �Nl
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 periform ,-,/
Florida Product Approval# y `7 Ytlnt for multiple products use product approval fornl
Property Owner InformatiLo
Name: -o, c,k. Co-r e-r Address: 21S Sa;l&i !fir.
City 0911a„he State ELZip -7a*17,3 Phonecy
E-Mail
Owner or Agent (if Agent,Power of Attorney or Agency Letter Required)
,.11A ,V,TING TO GVIER: YOUR FAILURE TO RECORD A NOTICE OF COi,/EVIENCENiENT IYlAY
RESULT IN YOUR PAYING TWICE FOR iMPRO+IEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING. CONSULT 'WITI-I YOUR LENIDER OR AN ATTORNEY BEFORE
REiORDINC YOUR NOTICE OF CONEVIENCEMET.
Contractor Information: 11
Name of Company: Qualifying Agent: On RI-.L.,c AfAr t
Address: ( R IJ sh- •Lg-..3p City cLr_kta..N 1IL State Zip t7( 3 as j-0
Office Phone(-/j)N) 7/G - y/K q Job Site/Contact Dumber uN - P 's'H
State Certification/Registration# CCC 13a Cl 913 E-Mail a n u Inq, C 1.11
Architect Name &Phone#
Engineer's Name & Phone#
Worker's Compensation
Exempt / s er / ease Employees xplratl n ate
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 laws regulating construction in this jurisdiction.
This permit becomes null and void if work is not commenced within sir(m5) months, or if construction or work is suspended or abandonedfor a
period ojsix(6)months at any time after work is commenced I understand that separate permits must be secttr for Elech'ical Wark,Pltulnbit:g,
Signs, WWells,Pools,Furnaces,Boilers,Heater T 1�nd�]ir Conditioners,etc.
Signature of Property Owner: Signature of Contractor: `
Beforett
this Day of Before me this 17"k Day of _n! r�
Notary Public: Notary Public
AMTA C KNOX
I hereby certifi°that 1 have read and elan , r t, 14►r► pl fpm
ordmnallceS govCnIhIg this type of work
presume to give authority ro�io ate or sfj
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tri �.._ �'wE
e,-;Ol ance of t:onstraclmon. <°
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