2161 Fairway Villas Ln 2014 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
_ ROOF PERMIT INSPECTION PHONE LINE 247-5814
U CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ROOF-235
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $5,965.00
Issue Date: 10/15/2014
Expiration Date: 4/13/2015
PROPERTY ADDRESS:
Address: 2161 S FAIRWAY VILLAS LN
RE Number: 169398-1054
PROPERTY OWNER:
Name: WHELPLEY, ROY E
Address: 4765 HODGES BLVD SUITE 20
GENERAL CONTRACTOR INFORMATION:
Name: BUILDERS TRUST CONSTRUCTION
Address:
Phone: - -
FEES:
BUILDING PERMIT FEE $79.83
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $83.83
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: i Z �• Permit Number:
Legal Description Parcel#
*• Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$Eyrr$•IToo Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition <kll ep Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fires rinkler system installed? (Circle one): Yes No N/A
Florida Product Approval# —/ ,:)
For multiple products use pro uct approvaform
Describe in detail the type of work to be performed:Oe •� �7�it:r� $
Property Owner Information:
Name: &." .t Address: s o : �W •
City U i Stat"Zip,AZ22. -Phone
E-Mai or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRE
Company e `fir Qual' ing gent: 0 S XLZ
Address City CSS V I Stateq? L • Zi
Office Phone —&9 AXQ Job Site/Contact Numb —O Fax#
State Certification/Registration# C_Cr Z1-) 6F-1�C73 •
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 apertod of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,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 that I have read and examined thisapplication 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 the au hority to violate or cancel the
provisions of any other federal,state, or loc law regulating construction or the performance of construction.
Signature of Owne Signature of Contract
Print Name �(pJ Print Name A a SC7
............................. Nj�.................. .. ...........
Before a Befor e
this Day of 20 this ay of 20
f FI rida
Notary =�---%� IN VAUGHN Nota lic Shirley L Graham
�••: Commission#EE 189798 My Commission FF 086990
grpi €xpire6
Ex res May 12,2016 �►► 8 6 1
11�,13.•` Borwkd Thu Tmy Fan ftwat•MWW7019
NOTICE OF COMMENCEMENT
State ofHexr 4, County of 4.A vo—�P Tax Folio No.
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real prope-:;r,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:
° &IC "
Address of property being improved:
General description of improvements:
Owner: Address: 4,�) !1,11i, cy
Owner's intereSin site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: /
Address:��("o�� Ax- /� S m v t
Telephone No.. '02 Ag Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone 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:
Telephone 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)(6),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S U ONLY OWNER /
Signed: @ Date: � /4
/
Before me this day o Rin the Cou ty of Duval,State
Of Florida,h e o ally appear o Li1,e
A, DUSTIN VAUGHN Personally Known: or
189798
Cprit►rtission#EE Produced Identification: L S lPtei- VA lh
'*' = Expires May 12,2016
oP� gpnVed TM Tm Fall W111M 0t9 Notary Public:
pF •`' My commissio� S-1 O Doc#2014234320,OR BK 16945 Page 133 ,
Number Pages:1
Recorded 10//52014 at 01.46 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
REcnpninir_ion rv,