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1941 Francis Ave RERF19-0135 Shingle REROOF SHINGLE PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH RERF19-0135 800 SEMINOLE ROAD ISSUED: oiL BEACH. FL 32233 EXPIRES: ATLANTIC 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: 1941 FRANCIS AVE REROOF SHINGLE SHINGLE ROOF $7500.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172099 0000 DONNERS S/D PT LOT 2 17- COMPANY: ADDRESS: CITY: STATE: ZIP: JAMES SHELTON ROOFING 252 SANTA BARBARA AVE JACKSONVILLE FL 32254 OWNER: I ADDRESS: CITY: STATE: ZIP: BOWMAN MARY HELEN 1941 FRANCIS AVE ATLANTIC BEACH FL 32233-4315 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 TOTAL: , Issued Date: 1 of 1 .s4'!r%,, Building Permit Application Updated 10/9/18 t\ City of Atlantic Beach Building Department **ALL INFORMATION ''. 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY rill`'Jr IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us (� Job Address: 1941 Francis Avenue Atlantic Beach,Fl 32233 Permit Number: ' `GRP(9 OI S5 Legal Description 8-4 17-2S-29E donners S/D PT Lot 1 RECD O/R 7590-321 RE# Valuation of Work(Replacement Cost)$7500.00 Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial OResidential • If an existing structure, is a fire sprinkler system installed?: ❑Yes illNo • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) VINo Describe in detail the type of work to be performed: ,^ Reroof J� l ` n U Florida Product Approval #X P'/o/,2- Y'"R..2 3- f-/ /S�/6for'rr?ultrple products use product approval form Property Owner Information Name Mary Bowman Address 1941 Francis Avenue City Atlantic Beach State Fl Zip 32233 Phone 904-372-7172 E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company James Shelton Rooting,LLC Qualifying Agent James Shelton Address 5352 Highway Avenue City Jacksonville State Fl Zip 32254 Office Phone 904-378-9205 Job Site Contact Number State Certification/Registration# CCC1330143 E-Mail Officemanagerl.jsr©gmail.com Architect Name& Phone# Engineer's Name&Phone# Workers Compensation Insurer Furman Insurance OR Exempt❑ 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 regulating 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 o!T��,O AIN FINANCING, CONSULT WITH YOUR LENDE -OR AN ATTOR Y BEFORE QED DING YOUR NOTICE OF COMMENCEMENT. 0_0) . • O ��Li..,,,. C i�✓` may/ Nin,k.0 b (Signatureof Owner or Agent) (Signatur• . ontractor) Q`-' 2EE �` " w D Zi�r and sworn to or a irmed)beforee r this I day of Signed and sworn to(or •J firmed)log - me this 1 day of =m. Ii) ee , ZOO ( by lr .Y A toter • 0c4vb r , 2.0`) �y Ja 7;, S►v-t o�� A ' I_ i.&, _ / wI f'/12 Z (Signatu e of Notary) (Signatur Notary) '▪.'ro.�S�,�e ovally Known OR ( Personally Known OR uced Identification [ ]Produced Identification Type of Identification:DL. 13550 Si i- 3e.,.Q440 Type of Identification: rj..-LyJ'ri Permit Inspections Or, =� City of Atlantic Beach Permit Number: RERF19-0135 Description:SHINGLE ROOF Applied: 10/1/2019 Approved: 10/1/2019 Site Address: 1941 FRANCIS AVE Issued: 10/2/2019 Finaled: 10/8/2019 City,State Zip Code:Atlantic Beach, Fl 32233 Status: FINALED Applicant:<NONE> Parent Permit: Owner: BOWMAN MARY HELEN Parent Project: Contractor:<NONE> Details: LIST OF INSPECTIONS SEQ SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS ID ROOF DRY IN Mike Jones Notes: 10/4/2019 10/4/2019 ROOF IN Mike Jones PASSED PROGRESS Notes: Tim:545-9843 Early AM Please 10/7/2019 I 10/8/2019 I ROOF FINAL** Mike Jones I PASSED I Notes: Tim 904-55-9843 Printed:Wednesday, 16 October, 2019 1 of 1