258 Pine St RERF20-0117OWNER:ADDRESS:CITY:STATE:ZIP:
DEL GALLOWAY CHARLES 912 F STREET NW #700 WASHINGTON DC 20009
COMPANY:ADDRESS:CITY:STATE:ZIP:
Premier Roofing of
Jacksonville 9429 Adelaide Drive Jacksonville Fl 32244
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170553 0000 SALTAIR SEC 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
258 PINE ST REROOF SHINGLE SHINGLE ROOF $8500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $95.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $99.00
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: 6/26/2020
PERMIT NUMBER
RERF20-0117
ISSUED: 6/26/2020
EXPIRES: 12/23/2020
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 6/26/2020
PERMIT NUMBER
RERF20-0117
ISSUED: 6/26/2020
EXPIRES: 12/23/2020
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $99.00
RERF20-0117 Address: 258 PINE ST APN: 170553 0000 $99.00
BUILDING $95.00
BUILDING PERMIT 455-0000-322-1000 0 $95.00
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: R12179 $99.00
Printed: Friday, June 26, 2020 4:38 PM
Date Paid: Thursday, June 25, 2020
Paid By: Premier Roofing of Jacksonville
Pay Method: CHECK 1872
1 of 1
Cashier: CT
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12179
S '1,y J1J CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
TL2800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
CERTIFICATE OF COMPLETION
RERF20-0117
REROOF SHINGLE
ISSUED:JOB ADDRESS: REAL ESTATE NUMBER: ZONING:
6/26/2020 258 PINE ST 170553 0000
DESCRIPTION OF WORK:
SHINGLE ROOF
OWNER: CONTRACTOR:
DEL GALLOWAY CHARLES Premier Roofing of Jacksonville
912 F STREET NW #700 9429 Adelaide Drive
WASHINGTON, DC 20009 Jacksonville, Fl 32244
APPROVED:
CHIEF BUILDING OFFICIAL
VOID UNLESS SIGNED BY BUILDING OFFICIAL