23 Forrestal Cir roof 2015 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-238
Job Type: ROOF PERMIT
Description: REROOF FL5680
Estimated Value: $8,643.00
Issue Date: 1/29/2015
Expiration Date: 7/28/2015
PROPERTY ADDRESS:
Address: 23 FORRESTAL CIR
RE Number: 171745-0000
PROPERTY OWNER:
Name: MCQUADE ET AL, COLM
Address: 2167 S FAIRWAY VILLAS LA 2167 FAIRWAY VILLAS LAS
GENERAL CONTRACTOR INFORMATION:
Name: THE HOME DEPOT SVCS (ROOF)
Address: 2690 CUMBERLAND PKWY QA QUINN MITCHELL
ROBERTS
Phone: - -
FEES:
BUILDING PERMIT FEE $93.22
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $97.22
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address:a3 _F0Cl2S7!,,k C<< N Permit Number:
Legal Description 30,
v^1-0?9 E v^1t't torr?Ilk t
/�/rMT r, 6,L vitt„ Parcel# 17/7 t1 S -0000
• Valuation of Work$ ooi Area o 7C-1-17 q. I
Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Mo> emolition pool/spa window/door
Use of existing/proposed structure(s)(circle one); Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): o N/A.
Florida Product Approval# S6$0
For multiple products use product approve m m
Describe in detail the type of work-to be performed:, Ire--CotrF -1�r-o�+ C2P la(¢- /� SGts (sw Aoje
Pronertty Owner Information:
Name:_R0.t2o- Cwr;cw Address:a3 �offBSTa1 Cr
�✓,
City ,.Tic Ql.cl. Statef�Zi .733 Phone
E-Mail or Fax#(Optional) -- - ---
Contractor Information
Company Name:The Home Depot/8:Home Services Qualifying Agent: Qu,n,v (Z o belts
Address: 9208I•lorida Palm Dr City.. Tampa State FL Zip 33(19
Otlice Pax hone 813-626-7548 Job Site/Contact Number F #
State Certi tieationtRegistration#_4"09' a 7
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company game and Address
Mortgage Lender Name and Address -- -
9pp/rcntian it herthy made to ohtao'a pernra la do the uvnk turd insva//ttltans ps indicated I certifj•(hat na work ar rn.rtalltrrion has comtnenctd tier to lite
istiunne a ojn permit and That al!uotk N r/I he pet lrrwed to meet!!re startdcads of trll laws txgulnting goncUvration in dtiit jrn llaiion h. c-o permit h odor 1 nut1
and word i/iv nk ix Writ crrnruiencu!x rtlrin six(6J�ntorrths;or if c onstractiat or a nrk is srcepperrdet!ur crhandoned far a permd ofsir(6)tnanhs at any time after
trot(is conrmencrtl
how,
/hat selurryrlr permits must he secured for kleclrica!!lorR,Plnnthing,Signs, !l ells,Pools ,Omens,Bailers,time
ate
Toa4s nnr/Air Conr!/iloners,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 hershr certify qua/have read pod eramin,"this a plication ant/know rhe sante to be nue and carrect. All prtrrision.c , t ordinances goveruin t.
prope of•unrk ivill be contplled u•iih w Ther s eel ted heroin or run. 7pie granting of permit duet Oat presum gme aatlior y to violate or t• the
ovisions tljany othet•fedentl.s t Deal aw regulathrg construclion or the perlirutance cjconsa•uctiat•
Signature of OwAAner Signature of Contractor
Print Name ho.�•..p...�, G- _..._......... ........•. Print Name
__._.._........._,....._.......
.............
and
Sworn twA Da subscribed before me Sworn to nd subscribed before me
this Day of_ 20 this BeDay of ZQ,, .2013—
o)[v fat}Public
otaty Pu is - --
TIMOTHY R.O'MAl lEY
MY COMMISSION M FF 042794
TIMOTHY HY R.0,MALLEy .• �= EXPIRES:August 7,2017
a•; +: MY COMMISSION
#FFes
EXPIRES:August 7,20174 8;, Bonded Thor Notary Public underwriters
bf n. Bonded Thru Notary Public Under*,
Doc #F 1U15U14bJV, UX 15r% 1IU4U raye 1LV1, 1V UILLL)Cl t'clLy CS. 1, r%C l:Vl uC"
01/21/2015 at 04:19 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PPEPARE IN DUPUCATEi
Permit No. Tax Folio No 1-7 1 7`IL)
State of 7i - County of
To whom it may concern:
The undersigned hereby Informs you that improvements will be made to certain real property.and in
accordance with Section 713 of the Florida Statutes,the following information is stated In this NOTICE OF
COMMENCEMENT.
Lecal description of property being improved:_c�" S(o 3 -DS -a9 C P�t\ x vl�\Q- 6 e-C-OA
l_ t-1vs
Address of property being improved: ;�3
All, c�,ti�
General description of improvements.
Owner_ rC l 2 )I o`✓ Gl (/t L�
Address 3 �o<r e,�o.\ r c\ 4 M AA\co. e– 3 a 3
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor \—
Address g o20k f lS r
Phone No. Fax No.
Surety(if any)
Address l� Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address n1 L
Phone No. Fax No.
Name of person within the State of Florida.other than himself.designated by o'.,,ner upon whom notices or other
documents may be served:
Name
Address .t
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.i Fill in at Oo.,ner s option)
Name
Address_
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiratio date is ne(1)year fr the date of recording unless a
different date is specified): /
THIS SPACE FOR RECORDER'S USE ONLY ER
Signetlp, � DATE l J r�'al 6 L S
Bstor m .his ..
unty of uv �orida,has personally appeared
2 cl
himse!:'hers 'and atfrms that a'.I stateTCMS and d?C O _herein by
q!fi�
aretrue and ac ate
ROBERTS
Notaiy Public at Large.Stat oft eir.
My colnmisslon expires: FLORIDA
Personally Kno:.n
Produced Iventiflcaticn— f���{ c2c
x 0�V