1475 Laurel Way RERF20-0054 Shingle f INSPECTIONS REQUIRED FOR BUILDING PERMITS
4 To verify compliance with building codes,inspections of the work authorized are required at various points of the construction.
r The following inspections are typically required for residential projects:
1 vDate: Initial: Date: Initial:
Power Pole Final Plumbing
Silt Fence Final Electrical
Piers/Stem Walls Final HVAC
Underground Plumbing CC Final
Underground Electric Final Building*
Foundation/Footing *For new living space:When all construction work including electrical,plumbing,
mechanical,exterior finish,grading,required paving and landscaping is complete
Slab** and the building is ready for occupancy,but before being occupied
**FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION Swimming Pool Steel
Retaining Wall Footing Swimming Pool Safety
Driveway Electrical Grounding&Bonding
Sewer(Building Dept) Swimming Pool Final(Bldg)
Sewer Tap(Utilities Dept) Swimming Pool Final(PW)
Additional inspections may apply to your project if your project
Rough Electric*
contains these elements:
Rough Plumbing/Top Out* Formed Columns/Beams*
Rough Mechanical* Masonry Cell Fill
*When all rough electric,plumbing,mechanical are complete but before any work is *When forms and reinforcing steel,anchor bolts,sleeves and inserts,and all
covered up. electrical,plumbing and mechanical work is in place,but before concrete is poured.
House Wrap Structural Steel*
Wall Sheathing *When all structural steel members ore in place and all connections are complete,
but before such work is covered or concealed.
Roof Sheathing OTHER:
Tie-down Framing Connections
OTHER:
Rough Framing
OTHER:
Roofing In Progress
OTHER:
Window/Door In-Progress
OTHER:
Insulation Ceiling
Insulation Wall ',\ ♦6
t_E- ?Cc) P"'
Exterior Lath 1\v1
Permit Type
Stucco Scratch Coat
Exterior Siding In-Progress RG.kp zo . ()(si)E
Brick Flashing&Ties Permit No.
Early Power Lf \()REJJAJPty
Gas Rough Job Address
Gas Final*
*When all gas piping is complete and wallboard is installed but before gas is COPAMOIOWLAUT
attached to any appliance.All outlets must be capped and pipe pressurized at a
minimum of 15 lbs. Contractor
POST THIS CARD WITH PERMITS AND PERMIT
Building Department Public Works/Utilities Fire Department DOCUMENTATION IN FRONT OF BUILDING
Phone:904-247-5826 Phone:904-247-5834 Phone:904-630-4789
Fax:904-247-5845 Fax:904-247-5843 Fax:904-630-4203 INSPECTION LINE: 904-247-5814
MUST CALL BY 4PM PREVIOUS DAY FOR NEXT DAY INSPECTION
Construction Hours per City Code:7am-7pm Weekdays,9am-7pm Weekends
r`1r, Building Permit Application
I: Updated It),/9/18
�y
'' City of Atlantic Beach Building Department **AU.INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Bpilding1-Dept@coab.us IS REQUIRED.
Job Address: Iu15 (.o a Wil 1 ��4 16,1 , F1, 3a233 IRC R F D--OOE2—
q o� Permit Number:
Legal Description S4- {7 ii'. "d�tb -�.3 DDAN PI RAS=5 E Lor 5 RE# 1/70 7 6 q - Oo 3o
Valuation of Work(Replacement Cost)$JQ(QOQ Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ONew ❑Addition DAlteration ❑Repair °Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial tAlResidential
• if an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No
• Will tree(s)he removed in association with proposed oroiect?DYes(must submi.separate Tree Removal Permit) LINO
Describe in detail the type of work to be performed:
C� c 00 GAP asphalt shingle
FL18686-R2 FL10124-R20 '
Florida Product Approval# for multiple products use product approval form
Property Owner Information } I
Name tar \ U.c'rie O.,^ 14 75- 4
City � l ��` �eo�4� Address at,,i�� �w�
State FL. Zip 33.13 3 Phone 54Q- a .43- Lig 5-
E-Mail 3yrN5tltNLf'1aCi e j r tw,\ , coo,.
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information '('
Name of Company trwnyJ�� V, Qualifying Agent _Je,..j Ra .
Address 3' 33 yeti fi,�,}-c< Park g�va City TAL.hSU•rwtit<<- State FL- Zip 3°134(I)
Office Phone 9 Qli - 3 a ck - t 31 Job Site C��R ntaSt Number
State Certification/Registration# C,02 1 Q41(493 E-Mail fel e t 4V-irItnito t-to , Gom
Architect Name&Phone# •
Engineer's Name& Phone# _
Workers Compensation Insurer 0 CiAZ OR Exempt o 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
_ TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER 0 ATTORNEY BEFORE
„ :tio `.COR, G ye M ' ' *TICE OF COMMENCEME .
°�2a. I _ . ur•of Owner or Agent)
a f (Signa Ire of C tractor)
a ; z ,
ga 3 a signed and sworn to(o\. a d)ibefore me this 2 Tday of Signed and sworn to(or affirmed)before me this (0 day of
7 D 3 D hau.an Sada ,� H. -rut,2,..4"-) j\'16 Val 1, 2-020,b i+ �I' h G( �l e
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1 �� �. ivF 1.�cMorrEnrc . �1'7�i.1l. �"
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ure of Notary)
o �.•o z .:far rx ASHLEIGH MURATORE
'''4�..a '• Notar,)t.j,ic•State of Flonda
0)Personally Know ( Personally Known OR '..n.rc. ' commission k GG 951232
o�v,o 'lorr�f:
Produced IdentificationProduced Identificatio MY Comm.Expires Jan 26,2024
Hype of Identification: C ,2 S O fl i'� Type of Identification: y� ,���� 46„ -
s'�' s REROOF SHINGLE PERMIT PERMIT NUMBER
rv�
CITY OF ATLANTIC BEACH RERF20-0054
,4 800 SEMINOLE ROAD ISSUED: 3/16/2020
ATLANTIC BEACH. FL 32233 EXPIRES: 9/12/2020
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:
1475 LAUREL WAY REROOF SHINGLE SHINGLE ROOF $10000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170704 0030 HIDDEN PARADISE
COMPANY: ADDRESS: CITY: :; STATE: ZIP:
Commonwealth Roofing Co 8833 Perimeter Park Blvd Suite 1102 Jacksonville Fl 32216
OWNER: ADDRESS: CITY: STATE: ZIP:
TURMAN LARRY LANE 1475 LAUREL WAY ATLANTIC BEACH FL 32233
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.
5 rt , wc FEESy,
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $105.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $109.00
Issued Date: 3/16/2020 1 of 1
Receipt t Number
•�' _f, Cash Register Receipt p
VeyCity of Atlantic Beach R11997
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $327.00
RERF20-0054 Address: 1475 LAUREL WAY APN: 170704 0030 $109.00
BUILDING $105.00
BUILDING PERMIT 455-0000-322-1000 0 $105.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
RERF20-0055 Address: 710 KESTNER RD APN: 172379 0050 $109.00
BUILDING $105.00
BUILDING PERMIT 455-0000-322-1000 0 $105.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
RERF20-0056 Address: 616 PARADISE CT APN: 172386 2075 $109.00
BUILDING $105.00
BUILDING PERMIT 455-0000-322-1000 0 $105.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R11997 $327.00
Date Paid: Monday, March 16, 2020
Paid By: Commonwealth Roofing Co
Cashier: CT
Pay Method: CREDIT CARD 9
Printed: Monday, March 16,2020 3:14 PM 1 of 1