2255 W OCEANWALK DR ROOF CITY OF ATLANTIC BEACH
800 SENHNOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID; 15-ROOF-937
Job Type: ROOF PERMIT
Description: REROOF FL101241
Estimated Value: $17,272.00
Issue Date: 4/2212015
PROPERTY ADDRESS:
Address: 2255 W OCEANWALK DR
RE Number: 169463-1040
PROPERTYOWNER:
Name: GRIFFITHS, JAMES R
Address: 2255 W OCEANWALK DR
GENERAL CONTRACrOR INFORMATION:
Name: PREFERRED ROOFING LLC
Address: 2332DUNNAVE QA ROLAND KEVIN GREEN
Phone:
FEES:
BUILDING PERMIT FEE $136.36
STATE DCA SURCHARGE $2.05
STATE DBPR SURCHARGE $2.05
Total Payments: $140.46
PERMUI IS "PROWD ONLY IN ACCORDANCE WUH ALL CM OF A7rLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODE&
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
JobAddress: ol-)G'S CQCWQCJKT), �LQ Permit Number. ,
-)Parcel# (0 f 0
Legal Descriptiootlt+-�g 2q-e)s-,tc7Z Coecov)9i kOA.4 6 LL4 2C I qA (QS-1 (4Q
Roor Area or Sq.Ft. qrt
Valuation of Work$ M,0-r-0 W Proposed Work heated/cooled I 'non-heated/cooled gs(o
Class of Work(circle one): �-� Ate Qoor-
(2!ew) Addition Alteration Repair Move Demolition pool/spa window/door
Use of exisfinglp=sed stmctum(s) �cimle one): Commercial identi
lied. CLie
If an existing stru on, is a rim sprin er system insta I (Circle onel: ;Ro) <:N:29D
Florida Product Approval # 01&L4 t
For multiple products use product approval Form
Describe in detail the type of work to be performed: Ae_4zCzT__
Proverty Owner Information:
Name��._2c(;� 4*, Address:e9a%S 0Qj2AQ(L-C3V_ 'b, . LD
city- 919QV�h_StateFL Zip��Phone enf&4
E-Mail or Fax#(Optimud)
Contractor Information:
Company T%n kb-�, (--way,
10 City State 1-1 zi '327 tA
IV Quali
Addiem ne I
no, J0 ite ntactNumber- Fax# vj
State Certification/Registration# U(:-
Architect Name& Phone#
Engineer's Name & Phone#
Fee Simple Title Holder Name and Address
'Bonding Company Name and Address
Mortgage Lender Name and Address
lication is hereby made to obtain a permit to do the work and installations as indicated. I cerafiv that no work or installation has commenced prior to the
ceo apermit and that all work will beperfrmed tomeel the standardyof all laws regulating construction m rhisjurisdiction. This permit becounesmill
Is am if
a. - i work a not commenced within six(6)months,or if construction or work is,aspendedorobandmedfor aWeriod of suiti)months at any time after
—1 Iscommenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, ellsPools, unnouralfiailmrsHemen,
To- andAirCondarmenerc.
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 Y61jR NOTICE OF
COMMENCEMENT.
lhereb certify that I haw read and czamined nhis
7 , plicanon and know the same to be rue and correct. Allprowisions of laws and ordmances governing this
pro work will be complied with whe,hersfeci Zhe,ci. ornot The graetmg of a permit does not presumeu,give authority to violate or cancel the
or fh
visums of any otherfedervi,state,or local aw regulating construction performance of construction.
�t 11:01 AM, Ronnie FUSsell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMZNCEPUNT
"Ft.,.Do�'�re'
Pormpt No To. No
shto,U, T I n�' C..FO.
my I'Ar I T LL-J='c20c"
To oft..it may
Me undenalUmptj hMUUY Intonate YOU that haltmoveneditt Mll W made 10 C�alo Not proaeft,And In
ac�rdamce wim somo� 113 of Me Flo,16.SUnUte,me falloo,im,Intommum is voted In this NOTICE OF
COMMENCEMENT
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NUM
Fee Sveote Tdalnealear(it coined thm�rwa)
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Name,
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Name
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THIS SPACE FW—RgC"DER 5 Utaf�y 4
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Big-
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Signature of Owner Signature of Contractor ef)"
Print Name x Print Name
.......... 'K-e .............. .
Swom to and subsg�bed before me Sw bs ibed To
.,2Pand su fore e
thiscktr`Day of k pc,J2 .20 11; thi Day of W .205
<LI 94& CULme Labbe
Nota Notary Public
Revised 01.26.10
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