146 Pine St ROOF21-0015 Mod BitOWNER:ADDRESS:CITY:STATE:ZIP:
GARDNER PRICILLA 146 PINE ST ATLANTIC BEACH FL 32233-4012
COMPANY:ADDRESS:CITY:STATE:ZIP:
PIMENTEL ROOFING INC 402 St. Augustine Blvd.JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170631 0050 SALTAIR SEC 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
146 PINE ST ROOF NON SHINGLE MODIFIED BITUMEN AND
SHEATHING $4000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $75.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $37.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $116.50
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: 2/26/2021
PERMIT NUMBER
ROOF21-0015
ISSUED: 2/26/2021
EXPIRES: 8/25/2021
ROOF NON SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 2/26/2021
PERMIT NUMBER
ROOF21-0015
ISSUED: 2/26/2021
EXPIRES: 8/25/2021
ROOF NON SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $116.50
ROOF21-0015 Address: 146 PINE ST APN: 170631 0050 $116.50
BUILDING $75.00
BUILDING PERMIT 455-0000-322-1000 0 $75.00
BUILDING PLAN REVIEW $37.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $37.50
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: R15038 $116.50
Printed: Friday, February 26, 2021 3:55 PM
Date Paid: Friday, February 26, 2021
Paid By: PIMENTEL ROOFING INC
Pay Method: CREDIT CARD 427740243
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R15038
ROOF21-00
ROOF21-0015
ROOF21-0015