2231 W Oceanwalk Dr ROOF19-0026 Screened Enclosure/Rear Deck '`%'''''"jr,, ROOF NON SHINGLE PERMIT PERMIT NUMBER
j
" CITY OF ATLANTIC BEACH ROOF19-0026
.-..,/,1,-_,,,1-: "� ISSUED: 10/1/2019
800 SEMINOLE ROAD� ATLANTIC BEACH, FL 32233 EXPIRES: 3/29/2020
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:
2231 W OCEANWALK DR ROOF NON SHINGLE add screened enclosure & $19800.00
rear deck
TYPE OF REAL ESTATE ZONING: 1 BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 0542 OCEANWALK UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
B. SMITH ROOFING, INC. 13525 SAWPIT RD JACKSONVILLE FL 32226
OWNER: ADDRESS: CITY: STATE: ZIP:
MCCARTHY DENNIS M &
KAREN L REVOCABLE 2231 OCEANWALK DR W ATLANTIC BEACH FL 32233-4576
TRUST
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 $150.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $75.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.38
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.25
Issued Date: 10/1/2019 1 of 2
s''''''ue ROOF NON SHINGLE PERMIT PERMIT NUMBER -1
.4., CITY OF ATLANTIC BEACH ROOF19-0026
�.5711111,--1 800 SEMINOLE ROAD ISSUED: 10/1/2019
O'3� ATLANTIC BEACH. FL 32233 EXPIRES: 3/29/2020j
TOTAL: $230.63
Issued Date: 10/1/2019 2 of 2
rAPPLriyA,yr4 City of Atlantic Beach
ICATION NUMBER
� 'Building Department (To be assigned by the Building Department.)
800 Seminole Road 200 r i l-'L o(�d b
,, Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
Date routed: �'/ � ' (
\�;ti�',• E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
a 3 t �J • a-eCi a nt review required Yew No
Property Address: n��� building q i/
(1-00,-(� � _ g
Applicant: 13 • Srn t i Nj %a�nning &Zoning
C Tree Administrator
r
Project: 1 1� ( GO 1 6,- 610•.) ( ooc-- -c1 ( Public Works
Public Utilities
6tedJ t . 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: [ pproved. Denied. ❑Not applicable
(Circle one.) Comments: /
P11de an • ii#v✓_e cy?Yvva 1 o ' n. a 2u►.
BUILDIN R C--,;(DV-A- cpcDt O
PLANNING &ZONING Reviewed by: Date:3/2 s-/-20/f
TREE ADMIN. Second Review: Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ['Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
0:"-A4/).;',-,,
Building Permit Application OFFICE COPY Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
HIGHLIGHTED IN GRAY
. r L 800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept c,ab.us ;� IS REQUIRED.
Job Address: �� td ovdeIAC,ra1Addr.74-, ,PermitN r �OLF (cf — bo� b
Legal Description `7i2.15 37D�j' Gr L a RE# //� //�
g Pr Lb (� ���� �0 0J T
Valuation of Work(Replac ' nt Cost)$ //�( Heated/Cooled SF 3 y,,?7 Non-Heated/Cooled
• Class of Work: r e ❑Addition ❑Alteration ❑Repair Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Residential
MAR 1 3 2019
• If an existing structure,is a fire sprinkler system installed?: ❑Yes (JNo
• Will tree(s)be removed in association with pro osed proiect? ❑Yes(must submit separate Tree Removal Permit) l'JNo
Describe in detail the type of work to be performed: �4 A , ,'`_ r,, /J;rte,
di
Florida Product Approval# R- /g35-9for multiple products use product approval form
Property caner Information l /'
Name P4.5 Aa k9,P�i) /7 La �/ G Address 93J J CAI k "7
City , ; /_ `_a , State Tl- Zip .33 Phone (707" 330- 3103
E-Mail lik_%ds • , y..6,ofil
Owner or Agent(If Agen ,Power of Attorney or Agency Letter Required)
Contractor Information _/ '•I,
Name of Company /itilir/ / 'O, 4..,2 • Qualifying Agent`
Address /3 tJ" i`�J,0 City , 42.K State Zip 5717126
Office Phone O% 37 6606- Job Site Contact Number. cam''/ /3 ' 72
State Certification/RegistrationVI'
# KG"-C/3. 6,9/0? E-Mail GJ/ns'/• '��a ' T. L(E
Architect Name&Phone# l�C cascara . •6•-• G ws4 .R5" - +.lb
Engineer's Name&Phone# egr-r6a' _ % • ' . A.4 !'/ to 553— ? q:2
Workers Compensation Insurer . .A.,.....bit , .M;'u OR Exempt❑ Expiration Date 1 ®i ,0
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„_,.. .c.aw ...4N
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements6this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, id
there may be additional permits required from other governmental entities such as water management districts,state agencig or N
federal agencies. U Q O
J M
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with AL a z P
applicable laws regulating construction and zoning. 2 W O C
Omoo a
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAW C) a c0 0
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENDz cc Z
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE U g OLL y
REC RDING YOUR NOTICE OF COMMENCEMENT. Cc a z
i'YN., 1 1C 11 '� {Cre idr4 f U. o cc W
(Signature of Owner or Age ) (Signature of Contractor) a W m
Cl„
Signed and sworn to(or affirm d)befor me this t3 day of Signed and sworn to(or affirmed)before me this 03 da6f5 Ili
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�•-e �]Personally Known OR Expires 3/1/2020
[ ]Produced Identification' 1� Expires 3/1/2020 [ ]Produced Identification
Type of Identification: Type of Identification: