Permit 550 Royal Palms DriveCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000811 Date 6/22/10
Property Address 550 ROYAL PALMS DR
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation
--------
- 5200
-
--------------------------
Application desc ----------------------- -----------------
reroof
------------------------------------
-----------------------
-----------------
Owner
--------------------
- Contractor
-
--
AVERITT -----------------
COWFORD ROOFING, -------
INC.
550 ROYAL PALMS DRIVE 2037 GILMORE ST
ATLANTIC BEACH FL 32233 STE 300
JACKSONVILLE FL 32204
-------------------- (904) 626-9534
----------------
Permit ROOF PERMI ------------------------
T ----------------
Additional desc .
Permit Fee 80.00 Plan Check Fee .00
Issue Date Valuation 5200
Expiration Date 12/19/10
------
------------------------------
Fee summary Charged
----------------- ------------------------
Paid Credited ----------------
Due
----------
Permit Fee Total 80.00 ---------- ----------
80.00 .00 ----------
.00
Plan Check Total .00 .00 .00 .00
Grand Total 80.00 80.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 550 Royal Palms Drive Atlantic Beach FL 32233
Legal Description 31-16 38-2S-29E R/P OF PT OF ROYAL PALMS Parcel # 171517-0000
Valuation of Work $ 5.200 Proposed Work heated/cooled non-heated/cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s) ((circle one): , Commercial Residential
If an existing struc~ure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval # FL 735 - R3
For multiple products use pro uct approva orm
Describe in detail the type of work to be performed: Reroof 1900 SF Tamko Awa~lan 170 Rolled Roofing, Water
and Ice peel and stick underlayment
Property Owner Information:
Name: Barry Averitt Address: 3010 3`d Street South
City Jacksonville Beach State FL Zip 32250 Phone 904-514-4560
E-Mail or Fax # (Optional)
Contractor Information:
Company Name: Cowford Roofing Inc Qualifying Agent: Courtney Deckard Address: 3504 Simca Dr W
.City Jacksonville State FL Zip 32277
Office Phone 904-626-9534 Job Site/ Contact Number 904-626-9534 Fax # 904-683-5605
State Certification/Registration # CCC1328804
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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 laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a penod of siz (6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
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 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO~[JR NOTICE OF
COMMENCEMENT.
I hereby certify that 1 have read and examined this~plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to viol to or cancel the
provrsions of any other federal, state, or local law regulating construction or the performance of construction. n •
Signature of Owner ,!~~~ /.~
Print Name ~121'v{G • ~I~'Glr'2--{-}-`'
......................c.,.............................................................................................................
this rn to a Sgt fn~p~ „~ ~p a me t . 20 ~o
~uRr Poi Notary Public State of Florida
. -~ _ Brooke L Kacr~c.
Signature of Contractor
~~wY P~~ Notary Public State of Florida
nr
Print Name GC,X~~- ~~r~-7
NOV-3-2001 08:34 FROM:CI.ERK DF COURTS 904 270 1512
NOTICE Off' COMMENCI,~E~T'T
._„ l
~t:txtt;t No. ! ~ b 1 I
Tax Folio Nn.
TD: 92475845
Ux iF 1u'IU14.446'0, Ut? ~~ )5183 Pie 'Itftia.
Number Paget:
P.ectxded 06/22201 ^ s[ Oa: ~ t3 PM,
JIM =ULIER CLERK. CIP,CUIT COURT DUVAL
C(7t1~ FY
RECORDING 610.00
P:1~1
Tk1E UNDF,k3IGNED hereby gives ttoticc: that impmvett)cnts will be made to Certain real property, and in acct.rdancc with tiection
713.13 of the Florida Stalutcs, the following intbrmation, is provided in this NOTICE OF CQAVI.MENCEMEN'I'.
1,pCSCriptionofpml)erty(LCgaldescrij-tinnf.•__ ;17.-16 38-25-2pH R/P OF PT OF ROYe~i. PALMS UNIT 2 A _,
A) Slri•Ct (job) Address: , 550 Royal >?alms Drive ~,r,7,antic Beach FL 32233
2.Gencra,l description of improvements: rei oof
3,Owncr tnform4don
a) Name and Address: Barry Avera.tt, 3020 3zd Street S. , 3acksonville seach FL 32250
b) Name and address of fee silmple titleholder (if other than owner) ._. _. ~ ._
c) Interest iR property _ _ _
4,Contractor inforxlation
a)Nameandaddress: Cowford Roofing, Inc.., 35oa Simca Dr. W., Jacksor~vilie FL 32x77 __
~~ b)TclephoneNo.: 904-626-953 ~ .Fax, No,(Opt.)~g,Q_yg _c.or
~ S.Surcty Information
a) Narrre and addross: N/A _
b) Atnotmt of FJO.ad• .
c) Tclcplto+te No,:. _ _ _ Fax No. (Opt.)
tS,,Lcodcr
a) Name and address: N/A _
_ Pl)one Nn. _ _
7, ldenlity of person within the State of Florida designtltr:d by owner upon wtton) notices or other docutt-ents .ma}• lac served:
a) Nan)c and address' . _ _
b) Telephone No.: __ _ Fax No. (Opt.)
$.Tn addition to himself, owner desigrratcs the following person to receive a copy of the Lienor's Notice as provided in Section '
71.3.13(1)(b).1'Iorida Statutes:
a) Name Attd address: _ . _ _.
h) Telephone No.: ,. 1'ax No. (Opt.) __
9..Expiration date of Nolicc of Commeeceruent (the ez}iiratio~a date is one yeax from the date oI recording unless a different date
its apeciFerJ):
WARNING TO OWNER: Alr`Y PAYMEN".C:S MADE BY Z1J~ OWNER AI!TEJt THE EX,pJ<IiATTON O,F'J'J3)E NOTICE O1w
COMMI:IVC:T:M)vNTRRE CONSIDERED TIVIJ?ROPER PAXNIENTS UNDftIt CHAPTER 7I3, PART T., SkCTION 7)3,13,
1%I.ORTDA STATUTES, AYD CAN It,ESULT iN XOUR PAXfNG TWICE FOR IMPROVFMENT5 TO XOUR PRQPEJ;ATY.
A NOTICE OF C'OMMENCEMkNT MUST BE RECORDED ANA POSTED ON THE ,IQB SITE BEFO.RI~ TT3E F1RST
1NS1'I;(:TION. IF YOU I1vTEND'I'Q 013TAIN FINANCING, CONSULT YOUR LENDER VIZ AN ATTO.4i,N1EY BEPOITk
COMMkNCTNG WORK UIt RECORT).ING YOUR NOTICE OF COMMENCFMlENT.
S)'A7'F. nF F.LOltll)A
COUNTY OF RW1:6LAS
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Print Nona ~ '
The I'on:going instn,mene~w'asjac~knowledg~ed~`befofr~e~ma~this!day of ~~
Personally Known ~! OR Produced Identification _ Notary Signature -
~24~i7,by
Type o('ldcntifrcation Produucd _ Name (print) ~ -~r~ '~'"~ ~ ~'"'7 ~'-"
ox .._ .-
Verification pursuant to Section 92.525, Florida Statutes. tinder penalties of penury, T declare that T have reKtl the fore wing and tF+.at
the facts stated in it are true to the best of n)y knowledge and beliet: ,fir pubfitSlettO(FIO
~" todta L Kaatr+ar
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