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260 Belvedere St 2014 Roof CITY F ATLANTIC BEACH JSS1 \ 800 SgwMINOLE ROAD NOW ATLANTIC BEACH, FL 32233 � -r ROOF PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-ROOF-11 Job Type: ROOF PERMIT Description: REROOF Estimated Value: $4.580.00 Issue Date: 9/16/2014 Expiration Date: 3/15/2015 PROPERTY ADDRESS: Address: 260 BELVEDERE ST RE Number: 170496-0000 PROPERTY OWNER: Name: HINCHEE JR, NORMAN EDWARD Address: 431 OSPREY KEY GENERAL CONTRACTOR INFORMATION: Name: SCHULTZ ROOFING COMPANY INC Address: Phone: - - 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: t 0 f �f (o r I'll Address of property being improved: c� © I� 1 VEcle f'e- General description of improvements: .j n / f 2 L 6 f Ownerc)r CI t: 6L r- r�� L /� Address D 6 0 L �'�' e 4LI lS C'-l-, 3 Z Z 3 7�, Owner's interest in site of the improvement Fee Simple Titleholder (if other than owner) Name �4 Address Contractor Douglas A Schultz Schultz Roofing Co., Inc - Address 216 N 20th Street Jacksonville Beach, FL 32250 Phone No. Fax No. 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. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax (904)247-5845 Job Address: Q (n O 6e-1 1 de..(-c S+- • Perm't Number: S ,10 - i S i - -a # 00Legal Description parcel � 0 - Floor Area of Sq.Ft. sq.Ft Valuation of Work$ `±x"80 _ Proposed Work heated/cooled non-heated/cooled reroo.4 Class of Work(circle one): New Addition Alteration Ftep* Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial entiaside If an existing structure,is a fire sprinkler system installed? (Circle one): es o N/A Florida Product Approval#tlTi a 5 S k4",,,-l g - Fl- 9 7`�2-$� cc n - F1__ 1?7?,1 For multiple products use product-approval form Describe in detail the type of work to be performed:kc P�A ce 'E-+L}r S 2o0.- w re J 3 -T-A(3 _5I 1 h5�( 60e1- t'Qe (4 STtc.1QyVAUf.0 (A'lw-cn11_ . Property Owner Information: Name:U r rh0,n C d ujarc1 Address: Q(Q City ft-H - (3 gib, StateElZip 32 E-Mail or Fax#(Optional) Contractor Information: Company Name: s�,�'1 u Z 04 n �-In L Quali 'ng Agent: I a (ct �c c ( f Address:Q1 l DD City j A->< (3c.i State I- Zip 32 5V Office Phone_ga4 a4b-a3 o Job Site/Contact Number 904 State Certification/Registration# 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. 1 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 rf work:s not commenced within six(6)months, or if construction or work is suspended or abandoned far a nod of six 6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, urnaces,Boilers, Heaters, Tanks and Air Conditioners,etG 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 that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 work will be complied with whether sped ted 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 lav regulating construction or the performance of construction. Signature of Owner �� Signature of Contractor �5�� Print Name JVo?-.mUt, .....17/.tvG..h .. .......................................................... Print Name .................. .......... .....�,..r�.,� Z............................................... Sworn to and subscribed before me Sworn to and subscrib d re%q this �4� 7f k this ?_ 7Day 1 »». TP! 0offm Cniss(on#FF 116218 Commission#FF 116218 r Notary Public NWwwanwu• ' � rfrnM..rr.•oaa•ea•u Notary Pu 1C ,M„ Ww.,kuT,.rFam�„,.,,�.wows.to,+ 0(_:f \4520 -- G2-S -L17 - -0 Revised 01.26.10