745 Plaza RERF21-0217 Shingle LAisii.r REROOF SHINGLE PERMIT PERMIT NUMBER
r a' CITY OF ATLANTIC BEACH RERF21-0217
800 SEMINOLE ROAD
ISSUED: 9/8/2021
ATLANTIC BEACH. FL 32233 EXPIRES: 3/7/2022
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:
745 PLAZA REROOF SHINGLE Shingle: 31588-R1 $5769.28
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171121 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
Roofcrafters Roofing, LLC 12724 GranBay Parkway#410 Jacksonville FL 32258
OWNER:
ADDRESS.: ; CITY: STATE: ZIP
PFOTENHAUER, BENJAMIN 745 Plaza Atlantic Beach Fl 32233
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.
_.� � _ UST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING ROOF IN-PROGRESS INSPECTION REQUIRED INFORMATIONAL
Notes:
a.The roof sheathing for all new construction must remain uncovered until the Roof Sheathing Inspection is approved.
b.All roofing projects require an In-Progress Inspection.
c.Sheathing installation and replacement guidelines per APA.
d.Underlayment must conform to FBC-R Table905.1.1
e.Shingles must conform to ASTM D3161 G or H,or ASTM 07158 F
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DESCRIPTION ACCOUNT 1 QUANTITY] PAID AMOUNT
Issued Date:9/8/2021 1 of 2
rf, ^i'r�' REROOF SHINGLE PERMIT PERMIT NUMBER
r
1-.p�, ; ;` P CITY OF ATLANTIC BEACH RERF21-0217
vir 800 SEMINOLE ROAD
ISSUED: 9/8/2021
•-f;: a
v EXPIRES: 3/7/2022
ATLANTIC BEACH, FL 32233
BUILDING PERMIT 455-0000-322-1000 0 $80.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$84.00
Issued Date:9/8/2021 2 of 2
'��0Aem° Permft . application
Updated 10/9/18
City of Atlantic; Beach Building Department ALL INFORMATION
BOO Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Buildir -Dept@coab us I5 REQUIRED.
Job Address: 745 PLAZA RERF21-021 7
—•---- Permit Number:
Legal Description 0$12,(FiovIA,PF\ITj;Zsu L2INT Oj 30.60 17-25-29E1.0131 13LKI REN 171121-000o
Valuation of Work(Replacement Cost) 5769,20
$ Heated/Cooled SF 975 Non-Heated/Cooled
• Class of Work: °Now °Atddition ❑Alteration Mepalr OMove ODemo OPool OWindow/Door
• Use of existing/proposed structurelc)• OCommercial (XResidential
• If an existing structure,is a fire sprinkler system installed?: OYes ONo
• Will tree s he emoved in associa ion wi h ro4.sed ro'ect?OYes must submit se.arate Tree Removal erm t ONO
Describe in detail the type of work to be performed: Re-Roof removing e' sling shingles and replacing with
GAF Royal Sovereign 3 Tab Shingles 14 sqs
Florida Product Approval IJ 31588 R1 for multiple products use product approval form
Property Owner Information
Name BEN PFOTENHAUER Address 745 PLAZA
City ATLANTIC BEACH State FL Zip 32233 Phone 904-524-1769
E-Mail bengelev8dobria.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company ROOFCRAFTERS ROOFING,LLC Qualifying Agent NICOLE CORSON
Address 1526 LAKE POLO DR City ODESSA State FL Zip 33556
Office Phone 904-813-9534 Job Site Contact Number
State Certification/Registration t! CCC 1331026 E-Mail tracy(groof-crafters.com
Architect Name&Phone tt
Engineer's Name&Phone tJ
Workers Compensation Insurer FRSA OR Exempt 0 Expiration Date JAN 1,2022
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 OSTA.► INAN.. NG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORD TO' OU," to. .F COMMENCEMENT.
OP
0/C
_ t �
(Si a r re of Owner or Agent) (Signature of Contractor)
Signed and sworn to(or affi •. b,•i�ru` f'e e his 7 day of Signed and sworn to(or affirmed)before m thi
5% RE 20Z l , by 10 Vu+ �
)Ci r '�0-�) b i C O Ie -` ;• k�t�'�i�i
_.. ..71 7;. .. • (Signatur
JONA • -FOTENHAUER D N;C� _
to MY COMMISS ONO HH 002474 "1; A �G
) Personally Known OR1-7%;;)147,;47/ EXPIRES:May21,2024 Personally Known OR �\\(,q U8L 2y�. �\
4f' 6or4edThruNoLiyP�IlcUnde- i ri Produced Identification '10„�•'•.Y03 ��.•
( j Produced Identlficatlo' l l C?
Type of Identification: __ Type of Identification: vi \‘���
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