507 VIKINGS LN ROOF CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4113M FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-1340
Job Type: ROOF PERMIT
Description: FL 10124.1
Estimated Value: $8,000.00
Issue Date: 6/8/2015
Expiration Date: 12/5/2015
PROPERTY ADDRESS:
Address: 507 VIKINGS LN
RE Number: 170703-0258
PROPERTY OWNER:
Name: WHITE ET AL, TERRY L
Address: 507 VIKINGS LN
GENERAL CONTRACTOR INFORMATION:
Name: CARBON COPY CONST, INC. (ROOF)
Address: 12412 SAN JOSE BLVD APT 301 QA LEONARD ABRAHAM
SCHONFELD
Phone: -
FEES:
BUILDING PERMIT FEE $90.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY W ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORIDNANCES AND THE FLORIDA
BUILDING CODES
BUIIaDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 907 \IlktN(rs 1-1J A'tL.i;J- tkr .3p-2,-3? Permit Number.
Legal Description 35-L4 1'7-.}5 - GAS P�EAu Parcel I.7�7t'�
FIAreaT �q.F q. t
Valuation of Work S tSOb- Proposed Work le
non-heated/cooled
F-� FOc"�t�
Class of Work(circle one): New Addition Alteration
4tepav— Move Demolition pool/spa window/door
Use of exisuing/prouosEd-strocture(s)(cirele one): Commercial Resident
If an existing struccttuure,is a fire spru r system installed?(Circle one . No N/A
Florida Product Approval# r L IQ I d y ,1 (.-A r
For multiple products use promact approval lorm
Describe in detail the type of work to be performed: t 9-go F 5 9 A-g cLL .5 -
%i ND1 f n/( Ttcrc- . 2As-i y R7 21
Property Owner Ltormation:
Name: T�J1-e�Y \n�ly CE Address: .�-Ya''��r
City Stele_Zip Phone �uy.y- 2t.f- pyylL
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: lu�, (uNST. t1ir . Qualifying Agent: L-cos ALia �✓��...,.�hs•�`
Address: - uy.aL ! :tbsc t?wa� 3n t City :32)2 state - zip
Office Phone S 60,At O-S Job Site/Contact Number 2(,v - 4 d 4.t' F"#
State Certification/Regi strunion# G b ql 11
Architect Name&Phone# N
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address_/5
Bonding Company Name and Address
Mortgage Lender Name and Address I
Application is hereby made to obtain o permit to do the work and installations ar indicated Icertify that no work or installation has commencedprior to the
issuance%a perm i and that all work will be per{ormedto meet the standards ofall lows regulating co avosam in Ouslunsdyction Thu permit becomes null
android if workis"communisedwithinsis(6J moNhs, wifcmtsh tionorworkksas n&dorabandorcdfw appeertad afsix/6)monthsW any time ager
Taxis�xe understandthat separate permits must be secured for E Wark,Ph-MV,Signa, Weiss.Poo/s,Pusnates,Bol/era,Heelers,
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.
(heVmnyytiwihavereadmdewmirtedthu leaden andknow the same tube true adcorreat. AI/provbioreo lowaardoe imm�uesgoverni this
type of work wi
llwlyt .rpem ed herein or not TM graNing of a permit does noJ presume to g authority to violate or camel the
provbionr ofastate locrl rkring cone rction theperformanunoircomhuction. /
Signature of Signal=ofCoatnwt rPrim Name Prim Name L__Sworn m anme Swom to and sub bed before me _
S� of ."fi 7n16 .20 l.5 this y t 0/
o-. d
RACE ROVER BQYER
.+ �u'`tiQ Notary Public-State al Florida �y - �.
My Comm.Expires Nov 29,2075 ��( $��� NotrCa��RrpymEn,Pkm�ublic-Stale of 9,2i
_ d1O"""",,,,EF.spo"# E 129,20
ia�eTP Commission a EE 119109 $inn of EE 119109
TArougp National Notary Assn. '•;j�rIX ,¢P,
Balled TAmugB National Notary As
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Florida - County of Duval
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property, and In
accordance with Section 713 of the Florida Statutes, the following Information Is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 35-64 17-2S-29E SEASPRAY
Address of property being improved: 507 VIKINGS LN Atlantic Beach FL 32233
General description of improvements: Re-roof
Owner WHITE TERRY L
Address 507 VIKINGS LN Atlantic Beach FL 32233
Owner's interest in site of the improvement RETS.
Fee Simple Titleholder(If other than owner) N/A
Name
Address
Contractor Carbon Copy Construction Inc. Leonard Schonfeld
(� Address 12412 San Jose Blvd Ste 301 Jacksonville, FL 32223
Po Nr`11 Phone No. 880-2183 Fax No. 880-2185
Surety(if any) N/A
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name N/A
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 N/A
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 N/A
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): 08/01/15
THIS SPACE FOR RECORDER'S USE ONLY OWI E�
signed: app.r.Wd
e6roreniattab r
__._ - County of Duval,State of FI s er_ gpna ry
Doc a 2015130252,OR BK 17192 Page 1348, himi herself and affmns Sts• er�s a 86r�.Nerain
Number Pages:l area and accurate . - otary Pua -Smle of Florida
Recorded 061088015 at 02:35 PM. •'?MY Comm.Expires Nov 2g,2015
Ronnie Fussell CLERK CIRCUIT COURT DUVAL «,p±+ commissloa a EE 119109
COUNTY Bonded Through National Notary Assn.
RECORDING$10.00
Nostilry blit at La ,State of County of
My w mission a es:
Pers allyKnow 3G or
Produced Identifcalion