55 Saratoga S 2015 roof }� CITY OF ATLANTIC BEACH
s) 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-4
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $5,803.00
Issue Date: 1/5/2015
Expiration Date: 7/4/2015
PROPERTY ADDRESS:
Address: 55 S SARATOGA CIR
RE Number: 171783-0000
PROPERTY OWNER:
Name: TUCKER, MARLENE J
Address: 55 S SARATOGA CIR
GENERAL CONTRACTOR INFORMATION:
Name: RON RUSSELL ROOFING INC
Address: 4419 HUDNALL RD QA RONALD WAYNE RUSSELL
Phone• - -
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $79.02
Total Payments: $83.02
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. R-14-
State of Florida Tax Folio No. I / -7 3 — 0,��cp
County of Duval
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: ATLANTIC BEACH VILLA UNIT 2
LOT 17 BLK 3
Address of property being improved: 55 Saratoga Cir.S.,Atlantic Beach, FL 32233
General description of improvements: Re-roof
Owner 004 1 TT 5 5
Address .�
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
J Address
C� Contractor Ron Russell Roofing,Inc.
Address 4419 Hudnall Road,Jacksonville,FL 32207
Phone No. 904-714-1907 Fax No. 904-636-9909
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name N/A
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 Ron Russell Roofing,Inc.
Address 4419 Hudnall Road, Jacksonville, FL 32207
Phone No. 904-714-1907 Fax No.904-636-9909
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 N/A
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 �( 01 INER (/
Signed: 1, ( DATE 121 2q�I
Before me this 'Z9 d of In the
C offDDu al,Stateof Flori h s erson I a eared
Doc#201500 i 807,OR BK 17025 Page 424, '�'-= �'�.. 'wn�p herein by
9 himself.herself and amrras mat all statements and declarations herein
Number Pages:1 are true and ac
Recorded 01/05/2015 at 03:02 PM, 9'
Ronnie Fussell CLERK CIRCUIT COURT DUVAL . ; myCOMMISSI NY Ftgtgq
COUNTY = EXPIRES:December 9,2018
RECORDING$10.00 ` 8W4WThruNobwypubicurlde
Notary Public a 'wn Q DuIC�
My commission expire : _CC'd'y1 y-
ersona Known
Produced Identificatio or
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: SS Sar-wi-og, Cir S A+le..A_jr g«„� P1 ,3&,-Permit Number:
Legal Description a Parcel# I
oor ea o q" t. t
Valuation of Work$ S} FrO3,00 Proposed Work heated/cooled non-heated/ cooled
Class of Work(circle one): ew Addition Alteration Repair Move Demolition pool/spa window/door
Useofexisting/proposed structures)(circle one): Commercial esi
es
If an existing structure,is a fire sprinkler system installed?(Circle one): No ON/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: c b s h+ng
Property(honer Information:
Name: 4o.,5z- Z R_"..e ���aLC Address: -793 t/✓j r7or-T le-d.
city -L,-. .A— State_Zip Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: t % Qualifying Agent:
Address: Liq Iq I;►ldha►11 &a City Tt_�.It�•>r ••:_IIQ_ Stated Zip 3Lul
Office Phone.ci"-11 q-i qq-1 Job Site/Contact Number Fax
State Certification/Registration# CCC 13&-14C A
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 herebv 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 be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a enod of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical'Work,Plumbing,Signs, Wells,Pools, Furnaces, 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.
1 hereb certify that I have read and examined this plication and know the same to be true and correct. All provisions oj'laws and ordinances governing this
type o.x�ork will be complied wit whether sppeecif herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal.st e, or local law a lating co truction or the performance of construction.
Signature? Own Signature of Contractor
!-f
Print Name .... ....�, Print Name
_........ .... - - - -.-_. -.d......._..../ ...... ...._..._....
......__...
Sworn to and subscribed before me Sworn to and subscribed before me
this 1A Day of Av 201 this Day of 20
Ck FA;;�u
Nolyy Pubfl ,ALLCMLEE Notary PublirMibw
MY COMYNSSION t FF 161963 NOTARY Pl1SUC Revised 01.26.10
' EXPIRES:December 9,2019
STATE OfFLOR"
*EXPlrft
Carm*FFISM
9/10/2018 .