533 seaspray 2014 roof ROOF PERMIT
MUST CALL Bl tPM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ROOF-164
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $6,265.00
Issue Date: 10/8/2014
Expiration Date: 4/6/2015
PROPERTY ADDRESS:
Address: 533 SEASPRAY AVE
RE Number: 170703-0312
PROPERTY OWNER:
Name: OETJEN ET AL, ROBERT J
Address: 533 SEASPRAY AVE
GENERAL CONTRACTOR INFORMATION:
Name: TOWNSEND ROOFING &
Address:
Phone: - -
FEES:
BUILDING PERMIT FEE $81.33
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $85.33
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 5 Sea 5f- ti AV,-e- Permit Number:
Legal Description 35-0 17-75-Z1 F X 5,0.a y Ll r 7-0 F( k .Z Parcel# 1-70 -7t'3 - 631 2
Floor of S. t. q.Ft
Valuation of Work$ 6 2-65` 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 esidenti -
If an existing structure,is a fire sprinkler system installed? (Circle one): No ! N/A
Florida Product Approval# F L I c j Z'l
For multiple products use product approval form L
Describe in detail the type of work to be performed:
6- T Ire H0 FL It12,Lt, 6A F , rL 159 B-7
Property Owner Information:
Name: iN c 61' - be+ �c�- Address: era /A v--f-
� LCity t0^0t c- p Phone 1 e y- Z I I
E-Mail or Fax#(Optional)
Contractor Information: n �"
Company Name:�wylS,7 I 0o 1'\ �(a5��c�iM �c�Vlc�Si��'Quali ing Agent:
Address: INN New Pe f-r !'-d• �1 S City iac kschtj`/(e State EL Zip
Office Phone Job Site/Contact Number L47Z-14" Fax# 0 q-E q5—S IyZ
State Certification/Registration# GGC I Z E Z g9
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 cert that no work or installation has commenced prior to the
issuance of a permit and that all work wsl!be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void f work zs not commenced within six(6)months, or if construction or work is suspended or abandoned for a penod of stx�6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrics 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 this application and know the same to be true and correct. All provisions of l ordinances governing this
type o work will be complied with whether specified herein or not. The granting of a permit does not presume to gi thori 'to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner x�- Signature of Contractoe,
Print Name b � Print Name A n Se
K
..__...__z-__----:- _._.__._...------_---.- �... . .........I.............__..._...._..__.__..._............._.......
Sworn tend subscribed before me Sworn to And subs �r -- �tq
thisZ3' Dayof 20 this ky of .•
Notary'Public �,�� .:�•.� CHRISTOWNSEND N tc
MY COMMISSION 1 FF 092654 � w
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Doc # 2014215678, OR BK 16921 Page 707, Number Pages: 1, Recorded 09/24/2014
at 09:47 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
'REPARE IN:%PLr_k-5.
Perrnit No. Tax Folic No. 170703-0312
Stele of Florida County of Duval
To whom it may concern:
The undersigned hereby Informs you that improvements will be made to certain real property.and in
accordance with Section 713 of The Florida statutes,the following Information is stated in this NOTICE OF
COMMENCEMENT,
egal description of property being impraveL4: 35-64 17-2S-29E SEAS P RAY LOT 20 BLK 2
address of pigpen;be; Itrproved: 533 Seaspray Ave. AtlantiC Beach, FL 32233
General descrlotion of improvements- Roof Replacement
0;�ner Oetjen, Robert
Address 533 Seaspray Ave.Atlantic Beach, FL 32233
a-'mers interest in site of tha improvement
Fee Simple Titleholder i f other than owner)
Pia,4�e
Address
Contractor Townsend Roofing and Construction Services,!no.
.address 10418 New Berlin Rd.#115 Jacksonville,FL 37126
Phone No.904-60_5W Fax No.9044W5 5442
Swety(if ar;r)
AddrE55 %v+loun-,d'bond$
Phone No. Fax No,
;tante and address of arty person making a ioar forthe constwct'ron of the improvenienta
Na:ne
Adores=
=none:'do. Fax No.
'chine of person'Athin the Ste e of Florida.other than himself.designated by owner upon':,•hom notices or other
documents may be ser/ed-,
Name
Address
Phone No Fax No.
In addition to himself.vv ner des!ynates the folle wing person 1creceive a copy of the Lienors"iotce as provided in
Section 71�.0612 16,,Florida Statutes.Will in at Ov!ner's opton).
Naine
Address
Phone tdo. Fax No.
expiration date of Notice o;Commencement ithe expiration date Is Otte i 1;yearfrcri the date 3f recording unless a
dtffecent date is spec fled t:
THIS SPACE FOR RECdg0EWS LiSE ONLY== OWNER
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