398 Skate Rd 2014 Roof ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ROOF-543
Job Type: ROOF PERMIT
Description: FL 1956.3 SBS 735.7
Estimated Value: $7,645.00
Issue Date: 12/3/2014
Expiration Date: 6/1/2015
PROPERTY ADDRESS:
Address: 398 SKATE RD
RE Number: 171668-0000
PROPERTY OWNER:
Name: RODENBAUGH, GEORGE W
Address: 398 SKATE RD
GENERAL CONTRACTOR INFORMATION:
Name: BRC HIGH TECH ROOF DIVISION
Address: 6372 GREENLAND ST STE 6 QA JERRY COLEMAN ROWE
Phone• - -
FEES:
BUILDING PERMIT FEE $88.23
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
PLAN CHECK FEES $44.11
Total Payments: $136.34
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 398 Skate Road, Atlantic Beach, FL 32233 Permit Number: _t "Roo r`G11 3
31-16 38-2S-29E R/P of Royal Palms Unit 2 A
Legal Description Y Parcel#
c� oor Area o q. t. �O7 g Sq.Ft
Valuation of Work$ 7(p� Proposed Work heated cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration < RepairNlove Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial R�s ,��
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes % N/A
Florida Product Approval# I�S& • 3 S 05 -73-S r 7 e"e- 735:l I
For multiple products use product approval orm
Describe in detail the type of work to be performed: Roof Replacement 4&~u C o a 3 7-..t? S /P-y IPJ
S-W u ew CA KcA c 7ec.7c4'e4 ( S'ktn/y/T s
Property Owner Information:
Name:George and Carol Rodenbaugh Address:398 Skate Road
City Atlantic Beach State FLZip 32233 Phone 904-477-0680
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: BRC High Tech Roof Division, Inc. Qualifying Agent: Jerry Rowe
Address: 11250 Old St.Auqustine Rd. #15313 City Jacksonville State FL Zip 32257
Office Phone 904-288-0431 Job Site/Contact Number 904-463-2952 Fax# 904-292-9390
State Certification/Registration# CCC056398
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
is
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 tf work is not commenced within siz(6)months, or if construction or work is suspended or abandoned for a period of src6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,eta
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 YOVIi NOTICE OF
COMMENCEMENT.
I hereb 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 o work 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.
Signature of Owner Signature of Contractor C
Print Name ee v� Print Name
.........,R.. .,G.................n........... .�t1.�.... .................................. J.......... ......�...............................................................................................
Sworn to and subscribed before me Swo� nd subs Uri
this 3 _Day of Dee,e,.abtil. 20/4 this t k DDay of VW'� 20 (�
C A _ 0-a _
PUb � Notary Pubic State d Florida Not P ~0, ARTER
Jerry C Rowe ?° x�$u i Florida
�� Ex Commission EE 830205 •'= P p JA.2018
Exgros08t2612016 =s. J;
�••' Commission N FF 138262
•FIIf fly
1111 '
NOTICE OF COMMENCEMENT
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance
with Section 713.13 of the Florida Statutes,the following information is stated in
this NOTICE OF COMMENCEMENT.
Description of property 31-16 38-2S-29E R/P of PT of Royal Palms Unit 2 A
398 Skate Road, Atlantic Beach, FL 32233
General description of improvements Roof Replacement
Owner George and Carol Rodenbaugh
Address 398 Skate Road, Atlantic Beach, FL 32233
Owner's interest in site of the improvement Fee Simple
Fee Simple Title holder(if other than Owner)
Name
Address Address
Contractor BRC Roofing & Construction, Inc.
Address 11250 Old St. Augustine Rd. #15313, Jacksonville, FL 32257
Surety(if any)
Address Amount of Bond
Name of person within the State of Florida designated by owner upon whom notices or other
documents may be served:
Name
Address
In addition to himself,owner designates the following person to receive a copy of the Lienor's
Notice as provided in Section 713.(}6(2)(b),Florida Statutes(Fill in at Owner's option)
Name Address
Owner/Contractor
Doc#201421-1488,OR BK 16993 Page 622, Georzl c- kotke1j,6Aciq k
Sworn to and subscribed before me this 3
Number Pages: 1
Recorded 12/03/20,14 at 01:11 PWday of�QG c M btu
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
Notary Public
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