550 VIKING LN ROOF Ile
` , CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
+j - 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-1083
Job Type: ROOF PERMIT
Description: REROOF FL10674.R7
Estimated Value: $8,272.00
Issue Date: 5/7/2015
Expiration Date: 11/3/2015
PROPERTY ADDRESS:
Address: 550 VIKINGS LN
RE Number: 170703-0284
PROPERTY OWNER:
Name: THORPE, LUKE
Address: 550 VIKINGS LN
GENERAL CONTRACTOR INFORMATION:
Name: PRIME ROOF CONTRACTING LLC
Address: 13792 HERONS LANDING WAY APT 9 QA MARK ANDREW
YOUNG
Phone: - -
FEES:
BUILDING PERMIT FEE $91.36
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $95.36
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Florida County of Duval
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 35-64 17-2S-29E
CEA PRAY
Address of property being improved: 550 Vikings Ln Atlantic Beach FL 32233
General description of improvements: Re-roof
Owner Luke Thor e
Address 550 Vikings Ln Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
A/ Address
- \ Contractor Prime Roof Contracting, INC.
Address PO Box 50247 Jacksonville Beach, FL 32240
904-452-8440
Phone No. Fax No.
Surety(if any)
Address
Amount of bond$
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.
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(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 specified):
THIS SPACE FOR RECORDER'S USE ONLY NER
Signed: DATE
Before me this day of in the
County of D val,S of Florida,has personally appeared
T Cf herein by
Doc 4 201151104828.OR 6K 17 158 Page 1921, himself/herself and affirms that an statements and declara ¢' erein �
Number Pages:1 are true and accurate i 6n�
Recorded 05/07;-1015 at 12:23 PM, � ' Andrew D. Dais
Ronnie Fussell CLERK CIRCUIT COURT DUVAL COMMIONFF1t49 W 17, 201$
COUNTY Q(p $;
RECORDING$10.00 � . •�.�
Notary Public at Large,State County ••1• mionu.AARONNOTARYAMI
My commission expires: 4
Personally Known or
Produced Identification
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 550 Vikings Ln Permit Number:
Legal Description 35-6417-2S-29E SEASPRAY Parcel#
oor Area ot Sq. t. Sq.Pt
Valuation of Work$ 8.272 Proposed Work heated/cooled 1328 non-heated/cooled 624
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proosed structure(s)(circle one): Commercial tdenf
If an existing structure,is a fire sprinkler system installed?(Circle one): es No
Florida Product Approval# FL10674-R7
For multiple products use product approval form
Describe in detail the type of work to be performed:Single Family Home Re-roof
Property Owner Information:
Name:Luke Thorpe Address:550 Vikings Ln
City Atlantic Beach State FL Zip 32233 Phone 631-334-3272
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:Prime Roof Contracting Qualifying Agent:
Address:372 Royal Palms Dr City Atlantic Beach State FL Zip 32233
Office Phone (WM)ase-eaao Job Site/Contact Number (904)625-1446 Fax#
State Certification/Registration# CCC1329505
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
fApplication 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
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 ff work is not commenced within six(6)months,or if construction or work is suspended or abandoned fora period ofsix(6)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,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.
I hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type oolwork will be complied with whether speciid herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,stale, a[lav re lating construction or the performance of construction.
Signature of Owner �� Signature of Contractor
40w,
Print Name -��- � ...... Print Name
- —...
Sworn to and subscribed befor me Swom to and subscribed be me r
this y of Ail> _ 120 this D y of s 120 I
Notary Publ c No Public'
Revised 01.26.10
11011?1101 Andrew D. Davis
COMM,SSICj#FF160849 Andrew D. Davis
s, "= EXPIRES Sept. 17, 2010 yi` COMMISSION#FF160849
''�., t>F ��•`� wwW.AAAONNOTArY.COM EXPIRES: Sept 17, 201$
WWW.AARONNOTARY.COM