390 Main St RERF19-0136 Shingle -s'- % REROOF SHINGLE PERMIT PERMIT NUMBER
r.... LL.'. CITY OF ATLANTIC BEACH RERF19-0136
800 SEMINOLE ROAD ISSUED: 10/4/2019
,-0ss9ATLANTIC BEACH. FL 32233 EXPIRES:4/1/2020
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:
390 MAIN ST REROOF SHINGLE SHINGLE ROOF $6500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170900 0600 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
South Edge Construction 14333 Beach Boulevard Suite 33 Jacksonville Fl 32224
OWNER: ADDRESS: I CITY: STATE: ZIP:
SUMLIN ARCHIE L SR 390 MAIN ST ATLANTIC BEACH FL 32233-2530
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.
so-, r: ten_ ;.s• t i.` A {tea .,:t °' :x ��e•, <�,. - .:,:„v:�fnd -" ..,..�<._.
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: $89.001
Issued Date: 10/4/2019 1 of 1
i' ,,,,,,,,, Building Permit Application
c--, ': UpdOrra JO/My
r,, ••• i, City of Atlantic Beach Building Department
_, ,„J,' 800 Seminole Road, Atlantic Beach, FL 32233 I ALL INFORMATION
HIGHLIGHTED
IN GRAY
IN GRAY
Phone: (904) 247-5826 Email: Building-f ep•t;�«'�c��,,f�,u IS REQUIRED.
lob Address: 390 Main St. Atlantic Beach, FL, 32233 /_
_._ __-..._.,.__ Permit Number:iJ .. l�/1
Legal Description
-
Valuation of Work (Replacement Cost)S 6500
Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New DAddition °Alteration ORepair CIMuvr', "`jDemo OPool [:;Window/Door
• Use of existing/proposed structure(s): °Commercial °Residential
• If an existing structure,is a fire sprinkler system installed?: Oyes Dee)
• Will tr'e s be removed in a socia Ionwith r ose r 7
Describe in detail the type of work to be performed: u its ra T e R m I P r i o
roof replacement
Sk to `
Florida Product Approval ti rLI_._01.__- (�� Cut o.; !` -R 15
d� for multiple products use product approval form
pro a Owner Information
Mame est Acquisitions`Group
Address
City State Zip Phone 904-537-5790
I Mail brandonperryrwestVgmail.com
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company S OG.-h Ed Cons/rix:}i eel Qualifying Agent
Address 13749 Sand Creek Dr cityFL
Jax State i p 3"L22'4
Office Phone 904'097 80449 loh Site Contact Number 904-697-8049
State Certification/Registration a E-Mail info@southedgeconstructton.com
Architect Name& Phone H
Engineer's Name& Phone 14
Workers Compensation Insurer OR Exempt DX Expiration Date 08114/2021'
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 he 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORN Y BEFORE
RECORD1111URS ICE OF COMMENCEMENT.
()JILL W
4 {�
(Si ztature of Owner or Agent) (Signat(a,e of Cot ractor)
t jUj f(S�
Vil
Signed and sworn to(or affirms before to this —� day of Signed and sworn to(or affirmed)before me this-4 day of
oc k,).7er- , 20 1 by (ow-An 3 OOcA›<4 ,ilt Ack ,by t(47d{^ 1Autt
NotsryFutxtc"* rsfFtor, igna re of otary)
• Judith S Reed ur 3,q,{pt�� �
My CommraMon GG 012 n CC�16�idrn. GG90 99
I' nalM'Co 4 Q ( )Personally Known OR a August 27,20
• • 4 . • ( i Produced Identification ;'fir 8 M T11N Aaron No ry
Type of Identification: Type of Identification:
/ri, J7
y Permit Inspections
,t,,A
r)
v ze City of Atlantic Beach
F,
Permit Number: RERF19-0136 Description:SHINGLE ROOF
Applied: 10/4/2019 Approved: 10/4/2019 Site Address: 390 MAIN ST
Issued: 10/4/2019 Finaled: 10/10/2019 City,State Zip Code: Atlantic Beach, Fl 32233
Status: FINALED Applicant: <NONE>
Parent Permit: Owner:SUMLIN ARCHIE L SR
Parent Project: Contractor: <NONE>
Details:
LIST OF INSPECTIONS
SEQ SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS
ID
10/7/2019 10/7/2019 ROOF DRY IN Mike Jones CANCELLED
Notes:
PM
697-8049 CHRIS
Called to cancel and reschedule for following day
10/8/2019 10/8/2019 ROOF IN Rick Bell PASSED
PROGRESS
Notes:
PM
697-8049 CHRIS
10/10/2019 10/10/2019 ROOF FINAL** Mike Jones PASSED
Notes:
PM
697-8049 CHRIS
Printed:Thursday, 10 October, 2019 1 of 1 •