1979 Brista De Mar Cir RERF20-0014 Shingle .;,,....m,--,---„, REROOF SHINGLE PERMIT PERMIT NUMBER
'� RERF20-0014
�
v-) CITY OF ATLANTIC BEACH ISSUED: 2/3/2020
800 SEMINOLE ROAD
:;isir ATLANTIC BEACH. FL 32233 EXPIRES: 8/1/2020
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:
1979 BRISTA DE MAR CIR REROOF SHINGLE SHINGLE ROOF $32900.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169506 1674 SELVA NORTE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
All Pro Roofing &
Consulting LLC 9143 Philips HWY JACKSONVILLE FL 32256
OWNER: ADDRESS: CITY: STATE: ZIP:
BRACEY ROBERT A 1979 BRISTA DE MAR CIR ATLANTIC BEACH FL 32233-4525
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-3224000 0 $215.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.23
STATE DCA SURCHARGE 455-0000-208-0600 0 52.15
TOTAL: $220.38
Issued Date: 2/3/2020 1 of 2
'. s� REROOF SHINGLE PERMIT PERMIT NUMBER
ri CITY OF ATLANTIC BEACH RERF20-0014
o
r 800 SEMINOLE ROAD ISSUED: 2/3/2020
``f ATLANTIC BEACH. FL 32233 EXPIRES: 8/1/2020
Issued Date: 2/3/2020 2 of 2
„ , Building Permit Application Updated 10,19/18
City of Atlantic Beach Building Department **ALL INFORMATION
i! •
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
';
Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED.' fy`` /'
Job Address:J71 Fri De c Cif. 4{-1Aflt . ,FL Permit Number: i< Rc Z®—Vp (4
3Z?.:3”
Legal Description 416-,s-7 QQ-z -age (e►yQ.)Varhr_ unit?... Loi- q2 RE# i aCK?)(p 1 to? 4
Valuation of Work(Replacement Cost)$.32,9Cb.0 O Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): OCommercial ❑Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s)be removed in association with proposed project?❑Yes(must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed:: -(NA-
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:)r\ a r- �o ,np� C E--1 I oG L e
Florida Product Approval# t-,- {(0 3 0 3 - Rb _for multiple products use product approval form
Property Owner information _
Name , f_= Le� — Address`�"7a{ e)(1S1't).VX MAc Crr. t i P. •
City I�Noy +'i C .At lam— State GL Zip `J`Z 3 Phone (` V 1'- 2 -`VI
E-Mail ;}jbr'a(,(„z. �. c. r nm_
Owner or Agent(If Ag4.rit,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Alkrn (24 pciil �• (0{,, n ,,,,.tualifying Agent
Address( ' ' V m:{'c V-} City ((i _State 1'L _Zip 322S(Q
Office Phone 91:)"( • 337 •(�D 2. Job Site Contact Number
State Certification/Registration If t L i 3.')'7L). f a E-Mail heOknec P tipeocp(cco l 1 e..coty)
Architect Name&Phone# J
Engineer's Name&Phone#
Workers Compensation Insurer j04,0ar A 1 e AS OR Exempt 0 Expiration Date 5/I51 0
Application is hereby made to obtain a permit to do the work ar(d 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
RECORDING YOURIV9II,CE OF COMMENCEMENT.
"� -7 ,. /
(Signature of Own r Agent) (Signature of Contra .r)
Signed and sworn to(or affirmed)before m- this ),rP• day of Signed and sworn to(or affirmed)before me this'2; day of
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w1_STA'EOF FL•'IDA
t Comm#GG048985 (let NotaryPublic 9 ette of Fwnda
��,• �p Heather Knight
[ 1 Pe Ily Known OR .' E re • Expires 11/2012020 [ 1 Personally Known OR �. Exp�rea Z!11�202�939070
roduced Identifications Produced Identificatio °*"
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