715 Amberjack Ln 2014 Roof CITY OF ATLANTIC BEACH0 D
s 800 SEMI
ATLANTIC BEACH, FL 32233
-r
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION: 14-ROOF-369
Job ID:
Job Type: ROOF PERMIT
Description: RE-ROOF FL 7006
Estimated Value: $5,000.00
, 4
Issue Date:
Expiration Date: 5/4/2015
PROPERTY ADDRESS: 715 AMBERJACK LN
Address:
RE Number: 171194-0000
PROPERTY OWNER:
Name: TAYLOR, MEREDITH & KENNETH, "
Address: 139 SALTWIND CIR
GENERAL CONTRACTOR INFORMATION:CONSTRUCTION (ROOFING)
Name:
Address: 5472 FIRST COAST HWY STE 6 WILSON DLAE COL
Phone: - -
FEES:
BUILDING PERMIT FEE $75.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments:
$79.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BITILDING CODES-
I.II I VI` ALLAl\iiv -____
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904)247-5845
Job Address: 715 Amj
be ack Lane Atlantic Beach FL 32233 Permit Number:
Legal Description 30-60 38-2S29E ROYAL PALMS UNIT 1 Parcel#
oor Area o q• t• q
Valuation of Work$ 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/proosed structure(s)(circle one): Commercial Residential
i
If an existing structure,is a sprinkler system nstalled?(Circle one): Yes No N/A
Florida Product Approval# low f_1
For multiple products use pro uct approvaform
Describe in detail the type of work to be performed: Re Roof
Property Owner Information:
Name: Kenneth Taylor Address: 715 Ambe jack Lane
City Atlantic Beach State FL Zip 32233 Phone 904-803-8001
E-Mail or Fax#
(Optional) kbtaylorl6�ahoo.com
Contractor Information:
Company Name: CQualifying Agent:
� �-s;�S—�YUGfi City �iP�ws�u�.b� 5�1 State 1r1- Zip ,3.7e 3�
Address: 7� 1=�f
Office Phone �- pa_jg �oc, ob Site/Contact Number I-yaa'7�°�7 Fax#
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
the
Applicationis hereby that al work well btit to do the work e performd to meettherstandardssof all as laws regulatinicated I g onsruction int no work�his installation
'on. This permit becomesrior onull
issuance �p
and void f work is not commenceime after
d within s�(6) nths, or if construction or work t sus Work, PlumbinonSd for aWd 1s,Pools,XFu)rnaees,, Boilmonths at ers t Heaters,
work is commenced. I understand that separate permits must be secured for Electricaall g�Sia
ns,
and Air Conditioners,eta
WARNING TO OWNER: IN
YOUR PAYING ToREC
FOR NOTICE IMPROVEMENTS TO
COMMENCEMENT MAY RESULWITH
YOUR PROPERTY. IF YOU INTEND TO OBRTEAI ECORDING YO RFINANCING, NNOTICE OF YOUR
LENDER OR AN ATTORNCOMM CEMENT.
I hereb certify that
I have dad t Nether spethis cifie ereintar not d he granting of a permknow the same to be it does andcorrect.
presume!to give authorisions ity to vlaws iolate ate nd or cancel tnces he provisions
ty, e of work willmp onstruetion or the performance of construction.
o7any other federal,state,or oal l
Signature of Owner
DEVON INMAN4tODEN
—^ _............................................. :� :•? MY COMMISSIONS EEMWO
Print Name .......... ....... 0,6o EXPIRESa 21 18
Sworn to and subscribed before me 20 l`{'
this I Day of nr�1'�- ^n
tary Public
� /►�l J WAM E ROSE MOORE
Signature of Contractor GARY p�
` STATE OF FLORIDA
.s.. .. ..1. ._.....__._... ..i. ............._.
Print Name ........,,�_�..... nte �87
CoFF088
Swo;6!R
d subscri qW d befo e me Expires 321/2018
—r fl DC�L� .20
C�
this y of
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No.
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:_30-60 38-2S29E ROYAL PALMS UNIT I
Address of property being improved: 715 Amberjack Lane
General description of improvements: Re Roof
Owner: Ken Taylor Address: 715 Amberjack Lane Atlantic Beach,FL 32233
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name: Meredith Taylor
Contractor: GBZ cA9�Y
Address:_ �� �+F,,ill` C-^ *r'�h��y,rc ���itac43c'r
Telephone No.: `�c� Al-J-9- O �'��' Fax No: '?,0 �7G/ - 3-56 0
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Doc,4 2014251283,OR 6K 16968 rage 340,
Name and address of any person making a loan for the construction of the improvements Number Pages:1
Recorded 11 1105,12014 at 09:32 AM,
Name: Jax Federal Credit Union Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
Address: 801 Atlantic Blvd.,Atlantic Beach,FL 32233 RECORDING$10.00
Phone No: 904-475-8000 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)(b),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 USE ONLY OWNE
Signed:
�,e..� Date:
Before in this y o in the County of Duval,State
Of Florida,has personally eared
Notary Public at Large,State.o o ida,County of Duval.
DEVON INYAN.RODEN
My commission expires: Cen
MY COMMISSION 0 EE82WO Personally Known: or
EXPIRES August 211,2016