1230 Ocean Blvd RERF21-0062 ShingleOWNER:ADDRESS:CITY:STATE:ZIP:
ETTLINGER ELLIOTT
FARRELL 1230 OCEAN BLVD ATLANTIC BEACH FL 32233-5742
COMPANY:ADDRESS:CITY:STATE:ZIP:
WOFFORD ROOFING &
WATER PROFING 2933 W. Southern Hills Cir JACKSONVILLE FL 32225
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171821 0000 MANDALAY
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1230 OCEAN BLVD REROOF SHINGLE Shingle: FL10674-R13 $19761.80
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $150.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.25
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $154.25
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: 3/3/2021
PERMIT NUMBER
RERF21-0062
ISSUED: 3/3/2021
EXPIRES: 8/30/2021
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 3/3/2021
PERMIT NUMBER
RERF21-0062
ISSUED: 3/3/2021
EXPIRES: 8/30/2021
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $154.25
RERF21-0062 Address: 1230 OCEAN BLVD APN: 171821 0000 $154.25
BUILDING $150.00
BUILDING PERMIT 455-0000-322-1000 0 $150.00
STATE SURCHARGES $4.25
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.25
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R15074 $154.25
Printed: Wednesday, March 3, 2021 4:41 PM
Date Paid: Wednesday, March 03, 2021
Paid By: WOFFORD ROOFING & WATER PROFING
Pay Method: CREDIT CARD 429487644
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R15074
RERF21-0062
2
March 2021 Elliott Ettlinger
2
March 2021 Jerod Wofford
X Drivers License, physically present
X
FL 10674-R13
(owner: Elliottettlinger@gmail.com)
wofford44@gmail.com
Jerod Wofford