Permit Roof 2344 Barefoot Tr 2011 - '` J f
i '
' �O CITY OF ATLANTIC BEACH
SIB 800 SEMINOLE ROAD
.:-.. .:-.. ' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002043 Date 5/06/11
Property Address 2344 BAREFOOT TRAC
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . • 13475
Application desc
reroof
Owner Contractor
BROCKWAY BRC HIGH TECH ROOF DIVISION
2344 BAREFOOT TRACE 6372 GREENLAND ST STE 6
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258
Permit ROOF PERMIT
Additional desc . .00
Permit Fee . . . • 120.00 Plan Check Fee . .
Issue Date . . . . Valuation . . . . 13475
Expiration Date . . 11/02/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 124.00 124.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
uoc # 201 11 00603, OR 13K 15592 Page 2400,
Number Pages: 1
Recorded 05/06/2011 at 09:37 AM.
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.
State of Florida, County of Ducal
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1 Description of property (legal description of property and address if available):
2344 Barefoot Trace, Atlantic Beach, FL , _ _—
General Description of improvements:
Re - Roof _.
Owner Information:
al Name and Address• Richard Brockway, 2344 Barefoot Trace, Atlantic Beach, FL
b) Interest in property' Owner _
c) Name and address of simple titleholder (if other than owner)
4 Contractor Information: BRC High Tech Roof Division, Inc Suite 113 Box 335
al Name and Address: 13820 Old St. Augustine Rd. Jacksonville" FL 32258
i
b) Phone Number: 904 -288 -0431
• _. Surety Information:
a) Name and Address: N/A
b) Phone Number:
c) Amount of Bond: S
6 Lender Information:
al Name and Address: N/A ___ _.
b) Phone Number. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7, Florida Statutes:
a) Name and Address: y/®
b) Phone Numbers of Designated Person:
3. In addition to himself/herself, Owner designates __ of to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
at Name and Address: _ N/A
h) Phone Number of person or entity designated by owner:
9 Expiration date of Notice of Commencement (The expiration date is one (1) year from the date of Recording unless a
different date is specitied
WARNING 1'O OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER. PAYMENTS UNDER. CHAPTER 713, PART
1. SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR RROPERTY. 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 COMMENCING WORK OR RECORDING
YOUR NOTICE CO.t // CEM
's i� L d
Signature of Owner or Owner's Authorized Officer/D• ctor!Partner /Manager Signatory's Printed Name & TitlerOffice
t
The foregoing instrument was acknowledged before me this day of 'k` .J 20 l \, b}
< r cc C v.:;- 5'6 ∎ I:. ( , K,.:r, s for
i'.ame of Person) (Authority Type, i.e Officer/Attorney) (Name of Party Instrument was Executed for)
_ I
. � . ;'-. JEANNETTE R. BINGHAM - t ' _ C . . ')• tr...SCk.
' = MY COMMISSION # DD945280 AR PUBLIC, STATE OF FLORII32
Print Namei(.1.C...v∎r. k' v �' i n` n ( ". .v�` -
.1 4 , �• �� EXPIRES January 20, 2014
(407)388-0153 FtoridallotaryServlce.com 4- Personally Known
n Identification /Type: _____—_.
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, 1 declare that 1 have read the
foregoing and that the facts stated in it are true to the best of my knowledge and belief.
Signature of Natural Person Signing Above
Revised 10.1,2009
.,i 0- " ---4----1 "''' !
' 09 -
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date: May 2 , 2011
Job Address: 2344 Barefoot Trace
Owner of Property: Richard Brockway
Address: 2344 Barefoot Trace Telephone:
Roof Contractor: BRC High Tech Roof Divi s ion , Inc State License Number: CCCO56398
Contractor's Address: 13820 Old St. Augustine Rd. Suite 113, Box 335, Jacksonville, FL 32258
Telephone: 904- 288 -0431 Fax: 904 - 292 -9390 Email: brcroof @comcast.net
Scope of Work: Re -roof Roofing Material 30 year architectural
FL Product Approval # Valuation of Work: $ 13,475.00
Required Inspections: Sheathing /In Progress -Dry In / Final
If re -roof: Assessed Value of Structure: _ < $300,001/ >$301,010; Roof-to -wall improvements required?
( Applies to single family structures only)
"WARNING TO OWNER: YOUR FAILURE TO RECORD 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"
XSignature of Owner:
Date: r° 1 / 11
\f AS TO OWNER: ' "
Sworn to and subscribed before me this -3 I tea day of - -'s , 20 •
Stat-. .'.. • . .
•;:*� JEANNETTE R. BINGHAM otarys Signatu • ' " ......4..• — - A•..
4k. ' ;
= '_ M Y COMMISSION # DD945280 t erso y known
++��, EXPIRES January 20, 2014 0 Produced identification
•' O r ,, serv lce.com - Type of identification produced
( : • y .• p Notary
Sworn to and subscribed before me this day of , 20
State of Florida, County of Duval
Notary's Signature:
❑ Personally known
❑ Produced identification
Type of identification produced
800 Seminole Road • Atlantic Beach, Florida 32233 -5445
Telephone: (904) 247 -5800 • Fax: (904) 247 -5845
F: \roof permit applicaton.docx 7/28/09
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