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2265 Beachcomber Tr RERF20-0196 Shingle �S� '-'''r% REROOF SHINGLE PERMIT PERMIT NUMBER 1 -- �- _ `\ CITY OF ATLANTIC BEACH RERF20-0196 ,jy' �� ISSUED: 10/19/2020 800 SEMINOLE ROAD I ��0R W`' ATLANTIC BEACH, FL 32233 EXPIRES: 4/17/2021 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: 2265 BEACHCOMBER TR REROOF SHINGLE RIDGE VENT ON SHINGLE $550.00 ROOF TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169463 0158 OCEANWALK UNIT 01 COMPANY: ADDRESS: CITY: STATE: ZIP: JUST ROOFS INC 7890 MONTEREY BAY DR JACKSONVILLE FL 32256 OWNER: ` ADDRESS: CITY: STATE: ZIP: I<ENNELLY BRADLEY JR 2265 BEACHCOMBER TRL ATLANTIC BEACH FL 32233-4567 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II\ 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 1 Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$59.00 Issued Date: 10/19/2020 1 of 2 Building Permit Application Updated 10/9/18 :;, _ City of Atlantic Beach Building Department **ALL INFORMATION z 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY �Lri; 1� IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Q c / I Job Address: 22 G� 5 -) C,uYh e- �•1.(( Permit Number:1 :��` _( �� - �'l Legal Description 1-f.2 — t Q S - 25 — ((°£, P7 (,-q/�. Whr/ 1 RE# /69 '6, ` O/5-s- 1_07- 5s- i_C T 7'2 Valuation of Work(Replacement Cost)$ 55 0 Heated/Cooled� SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration QRepair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial >dential • 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) WIND Describe in detail the type of work to be performed: Repc�'ni of-f' ,/nay- Florida Product Approval# for multiple products use product approval form Property Owner Information p Name ;. f' / €J\ 1I I Address 2-2c5 6.6tc.Pnc taf JYii [ City "I CA / i C, ££.. \ State F7 Zip 3 7 233 Phone ',Oti 2-70 20/7 E-Mail • ///4 Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company 3 LJ 5t .oc 4 5 Qualifying Agent Address o••A5 :> [I r•e_.,vl-� 1€-C G. moi' City •L./G S<<)1%i/LZ State r I Zip 3 Z 2-.2 ' Office Phone cCc/ . L.1"c J_3ci 3 Job Site Conta Number State Certification/Registration# (;CC 1322c,C l E-Mail J i,1 (66-C % . L-t7 Architect Name& Phone# CJ Engineer's Name&Phone# Workers Compensation Insurer OR Exempt est xpiration Date 3`2--!-, -tel)Z/ 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, CO `ULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N• ..)."•F COMMENCEMENT. (Signature of•' ne .. Agent) rignature of Contractor) ned nd sworn to(or a :d •efore me this( C) day of Signed and sworn o(or affirmed)before me this [54 day of 2C)/C'� 1 _ilt. oc.- , �� t y idL11 c';' s 'p._n,tre 7 Ov11,. n ( IIdlU1CaIlilary7 ''!4k.'":(1:'.';'''1,,:%,,, TONI GiNDLESPERGER ..A;4••- TOY MENNET PARSON • .., ';: MY COMMISSION#GG 353178 L- •. Commission#GG 955476 :_: EX'I'ES:Octo er6,2023 `M' '°°tl •. .:;,; :�•�� Expires February 5,2024 ••° Bonded I !OI8i Mc 9�hlAS [ ]Personally Known at ''f,..........'01;•• Bonded ThruTroy Fain Insurance 800.388-7019 GFF _ ___._._..._-•--•---- .- [y¢Produced Identification Type of Identification: Type of Identification: F-1- pi— • • rt . - - Y+� »{' #^ ;• i is_ Y3: terra 3 t#;; • a ti. j t {S . .. .. .. ..,fir,_ H' - ._ _ _ t 4 t-i.. '-r. .-...'1'..,- ',t y..:.. L '`� .r is ' -..11....,`"' {j ,:' t,_.- t L- -- j • • � s +:. „. • °r b. �. - ;4 j a.s�..nr•+ro-ww....-.a +,......�.. .. _._.,.. o.f ..S .t•m a,erc w_ vix. „.t--. ✓e M2