2050 DUNA VISTA CT - ROOF I
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904)247-5826 Fax (904)247-5845
•
Job Address: 2050 Duna Vista Ct Permit Number:
Legal Description 40-37 09-2S-29E SELVA NORTE UNIT TWO Parcel# 169506-1616
oor .rea o Sq.Ft. Sq.F t
Valuation of Work$$17,066 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)(circle one): Commercial Residential
installed?an existing structure,is a fire sprinkler system nstalled?(Circle one): Yes No N/A
Florida Product Approval # 1956.3
For multiple products use product approv al t rm
Describe in detail the type of work to be performed: Re-Roof
Property Owner Information:
Name: Ernest Shad Address: 2050 Duna Vista Ct
City Atlantic Beach State FL Zip 32233 Phone 904-613-1893
E-Mail or Fax#(Optional) eshad61361@gmail.com
Contractor Information: -
Company Name: American Roofing of Jacksonville Qualifying Agent: Daniel P. Kinkel
Address: 1015 Atlantic Blvd, Suite 352 City Atlantic Beach State FL Zip 32233
Office Phone Job Site/Contact Number Fax#
State Certification/Registration# RC29027546 -
Architect Name&Phone# NA
Engineer's Name&Phone# NA
Fee Simple Title Holder Name and Address NA
Bonding Company Name and Address NA _
Mortgage Lender Name and Address NA
Application is hereby made to obtain a permit to do the work and installations as indicated. I certt&that no work or installation has commenced prior to the
issuance o f 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 if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for aperiod of six(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 hereby certj that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether speci led herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state,or local law regulating cons ction or the performance of construction.
Signature of Owner 4 Signature of Contractor/ /�
Print Name ERNEST SHAD Print Name DANIEL P. KINKEL
Sworn and subscribed before me Sworn to and subscr. • - - ,�-,
this22 D of .I_ :,♦,r this 2oZ Day of e /, • ? '•
Noary Public Matt of Morals .s odic own a nor
. . Carlton R Brown on R Brown
f y.. 'y p 1, EE t 08702 �� r, ,y or a�e My PC 07/04/20E51067a2
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Notary u► i M1o� E)(owes 07/04/2015 Nota u
Revised 01.26.10