417 Ocean Blvd 2015 roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-78
Job Type: ROOF PERMIT
Description: reroof f110674.1
Estimated Value: $6,000.00
Issue Date: 1/13/2015
Expiration Date: 7/12/2015
PROPERTY ADDRESS:
Address: 417 OCEAN BLVD
RE Number: 170162-0000
PROPERTY OWNER:
Name: MILO, STEPHAN E & SARA E,
Address: 417 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: BIG FISH ROOFING INC
Address: 6821NSOUTHPOINTDRAPT114 STEVENSCOATES
Phone:
FEES:
BUILDING PERMIT FEE $80.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $84.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BuILDING PERMIT APPLICATION
CITY OF ATLANTIC 13EACH 6F ,lt
800 Seminole Road, Atlantic Beach, FL 32233 1�'fo
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 417 Ocean Blvd, Atlantic Beach, FL 32233-5337
Legal Description 5-69 16-2S-29E .1 I ATLANTIC EBACH Parcel#
P loor Area of Sq.Ft. Sq.P't
Valuation of Work$ 6,000.00 -Proposed Work heated/cooled 2562 non-heated/cooled 130
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/propose(t structure(s)(�ircle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: REROOF
Property Owner Information:
Name: SARA C MILO Address:417 OCEAN BLVD
City ATLANTIC BEACH State FL Ziv 32233-5337 Phone(904)699-6046
E-Mail or Fax#(Optional
Contractor Information:
Company Name:BIG FISH ROOFING Qualifying Agent: STEVEN M SCOATES
Address:6821 SOUTHPOINT DR N, SUITE 114 City JACKSONVILLE State FL Zip 32216
Office Phone(904)685-8334 Job Site/Contact Number(610)969-9806 Fax# (904)853-5676
State Certification/Registration#CCC 13 3 0441
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and
Address
Bonding Company Name and
Address
Mortgage Lender Name and Address
A ca n h reby ade bta n a e d he k nd a a n 'nd a ed ce ha n rk o "a n com-en�dpr'or
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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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
herebq�certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances
governin _eci _a permit does not presume to give authority to violate
er this tmv ofwork will be complied with whether qp fied herein or not. The granting of
or cance the provisions ofany otherfederal,state,or local law regulating construction or the performance of construction.
Owner A"Jl� Signature of Contractor
'4
Ant Name A, Print Name .. s-l-e-Ven Scoole s
...................... .................................................................................. ............................I......................................................................................................
Sworn to and subscqried before me Sworn to and subscribed before me
this iN Day of 0-rlA-k& .20 (-T this L Day of 7,�,i a6 ja, 20 3
Notary Publila Notary Putlic
Revised 01.26.10
STACY lIMMONl;0
09802
Coffiry9ssion#FF
Explms March 3,2018 ' '12
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STACY SIMMONS
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Ex0ras March 3,2018
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NOTICE OF COMMENCEMENT
iPREPARE IN DUPLICATE,
Permit No. Tax Folio No.
State of 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: 5-69 16-2S-29E .I I
ATLANTIC BEACH
Address of property being improved: 417 OCEAN BLVD
ATLANTIC BEACH,FL 32233
General description of improvements: REROOF
Owner SARA C MILO
Address 417 OCEAN BLVD,ATLANTIC BEACH,FL 32233-5337
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor BIG FISH ROOFING
Address 6821 SOUTHPOINT DR N,SUITE 114,JACKSONVILLE,FL 32216
Phone No. (904)685-8334 Fax No. (904)853-5676
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
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(21(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 ONLY OWNER
I� I 1 201
Yy , M.
Signed: C IDATE
oo
Before M*A* da oi in e
'lol �pers ly appeared W 8
CoAnty of Duval.State of F �i�. haispem I Zu-
Doc 4 201-0008052,OR SK 17 32 Page '1794, ->O t22- 0 herein by 0 LL M
Number Pages: I himseff'herself and affirms that all statements and declarations herein 2
M ,--
Recorded 01/1 3i 2015 at 10:29 AM, are true and accurate 0 W LT
CD-Fh 2
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY L) E
<
I.- X
RECORDING$10.00 co UJI
,"0", 1
Notary Public at Large.State 0� -41 County of n,L4 t..,
My commission expires:
-3-
Personally Knor,-n or
Produced Identification r-L- tNI