972 Ocean Blvd 2014 roof CITY OF ATLANTIC BEACH
S11
800 SEMINOLE ROAD
J � ATLANTIC BEACH, FL 32233
ROOF PERMIT INSPECTION PHONE LINE 247-5814
r i CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ROOF-123
Job
- -
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $7,761.00
Issue Date: 10/2/2014
Expiration Date: 3/31/2015
PROPERTY ADDRESS:
Address: 972 OCEAN BLVD
RE Number: 170343-0000
PROPERTY OWNER:
Name: ZIEBELMAN ET AL, PENNY J
Address: 972 OCEAN BLVD 972 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: PREFERRED ROOFING LLC
Address:
Phone: - -
FEES:
BUILDING PERMIT FEE $90.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i � I
I
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office (904)247-5826 Fax(904)247-5845
Job AIddress• 26-n 1�kllij )a 4 1 , k FL Permit Number:
J.6 Parcel# 3��- ov7
Legal Description 5 3� J
oor Area ot Sq.Ft. q
Valuaition of Work$7,�to I. C'S' Proposed Work heated/cooledd3C�0 _ non-heated/cooled,
Class Qf Work(circle one): New Addition Alteration Repair Move olition pool/spa window/door
Use ofI'Ie_xisting/proposed structure(s) (circle one):iCommercial Residenti
If an misting structure,is a fire sprinkler system installed? (Circle one): o N/A
Florid$Product Approval
For multiple products use product approval orm
DescIbe in detail the type of work to be performed:
a
Pro Owner Information:
Name: Address: C')
City Sta _Zip Phone
E-Mai or Fax#(Optional)
Con ctor Information:
Comp ny Na e: �d n, v - Qualify" Agent: (�U, IVB.' `�
Addre s: v\ City�� Ati�-517r'lUlil�- State 7�p
Office Phone qo Job Site/Contact Number Fax# OP4-1�i
State ertification/Registration#
Archit ct Name&Phone#
Engin er's Name&Phone#
Fee Si ple Title Holder Name and Address
Bondi g Company Name and Address
Mortg ge Lender Name and Address
r--
Applica ion 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
issuanc of a permit and that all work will be per to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and vo' if work is not commenced within six(6)months,or if construction or work is susppended or abandoned for a�e�rio pof s x months at
y time
Heaters,fte
work is ommenced. 1 understand that separate permits must be secured for Electricarwork,Plumbing,Signs,
Tanks Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
C MM ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
T YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereb certify that I have read and examined thisfplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type 0 ork will be complied with whether speciied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provis of any other federal,stats or local law regulating construction or the performance of construction.
0 - 359
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No7*0964` ' / rD,3q-3—Cz-)r7-D
State of a — County of
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 informatlon is stated in this NOTICE OF
COMMENCEMENT. // 7
Legal description of property being improve : ���/ �b
tS'�.3F7 LvT��L.�fZ � 5 /rte
Address of property being improved:
General description of improvements:�_2 _�
Owner
Address 7Z a /C `ham c�Z3
Owner's interest in site of the Improvement
Fee Simple Titleholder(if other than owner)
Name
Address r
Contractor _ 4
Address �-lZ 4 Kit �X
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 ownar 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 L:mors 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 !�e date of recording unless a
different date is specified):_
THIS SPACE FOR RECORDER'S USE ONLY ) OWNER
signedo-� _ DATE
Before me this y of m the
Cou 7-,(Dov : St o r h
hmseft'her^ If and a that ail statem n a tleclivip s her �ry Public stateFlorida
Doc 2014_1 11.694,OR BK'6916 Page 00, are true and accurate =o Angela Smith
Number Pages < My Commission EE827485
Recorded 09 6 2014 ai 0,.44PM e a wok° Expires 08116/2016
Ronnie- sell CLERK IRCUIT COURT DUVAL aAtj�
LItITf A
N f0. Pu at Lar - State of un et
RECORDING$1000 i My commsuon=_xpires:_,-----
iPersanuily Known or
Produced(dantificabon —�— _