286 Main St RERF20-0191 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
DUNNAGAN SHAWN
EDWARD 286 MAIN ST ATLANTIC BEACH FL 32233-2528
COMPANY:ADDRESS:CITY:STATE:ZIP:
Kayco Roofing, LLC 1014 BLANDING BLVD ORANGE PARK FL 32065
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170867 0007 ATLANTIC BEACH SEC H
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
286 MAIN ST REROOF SHINGLE SHINGLE ROOF $8900.00
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: 10/19/2020
PERMIT NUMBER
RERF20-0191
ISSUED: 10/19/2020
EXPIRES: 4/17/2021
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 10/19/2020
PERMIT NUMBER
RERF20-0191
ISSUED: 10/19/2020
EXPIRES: 4/17/2021
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $99.00
RERF20-0191 Address: 286 MAIN ST APN: 170867 0007 $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: R13838 $99.00
Printed: Monday, October 19, 2020 10:42 AM
Date Paid: Monday, October 19, 2020
Paid By: Kayco Roofing, LLC
Pay Method: CREDIT CARD 387596361
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R13838
e Building Permit Application
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone: {904) 247-5826 Email: Building-Dept@coab.us
Updated 10/9/18
.. AI.LINFOIIMATION
HIGHLIGHTED IN GRAY IS REQUIRED, ..
A+lM.+, (.., Job Address: ·zsrb ¼,; 'l St tc-e J B½v1 Permit Number:--------
Legal Description l�·ZY n ·'Z.5- Z/fE .q,j'.'i A!)..,.k :ee,.,.i, :u. H.) 't\1f-1· {µt;; ll� tJO'?b1-('.AJO 7
Valuation of Work (Replacement Cost) $ _$8,900.00 ______ Heated/Cooled SF i l..b l Non- Heated/Cooled /5 04•ClassofWork: □New □Addition □Alteration JO� □Move □Demo □Pool □Window/Door
•Use of existing/proposed structure(s): □Commercial i)mesidential•If an existing structure, is a fire sprinkler system installed?: □Yes l:iilNo
• di it'nwi
Desa lbe In detall the type of work to be performed: 'Re.. 'Roof', .
Florida Product Approval_#_'-"'::£..-'-'"'-'=J_ ___________ for multiple products use product approval form
Prope
Name of Company-:;!�'¥,.1:L-l;_!./W,�!:\------Quaiifying Agent _C,.,:..:1..:W-c....,::K._a..--'·◊�t::..;&,'F/CC>-�J.µ..C-=----,---:--Address l City ()Y.M.� 1),y-/<.-State -"'�-""'-Zip '3 :Z,O .6 S:: Office Phone Job Site Contact ::ber ¢ 10��6 <..State Certification/Registration# E-Mail C.,lwfl..� l;:c.J,o �, l{JI!".)Architect Name& Phone# ________________________________ _ Engineer's Name & Phone# _,:-r-;c-c-7-:---:::,,---:,,--,-::-,--,,...,..,....-----------=-.:::-:;-;----Workers Compensation Insurer (., OR Exempt □ Expiration Date 7-t'· "Z-1 Application is hereby made to obtain a permit to do t 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 addltional restrictions applicable to this property that may be found in the public records of this county, and there may be addlttonal permits required from other governmental entitles such as water management districts, state agencies, or federal agencies.
OWNER'S AFFIDAVIT: I certify that all the foregoinglnformation 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 PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDl<NG YplJR NO OF CEMENT. f»./\-+---z.___� C::::::::::::::
•"'"""· � ....... -'f, l J Personally Known OR ;.;!IQ. Produced ldentifi�nL"�o,r-'.I' Tvoe of ldentifleation: D
CYNTHIA TAGLIARINI Commission# GG 925192 Expires December 9, 2023 _Ton, __ _
(Signature of Contractor)
� &{Personally Known OR
[ ] Produced Identification
Type of Identification:
NTHIA TAGLIARINI Commission# GG 925192
Expires December 9, 2023a«icwdThnlhdaelNGWYSllvtoN
RERF20-0191
RERF20-0191
RERF20-0191