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2224 Barefoot Trace RERF19-0040 Shingle and repair REROOF SHINGLE PERMIT PERMIT NUMBER rf w RERF19-0040 �. ° CITY OF ATLANTIC BEACH �� ���rl 800 SEMINOLE ROAD ISSUED: 3/20/2019 o'i}�~ ATLANTIC BEACH. FL 32233 EXPIRES: 9/16/2019 I 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: 2224 BAREFOOT TRACE REROOF SHINGLE SHINGLE AND REPAIR $2200.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169463 0584 OCEAN WALK UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: SCHULTZ ROOFING JACKSONVILLE 216 N 20TH ST FL 32250 COMPANY INC BEACH OWNER: ADDRESS: CITY: STATE: ZIP: MCCALL MOODY C 2224 BAREFOOT TRCE ATLANTIC BEACH FL 32233-4564 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. 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 $65.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $69.00 Issued Date:3/20/2019 1 of 2 (Y\O..a rr rL 2 es - I q -0 0 (c, °J Building Permit Application Updated 12/8/17 ,� ' City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: o a-o y aQ,t..Q_�T�(�__ Permit Number: k C g p- k9 loo 4 O Legal Description‘-11-1'3 0E-.?,S- a9'C o9-as -a96 3'7 -dC/G RE# /(s1 'Hp,3 -055 8 y ©Cea-r14.4.474.1 FL (,,((n.f a Lot '1/ Valuation of Work(Replacement Cost)IF ,QCI, 0 0 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition AlterationRepair fv1ove I-as• Pool Window/Door • Use of existing/proposed structure(s) (Circle one): Commercial •esidenti. • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes NoN 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: 51 -R.. ' ")--e-o_± 42,21--,--(,_, Florida Product Approval# f}F--T,l her f•ne Sit,n5/es FL# /O/, y for m�(tiple products use rod ct approval form Property Owner lnformatiorCer+a;,,te 'S 121 './-la" C 566 4°/led R_oo#,r -6(f' - '" 531-3• / Name OOC,. (1 1C-Ca l I Address: a aa k4 I Ti-ac re+Do+ e_ City a n' : p)eacA State F/ Zip 3z2'- Phone c O E 1O 8(/ E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information L[� / / / Name of Company: 5e(1 LL/ h— eCIO J O C. Qualifying Agent: ILC as �l�/c-t-r /-2- Address c !(0 ,/ a 0 ..S . City - le,, a S ate Fl Zip 3 2 2-5-0 Office Phone C� Job Site/Contact Number -D ,- - 0 O ' State Certification/Registration# CC-C 2? ?3 ' E-Mail .SCA roof (ay" /Sa yy tIzOO . C-elY` Architect Name&Phone# Engineer's Name&Phone# Workers Compensation J`u P12 PIS. 50 u. ,0 h 5 LLC LUC Oa/- O00O.i-O/E, " s /,7 5O/ 9 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 FINA► G, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING a*ri e'TICE OF COMMENCEMENT. / _� gnature of Owner or Agent) (Signature of Contractor) (including contractor) Signed and sworn to(or affirmed)before` me this )9 day of Signed and sworn to(or affirmed)before me this 19 day of ,`c)l i , by�L�r n,c,.ne.l k --rvux1 /3 ,L, (u�s A Sc-G.�..1-�� ....1.. (Sig_nature of Notary) (Signature of Notary) • 4.1 PersonallyKnown CIO' a '!"0 ROOM C MOORS .+ (Personally Known OR I ROB%C MOORS [ I Produced Identifica i-, 1 W COMMISSION#FF2487791 Produced Identification ,�+ -';.t • i EXPIRES June 30,2019 [ ) 3 MY COMMISSION 8 FF24577 y Type of Identification: ...• . Type of Identification: 'coo7f�o-u1a3. a dallowysen.ce.o m 1 EXPIRES June 30,2019 i (407)X98 " 4.•0153 flondallowys•• •.co t • R5.18 fit$ ilt74 M`i..) • • t.:, . }•,a:: ?`f'T: }i(. }r _ , . - , f .. r - .. ,. 7�"'•'Y. .,. i'' , ".�. - .. •is ,. iii. - -_.I<j {` $°"{S r ,+,, ., , • ,t ,1 - .. .. • �'3 r� . .^.js, �•4:'� : .0^_-k. k.. . {i .i' r:. :F ✓i.'=Ld si :t° i3....,.'s i' ,..,:4` ° J.. 'r' ''i :':3 v'T� it.#d`i"t_=+': - .. ,_',�l. .. • $v;!. ;;;r{- .. + ...sli�,. .. t.t� .. .'6r;:J"•ff i7 . '•' y ,e ,. '+ ..-'i . 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