763 Atlantic Blvd ROOF20-0045 Roof RepairOWNER:ADDRESS:CITY:STATE:ZIP:
412 BOARDWALK P O BOX 33046 ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
Best Value Management,
LLC 1225 Beaver St Suite 123-06 Jacksonville Fl 32203
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
177653 0000 SECTION LAND
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
763 ATLANTIC BLVD ROOF NON SHINGLE roof repair $1075.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $60.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 7/10/2020
PERMIT NUMBER
ROOF20-0045
ISSUED: 7/10/2020
EXPIRES: 1/6/2021
ROOF NON SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 7/10/2020
PERMIT NUMBER
ROOF20-0045
ISSUED: 7/10/2020
EXPIRES: 1/6/2021
ROOF NON SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
ROOF20-0045 Address: 763 ATLANTIC BLVD APN: 177653 0000 $94.00
BUILDING $60.00
BUILDING PERMIT 455-0000-322-1000 0 $60.00
BUILDING PLAN REVIEW $30.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00
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: R12300 $94.00
Printed: Friday, July 10, 2020 3:44 PM
Date Paid: Friday, July 10, 2020
Paid By: Best Value Management, LLC
Pay Method: CREDIT CARD 344253096
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12300
Building Permit Application
, City of Atlantic Beach Building Department
/ 800 Seminol e Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email:
Updated 10/9/18
"ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED.
Job Address: 763 Atlantic Blvd Atl antic Beach, FU2233 Permit Number: ___________ _
legal Description 38-2S-29E.49 B DE CASTRO Y FERRER GRANT PT RECD O/R 18990-1982 RE# 177653-0005 ~~~~~------
Valuation of Work (Replacement Cost) $..:1::0:.:.7.::5.::0"'0 ____ Heated/Cooled SF _____ Non-Heated/Cooled ____ _
• Class of Work: DNew DAddition DAlt eration ~epair DMove DDemo DPool DWindow/Door Roof Repair
• Use of existing/proposed structure(s): !:?3Commercial DResidential
• If an existing structure, is a fire sprinkler system installed?: DYes DNa
• Will tree(s) be removed in association withpfoposed proiect? DYes (must submit separate Tree Removal Permit) I:1lNo
Describe in detail the type of work to be performed:
Rep l acing the wall flashi ng on the roof as necessary t o stop-em ergency leak repa i r
Fl orida Product Approval #. ___________________ for multiple products use product approval form
Property Owner Information
Name 412 Boardwalk
City Atlantic Beach
E-Mail bs@petraj ax.com
State FL
Address PO Box 33046
Zip 32233 Phone -'9'-'0'-'4,,-2=-4:.:1"'-1:.:1:.:5"'1 _______ _
Owner or Agent (If Agent, Power of Atto rn ey o r Agency Letter Required) ___________________ _
Contractor Information
Name of Company Best Value Management. l LC
Address 1225 W. Beaver St
Office Phone 904-327-3166
State Certification/Registration # CCC1331461
Qualifying Agent :c-"5.::;ea"'n'-C"'0"'r.:.:ri .. ga"'n:......r.-___ --o== __ _
City Jacksonville State _FL __ Zip 32204
Job Site Contact Number
E-Mail scorrigan@bestva"'lu-::e:::m:::gt=.c-=-om=-------------
Architect Name & Phone # __________________________________ _
Engineer's Name & Phone # _-:-~-:-------------------------"""""""..,,"'=,._---
Workers Compensation Insurer....:::Li..:o:.:.nc:.ln.::s..:uc:.ra:.:.n..:ce=--__________ OR Exempt 0 Expiration Date 01/01/2021
Applicat ion is hereby made to obtain a permit to do the work and installat ions as indicated . J 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 th is 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 requ irements of this
permit, there may be additional restrict ions applicab le to this property that may be found in the public reco rds 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
applicab l e laws regulating constru ction 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
TOOB NCING, CONSULT WITH YOUR LEN~R OR AN ATTORNEY BEFORE
U~ NOTICE OF COMMENCEMENT. \,..)
Signed and sworn to (or affirmed) before me th 2..~ day of
Junre.... ,t.020 , by ~ \\1Ot'I ~
"Bp±M~ \.In \\~
(Signat Ure(; Notary)
/l Perso nally
[ 1 Produced Ild"nt;fl!,
Type of Irl .. ,,;f;o.holl
IlE1lWf{ SAlCAN
MY COMMISSION. GG 311919
EXPIRES: May II , 2023
(Signature of Contractor)
Signed and sworn to (or affirmed) before me t h is 2.1.. day of
JUJ\~ ,Z~~~Z!~tt1
[J persOnallY Known OR
[ ] Produced Identification
Type of Identification:
(Signature of Notary)