710 CAVALLA RD ROOF CITY OF ATLANTIC BEACH
s)
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-1345
Job Type: ROOF PERMIT
Description: FL 10674-R9
Estimated Value: $3,285.00
Issue Date: 6/8/2015
Expiration Date: 12/5/2015
PROPERTY ADDRESS:
Address: 710 CAVALLA RD
RE Number: 171365-0080
PROPERTY OWNER:
Name: COX, TIMOTHY LAURENCE
Address: 12850 CHINQUAPIN WAY
GENE RAL CONTRACTOR INFORMATION:
Name: NORTH FLORIDA ROOFING CONTRACTORS INC
Address: 13758 Pleasant Valley DR
Phone: - -
FEES:
BUILDING PERMIT FEE $66.43
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $70.43
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: -110 OAVALt_A RI,, Permit Number:
Legal Description 31-1 3R-,QS-A7 8 PAL_ 1n1rt 2A Pare el# 1113195 - O�SO
x85. 16 oor aof��t. �qFt
Valuation of Work$3, Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s(ccircle one): Commercial
If an existing struc re,is afire sp er system installed? (Circle one): es o N/A
Florida Product Approval#
For multiple products use pro uct approve orm
Describe in detail the type of work to be performed:E E- RnnfAIR OFF =A R EiPLpr.f
rte -I SrIIAI( LFL 8�4, j Vz% aha pj"
Property Owner Information:
Name:'fIMaiiN LAuQErKc. Crn Address: 128-5b CHintw&pin We
CityAACY41`1V1L C State F,Zip 41nPhone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS: MARY,@ I.iorttu FLon oAl2oopinur con
Company Qualifying Agent: -MARK FRIES
Address:-'n, ISAAC t A Rj vn 5TE So City JAx &A4 State Ft_ Zip 33otSb
Office Phone fl(YY,' 'X7-9goA Job Site/Contact Number MARY RA4-D19-lglaFex#, � _941-1o41a1
State Certification/Registratioa# Cc.r_ I��t�41H
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Applic.don is hereby made to obtain apermit to do the work and installations as indicated I certify that no work or installation has commenced prlor to the
issuance oj'a permit and that dl work wit!bs�e�ormed to met the standards ofalllmvsregulaling consavotion in thisjurisdlctiaru Thispermltbecomes null
=ovoid t�J work isnot commencedwithin. 6 months,or construction or work is suspended or abandoned for a p��iad ofs&(6)months at any it.a??alter
work is commenced I understand that separate permits must be semmad far BleanicaC Work,Plumbing,SSgns, N'el$Pont,Ftanseces,Boilers,Hea7us,
Tanks and Air Condidenem,etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EAPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO'QR NOTICE OF
COMMENCEMENT.
Thereby certifythm1havereadandesamlaedthu plicadon andkwwthe same to bs true and carrecG Al[proviaionr a((laws and ordinancesgovernM this
type o)work will be complied with whether sppeecs red herein or net. The granting of a permit does not presume to gfi+e authority to violate or cancel the
prosneloas ofany otherfederal,state,or local as,regulating construction or the performance ofconetruction.
11 99
Signature of Owner Signature of Contracto
Print Name _. hY,
TjL.d , -gUIgc �Cd1X....._� Print Name
Before a Beforeme
this ay o this &I Day of 2 t
Not (y A�,1 DAIRA PAOLA RAMIREZ u RA PAO _a_
_ ty a MY COMMISSION kFF0460n rpyq. MY COMMISSION NFF046I
EXPIRES August te.apt] sem'"i:✓€ EXPIRES August 15.2p1Te sed 0126.10
Ponsoe-0153 F.10"..ryServke.com (ie'e team Sl' Flordmsmyservke.cem
Doc B 2015130233, OR BK 17192 Page 1291, Number Pages: 1, Recorded
06/08/2015 at 02:33 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
.a_ NOTICE OF COMMENCEMENT
IAP MEINOUPUCATE)
Permit No.
State ofNARIM�� Tax Folio No.
C011nlypf UWAL
To whom It may concern:
Taa unmanlgned hefeOy int Nm8�yo0ru that lmproveman.a will be made to each..roar Property,and In
accordance with Section 713 of Ihe`'lorIda Statutes,the following information Is stated in this NOTICE OF
CONNENCEMENT.
Leger descdpdon pr'pmpany being Improv0d:31-1 38-2S-29E ROYAL PALMS UNIT 2 A
Address of Property being Improved: 710 CAVALLA RD ATLANTIC BEACH, FL 32228
General dsscdptbn of imIcrovemem, RE-ROOF
owner TIMOTHY LAURENCE COX
Address 12850 CHINQUAPIN WAY JACKSONVILLE.FL,32246
Owner's interest In site of The Improvement
Fee Simple Titleholder of other than owner) _
Name
Address
Contractor NORTHFLORIOA RW FlNC
Address 2730 0AB0LIA BLVD STE 50 JACKSONVILLE BEACH,FL.32250
Phone No.904¢19-1812 Fax No.868-941-8461
Surety(if any) _
Address AmountofberaS
Phone No. Fax No.
Name and address of eny parson making a been for the combustion of bre improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of FloMe,other than himself designated by owner upon whom n (lose or other
documents may be served
Name
Address
Patna No. Fax No.
In addition to himself.owner designates the following person to recelee a copy of the Usnofz Notice es pro warded in
Section 713.06(2)(b),Florida Estates.(.911 in at Owner's Wine).
Name
oeAlo
Address a +
Patna No. Fax No. ..,___
Expiration dale of Notice d Commencement(the expiration date is one p)year Irom the dale of recording unless e ; x,
different
ant d dale is speceedl: D
mD 9
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