1049 Little Cypress Key 2014 roof CITY OF ATLANTIC BEACH
3
800 SEMINOLE ROAD
�j ATLANTIC BEACH, FL 32233
ROOF PERMIT INSPECTION PHONE LINE 247-5814
ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ROOF-292
Job
- -
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $7,760.00
Issue Date: 10/23/2014
Expiration Date• 4/21/2015
PROPERTY ADDRESS:
Address: 1049 LITTLE CYPRESS KEY
RE Number: 172027-5832
PROPERTY OWNER:
Name: WEISS, EDWARD & BARBARA,
Address: 1049 LITTLE CYPRESS KEY
GENERAL CONTRACTOR INFORMATION:
Name: SCHULTZ ROOFING COMPANY INC
Address:
Phone: - -
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $88.80
Total Payments: $92.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.
State of Florida, County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Desccl�ription of prope (legal description of p operty and ddre s if available):_
t7 o
2. General Description of improvements.
3. Owner Information:
a)Name and Address: a;—_
b)Interest in property: is
c)Name and address of simple titleholder(if other than owner):
4. Contractor Information:
a)Name and Address: Douglas A Sclult-i/Sclultz Roofing, Inc. 216 N 20th St Jaek'snville Beach, FL
I_ b)Phone Number:904-246-2315
5. Surety Information: Doc#2014240867,OR BK 6953 Page 1997,
a)Name and Address: Number Pages:l
Recorded 08:35 AM,
b)Phone Number: Ronnie Fussell LERKtCIRCUIT COURT DUVAL
c)Amount_ of Bond:$ COUNTY
RECORDING$10.00
6. Lender Information:
a)Name and Address:
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a)7,Florida Statutes:
a)Name and Address:
b)Phone Numbers of Designated Person:
8. In addition to himself/herself,Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1)(b),Florida Statutes.
a)Name and Address:
b)Phone Number of person or entity designated by owner:
9 Expiration date of Notice of Commencement(The expiration date is one(1)year from the date of Recording unless a
different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART
I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YO NOTICE OF CO NCEMENT.
f10
ignature of Owner or Owner's Authorized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office
The foregoing instrument was acknowledged before me this 2-7 day ofr2i,/ ,20 by
r6o�� �lfC/ss as for
(Name of Person) (Authority Type,i.e.Officer/Attorney) (Name of Party Instrument was Executed for)
NOTARY PUBLIC, ,ATE OF FRIDA
BUILDING PERMIT APPLICATION
• CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax(904)247-5845
Job Address: 1 Q g 9 Ll rl e- G,P/-e s s �e c,, n t Imi��Number:
Legal Description 4 L4 lQ l S a C Se L/"/,c k e5- Parcel# 1 -7 a 0 -7 5—9 3 2-
oor ea o � t
� q. . q.t
Valuation of Work$ () , 60Proposed 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
If an existing structure,is a fire sprinUerr system installed? (Circle one): Yes No LN
A
Florida Product Approval# V-L' Q to 31 .
For multiple products use product approvTtor�m L
Describe in detail the type of work to be performed:
Property Owner Information:
Name: C�Wa r L• l cJ�r SS Address: l y 9 L ff-�e- C �e SS ke
City Stat _Zip 32 2 33 Phone O Y - oZ 4 7 ' 3 S
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: SCA LLtz- I<n o d)�n 5 C" _17�1 C- Qualifying Agent:
Address: al(o til Q D t-� oSI--- - City c _ State_—Zip 3 5
Office Phone '70 V- y(o 3 1 J Job Site/Contact Number qy q d y 4,a % Fax#
State Certification/Registration# C C- ' C O' 3 67 9
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 behin i,performein td to meet the standards of er
all laws rorkpegulating construction in thpis jurisdiction(. This permit becomes null
and work Is�o mended.of/understand tor
that separate permits mu t be secured for ElecMcal Work, Plumbing Sig s,aWells, Pools,eriod xFurnaces,Boilmonths at ers t Heaime t rs,
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.
]here 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 certify
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.
XSignature f O Signature of Contractor
Print Nam n...... Print Name .................. j- ... �0..u..1 _........_._............
111. � ...... .&—Z4........L�'!/..'4-1.
Sworn to and subscrrb i befgre me Sworn to and subscribed bef re me
this G Day of JTs�Tr� 6�r .20 i this 23Day of `� �,�r — ,20/e/
Notary Public =t� CommissioM?A Y I RD A.THOMASON
:►. :A: rr4�• TS
. ,r Expires Ap . Commission#FF118218 Revised 01.26.10
fBo dw Thn Tro0 Expires Apri124,2018
Bonded Thu Troy Fain Inmance 6004040111