310 BOUY LN 2015 ROOF CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
;r 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-325
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $8,000.00
Issue Date: 2/12/2015
Expiration Date: 8/11/2015
PROPERTY ADDRESS:
Address: 310 BUOY LN
RE Number: 170703-0394
PROPERTY OWNER:
Name: JONES, TIMOTHY R
Address: 310 BUOY LN
GENERAL CONTRACTOR INFORMATION:
Name: ROBERT ROBERTS FIRST COAST ROOFING
Address: 5151 SUNBEAM RD SUITE 23 QA ROBERT EARL ROBERTS,
JR
Phone: 904-287-7756
FEES:
BUILDING PERMIT FEE $90.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PPEPARE IN DUPLICATE)
Permit No. Tax Fciio Na 170703-0394
State of Florida County of Duval
To whom It may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:35-64 17-2S-29E Seaspray
Address of property being improved: 310 Buoy Lane, Atlantic Beach, Florida 32233
General description of improvements: Reroof
Owner Timothy R Jones
Address 310 Buoy Lane,Atlantic Beach, Florida 32233
Owner's interest in site of the improvernent
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Robert Roberts First Coast Roofing
Address 4533 Sunbeam Rd,Suite 803,Jacksonville,Florida 32257
Phone No.904-287-7756 Fax No-
Surety(if any)
Address Amount of bond$
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.
Nance 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'he 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 specked):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: S/`L GATE
Before me this }of Me
County of Dl tfj V.t�te :cri¢a as personally a rad
Ot herein b}
-fierseff and affirms that at statermras and devar a M.TEMPLETON
Doc#201501'863,OR BK 1-1044 aro true and accurata 044 Page 941, Notary Public,State of Florida
Number Pages:1 My Comm,Expires Oct 15,2018
26,,2015 at 10:58 AM,Ronnie Fussell CLERK CIRCUIT COURT DUVAL �� ,�'"{/
�� Gi7 �to.FF 164273
Recorded 01
COUNTY N -Kubic at large,State#: , County of 11244 uFf
RECORDING$10.00 fAycommission expres: ' / r
Pivsonaliy Kna rn or
?educed 6dert fica5a
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office (904)247-5826 Fax (904)247-5845
3
Job Address: 31O �UDU_ - ^n�`r' ="a-1 L3 Permit Number:
�t� t _ -- C} Seas Parcel#
Legal Description t
oor ea o t
q on-heatedtcooled
Valuation of Work$ Proposed Work heated/cooled n
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposedstructure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed. {Circle one e o N/A
Florida Product Approval#
For multiple products use pr uct approva orm 1^
Describe in detail the type of work to be performed:U
Property Owner Information:
` r
Name: 5 Address: 3 0 tt o LaA�.
Ma`1"tn
City State Zip3=33 Phone 41 C !9"CY-T
E-Mail or Fax#{Optional)
Contractor Information:
Company Name:
L_��}_�_"�srs� �, 114, Qualif3,ing Agent:
,.•• .� � v�lle_ State t � ��—
Address:_`i s •��ec"u�n Rt+�, Sc�ig�3 City t +ic.,n oy Zip
Fax#qaN -QS3- 3911
Office Phone C Job Site/Contact Number
State Certification/Registration#
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�f a permit and that all work will be performed to meet the standards of all laws rreegulating construction in this jurisdiction This permit becomes null
rrI Work, Plumbing Si ns, Wells,Pools,Furnaces,Bailers,Heaters,
and void tf work u not commenced within six(fiJ months, or if construction or work is sus nded or aoandone fora enod of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electric e•
Tanks and Air Conditioners.eta
A NOTICE OF
WARNING TO OWNER: R FAI YOUR
PAYING TWICE RE TO DFOR IMPROVEMENTS
COMMENCEMENT MAY RECONSULT
TO YOUR PROPERTY. IF YOU INTEND BEFOBTAINORE RE ORDING YOUR NOTICE OF H
YOUR LENDER OR AN ATTORNEY
this
I heretpe o ywork w that I doe c�phed wind examined
this
i iaepolicate�n or no The granting of a pee to be true armit nd doescnot p t. Allesumetto gions ve laws and
of o atees gorucancel the
.l
provisions of any other federal ate,or to aw regulating corutruction or the performance of construction.
Signature of Owner "e Signature of Contras
Print Name __ o ,$,#......_!x£ 14' ............. --- ..
Print Name _..-...�.i M L ..._.s�.�z fl►. -------- __.
Swo and subsc ibedfore me Sworn to and subscribed before me 20
s Day of �IIJ Q
70 this ��Day of FZl=am
papk-Oft N Hods"
N tary Publ' N rc u NetC pK 1.2015
�$ �3111MR1•f7'ON � �3 �Commis�� '1
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My COOKspins Oct A2018
C W*sioRIto.FF 164273