587 Vikings Ln RERF20-0006 Shingle .-s'-, , REROOF SHINGLE PERMIT PERMIT NUMBER
gr.` CITY OF ATLANTIC BEACH.,,>,
RERF20-0006
. r ISSUED: 1/17/2020
800 SEMINOLE ROAD
49.219r ATLANTIC BEACH. FL 32233 EXPIRES: 7/15/2020
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:
587 VIKINGS LN REROOF SHINGLE SHINGLE ROOF $17500.00
TYPE OF REAL ESTATE i ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170703 0242 SEASPRAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
FLORIDA ROOFING 4320 DEERWOOD LAKE PARKWAY
JACKSONVILLE FL 32216
EXPERTS 1001-403
OWNER: ADDRESS: ! CITY: STATE: ZIP:
POPE BRIAN SCOTT 587 VIKINGS LN ATLANTIC BEACH FI 32233-4150
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 CON f
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 $140.00
STATE DBPR SURCHARGE 455 0000-208-0700 0 $2.10
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL $144.10
Issued Date: 1/17/2020 1 of 2
c. REROOF SHINGLE PERMIT PERMIT NUMBERt CITY OF ATLANTIC BEACH RERF20-0006
1800 SEMINOLE ROAD
ISSUED: 1/17/20209 ATLANTIC BEACH. FL 32233 EXPIRES: 7/15/2020
Issued Date: 1/17/2020 2 of 2
rS'�''Jr/ , Building Permit Application Updated10/9/18
°{ City of Atlantic Beach Building Department ALL INFORMATION
HIGHLIGHTED IN GRAY
: 800 Seminole Road, Atlantic Beach, FL 32233
___ IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us r v
Job Address: 587 Vikings Lane ;Atlantic Beach, FL 32233 ,Permit Number: ��E�\� v �
Legal Description 5 54O L U -ZS-2 k g c1 ni Lot 21 Lik-IRE# 1 1x103 - 0 a-��
Valuation of Work(Replacement Cost)$ ( u , SOO. Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New DAddition ❑Alteration .')'epair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial '1 [tesidential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s)be removed in association with proposed proiect? ❑Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed: Re-roof3't ‘S ei 1 51 1 f' ..._
..._- k k 1
Florida Product Approval# rid b -d-?bQ / _ I l.oa"d(' for multiple products use product approval form
Property Owner Information
Name Brian and/or Dawn Pope Address 587 Vikings Lane
City Atlantic Beach State FL Zip 32233 Phone 904-553-8223
E-Mail Brian.s.pooe@gmail.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information \ _
Name of Company\UY\c'C\ \( k � ( Qualifyin Ag nt 1{6V15 5IAu9 h
Address L\J`4' Q� � �'�CL.(6 j City Jck 4, State 1 Zip ,)22)4
Office Phone (IO-1 -32 &4 k4 Job Site Contact Number
State Certification/Registration# CAL tI 01-1n E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer g,"i vie l tk ..h' .0 J OR Exempt❑ Expiration Date i-) —
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
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDIN OUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) ( ignature of Contractor)
Signed and sworn to(or • -d)before me this `y day of Si ned and sworn to(or affirmed) before me this I, day of
January , 2020 ,by P16, : AL1 2.02b,by \r'G►vi5 \c 4a r
- • , ,4 -. Si of Notarvl
�+""%'i•_- - • -I IA = FRANZ
MY COMMISSION#GG229074
,� (4)
TIFFANY NEAL
': MY COMMISSION#GG024176
[YI Personally Known OR ,, EXPIRES October 15,2020 personally Known OR EXPIRES.JUN 14,2022
[ ]Produced Identificatio [ ]
Produced Identification Bonded through 1st State Insurance
Type of Identification: Type of Identification: ineAtr'IZe. Nn
r s t l l j,r
CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
800 SEMINOLE ROAD
✓�f ATLANTIC BEACH, FL 32233
CERTIFICATE OF COMPLETION
RERF20-0006
REROOF SHINGLE
ISSUED: JOB ADDRESS: REAL ESTATE NUMBER: ZONING:
1/29/2020 587 VIKINGS LN 170703 0242
DESCRIPTION OF WORK:
SHINGLE ROOF
OWNER: CONTRACTOR:
POPE BRIAN SCOTT FLORIDA ROOFING EXPERTS
587 VIKINGS LN 4320 DEERWOOD LAKE PARKWAY 1001-403
ATLANTIC BEACH, FL 32233-4150 JACKSONVILLE, FL 32216
APPROVED:
CHIEF BUILDING OFFICIAL
VOID UNLESS SIGNED BY BUILDING OFFICIAL