Permit Roof 708 Cavalla Rd 2013 CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
N Td
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Application Number . . . . . 13-00002064 Date 1/29/13
Property Address . . . . . . 708 CAVALLA RD
Tenant nbr, name . . . . . . UNIT 2A
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2600
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Application desc
RE-ROOF 1956 . 1 25 YEAR
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Owner Contractor
------------------------ ------------------------
KREHEL JOHN TR BRC HIGH TECH ROOF DIVISION
551 LAKE RD 6372 GREENLAND ST STE 6
PONTE VEDRA BEACH FL 32082230 JACKSONVILLE FL 32258
--- Structure Information 000 000 RE-ROOF
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Permit . . . . . . ROOF PERMIT
Additional desc . . RE-ROOF
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2600
Expiration Date . . 7/28/13
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 69 . 00 69 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITV 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
AT-LANric
Job-Address: 709 CXk1, 41-4 2.3 d��o
/e�. F� a 3. 3 Permit Number:
Legal Description 31-1 -T -.2 S-a9 E /Qo)lq t 14A1 ms p,v i s A Parcel#
s•= oor Area o q. t. q. t
Valuation of Work$ �, (000. 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/proposed structure(s)(circle one): Commercial �So
If an existing structure,is a fires rinkler system installed? (Circle one): N/A
Florida Product Approval# / S _
For multiple products use product approval form
Describe in detail the type of work to be performed: REmo✓,E OLD ROOF 4ND iN.57"A 44 NEa✓
Property Owner Information:
Name: -TO q.,J ko�6 A EL Address: 537 4AKE 91).
City IVAI v 4w.4 ,dew. StateFLZip Y.209;L L Phone 993- 5-0 5'(6
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:09C N)(?#TZCfI tf000c ,D1✓1X10eV SNC. Qualifying Agent:
Address://-?5'0 GLb sx Awe*t1 r1we g,6. om s71r City j Ax, State FL. Zip 3.Z a d-
Office Phone o288-Dy3/ Job Site/Contact Number 6-9/- y9S9 Fax# a92 - 9390
State Certification/Registration# CCC sgff.o CcC /3300.2a . G lac i5-2091(o
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 period of sixP6)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 YOUR NOTICE OF
COMMENCEMENT.
I hereby certify tl3at I have read and examined this application 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 specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name Y� �-L Print Name 6oel�P/t/ //Z--.
..........................................................I.............................
Sworn to and subscribed before me Sworn ta and subscribed befor me
this?Day of .SA NdA4e2013 this Day of B2(.c 20 J
Notary Pu "�"`! S. BRIAN HYNES Not P bli QRT1(IIANt `
Notary Public,State F�pfj
'y`,' �= My COMMISSION#DD947W7 t)ommission�EE 0 01.26.10
VAG"m�' EXPIRES December 17,2013 My comm.expires Dec.16,2014
(407)398-0153 FloritlallotarySorvice.com
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Florida County of Duval
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:31-1 38-2S-29E Royal Palms Unit 2 A
Address of property being improved: 708 Cavalla Road,Atlantic Beach,FL 32233
General description of improvements:Roof Replacement
Owner John Krehel
Address 551 Lake Rd.,Ponte Vedra Beach,FL 32082
Owner's interest in site of the Improvement Fee Simple
Fee Simple Titleholder(if other than owner)
,Name
^ Address
Contractor BRC High Tech Roof Division,Inc.
Address 11250 Old St.Augustine Rd.,Suite 15313,Jacksonville,FL 32257
Phone No.904-288-0431 Fax No. 904-292-9390
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a $ •'ki;
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY O ER
Sig DATE
Before me tM.2939damf A a/fI ZO the Y
County of I Stat o}Florid has personalty appeared 0 �y
�✓ /t��CE EfL herein bym 0
hInseif,'herself and affirms that all statements and declarations herein
are true and accurate u �y
Doc#2013026006,OR BK 16234 Page 340, C rn
Number Pages: 1L G Z
Recorded 01/29/2013 at 12:26 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Notary P
ga.Stateof County of o O Z
COUNTY MY commission expires: DEC.
RECORDING$10.00 Personally Knmvn _ or 3 No ? tR
Produced Identification jD 44Z t VL l rn i
W V