1830 ocean Grove Dr 2014 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
ROOF PERMIT INSPECTION PHONE LINE 247-5814
J=i ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORM N:
Job - -
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $7,766.00
Issue Date: 10/3/2014
Expiration Date: 4/1/2015
PROPERTY ADDRESS:
Address: 1830 OCEAN GROVE DR
RE Number: 169624-0000
PROPERTY OWNER:
Name: SHOWALTER, RUSSELL H
Address: 32 N SARAGOSSA CUD
GENERAL CONTRACTOR INFORMATION:
Name: PRIME ROOF CONTRACTING LLC
Address:
Phone: - -
FEES:
BUILDING PERMIT FEE $88.83
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $92.83
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Florida County of Duval
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 20-020 09-25-29E
OCEAN GROVE UNIT NO 2
Address of property being improved: 1830 Ocean Grove Dr Atlantic Beach, FL 32233
General description of improvements: Re-roof
Owner Russell Showalter
Address 32 Saragossa St St.Augustine,FL 32084
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Prime Roof Contracting, INC.
Address PO Box 50247 Jacksonville Beach, FL 32240
Phone No. 904-452-8440 Fax No.
Surety(if any)
Address Amount of bond$
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 owner upon whom notices or other
documents may be served:
Name
Address
i Phone 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 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 the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY4tpvda z4fal/zz
ER //��Sigrred: DAT *, h
/ 2O I y
Before me this day of 'j
County of al,State of Florid as peisona]IX appeared
y S iP (1 '10 W herein by
himself/hefsetf and affirms that all statements and declarations herein
are true and accurate
Doc#2014224676,OR BK 16933 Page 873,
Number Pages: 1
Recorded 10/03/2014 at 10:57 AM, Notary Public at Lar a of , County of
Ronnie Fussell CLERK CIRCUIT COURT DUVAL My commission expires:
COUNTY Personally Known or00
RECORDING$10.00 Produced Identification Nota PubI. Sta*of
rf Deborah J 163 bachorida
My Commission EE 861663
b7l-wExpres 12/SW20tF.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 1830 Ocean Grove Dr Atlantic Beach,FL 32233 Permit Number:
Legal Description 20-020 09-2S-29E OCEAN GROVE UNIT NO 2 Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work S 7,766 Proposed Work heated/cooled 2160. non-heated/cooled 2648
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): --'Commercial Iden"
If an existing structure,is a fire sprinkler system installed?(Circle one) oQ�/A
Florida Product Approval# FL10674-R7
For multiple products use product approve orm
Describe in detail the type of work to be performed:Duplex Re-roof
Property Owner Information:
Name:Russell Showalter Address:32 Saragossa St
City St.Augustine State FL Zip 32084 Phone (904)708-1247
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:Prime Roof Contracting Qualifying Agent:
Address:372 Royal Palms Dr City Atlantic Beach State FL Zip 32233
Office Phone (904)45243440 Job Site/Contact Number (904)625-1446 Fax#
State Certification/Registration# CCC1329505
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 a!!work will be performed to meet the standards of al!laws regulating construction in this jurisdiction. This permit becomes null
and void tf work is not commenced within six(6)months,or if construction or work is suspended or abandonedfor a period ofsix(6)months at anytime after
work is commenced. /understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,
Tanks and Al,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 hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o7work will be complied h whether syeci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
Provisions of any other ,feder ate or local Inv re la'n construction or the performance of construction.
Signature of Own Signature of Contractor/e/,�,,�Vnn/�
��
Print Name Print Name
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Swo to and subsc ' ed of a me Swo t and sub scr'bec(b ore me
s� y of C V 2 this ay of G 0 fr 2014
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Notary Public o ry u t
Revised 01.26.10
jP,fsY Notary Public State of Florida
Deborah J Brumbach ��1 •
My Commiaaion EE 861663 ` , �%d�i,� Andrew 0. 0aViS
�.tapdF Expires 12l3olzot6 'a� �M COMMISSION i FF160849
"� - EXPIRES: Sept. 17, 2018
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