578 ROYAL PALMS DR - ROOF f-------r. CITY OF ATLANTIC BEACH
si,1 r . ' 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
7OB INFORMATION:
Job ID: 15-ROOF-1522
Job Type: ROOF PERMIT
Description: FL 7006.4
Estimated Value: $7.700.00
Issue Date: 6/25/2015
Expiration Date: 12/22/2015 ■
PROPERTY ADDRESS:
Address: 578 ROYAL PALMS DR
RE Number: 171518-0000
PROPERTY OWNER:
Name: WELLS FARGO BANK NA
Address: P O BOX 2248 MAIL CODE Z3057-010
GENERAL CONTRACTOR INFORMATION:
Name: QUALITY DISCOUNT ROOFING LLC
Address: 1794 ROGERO RD QA RICHARD BRIGGS
Phone: - -
FEES:
BUILDING PERMIT FEE $88.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $92.50
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: 578 Royal Palms Dr.Atlantic Beach,FL.32233 Permit Number:
Legal Description 31-16 17-2S-29E R/P OF PT OF ROYAL PALMS UNIT 2 A Parcel# 171518-0000
Floor Area of Sq.Ft. Sq.l•"t
Valuation of Work$7,700.00 Proposed Work heated/cooled 1550 non-heated/cooled 3513
geraao
Class of Work(circle one): New Addition eration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one): Commercial i enti
If an existing structure, is a fire sprinkler system installed?(Circle one): es o N/
Florida Product Approval# FL-7006.4
For multiple products use product approval form
Describe in detail the pe of work to be performed: Re-Roof.REMOVE ONE LAYER DOWN TO ROOF DECK.
RENAIL DECK TO CODE.REPLACE WITH NEW IKO 3TAB SHINGLES 35 SQUARES
Property Owner Information:
Name:SMV MANAGEMENT LLC. Address: 12677 ASH HARBOR DR.
City JACKSONVILLE State FL Zip 32224 Phone 904-415-6744 E-Mail or Fax#(Optional)
Contractor Information:
Company Name:Quality Discount Roofing LLC. Qualifying Agent:Roger Zeigler
Address:3481 St.Augustine Rd. City Jacksonville State FL Zip 32207
Office Phone 904-396-5000 Job Site/Contact Number Fax# 866-329-6692 _
State Certification/Registration#CCC1329885
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application 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 if work is not commenced within six(6,I months,or if construction or work is suspended or abandoned for a abandoned for uperiod of six f6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical ork,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Healers,
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 certify that I have re,' examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be compli h whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other fade ' ,te,or local law re lacing construction or the performance of construction.
Signature of Owner ��' Signature of Contractor
Print Name , V Print Name "Robe& Z .`. e1,
Sworn to and subscribed before me Sworn to and subscribed)before me
This 19Day of ,t t.r.e ,20 i 5 This JfiDay of ki.A.RQ. ,2015
ey CA2V}■.1__A-.03-
Notary Public Notary Pu is
Revised 01.26.10
( ....P SHEREE J.CARUSO i
'i° ,` Notary Public-State of Florida I
��• •= Commission#FF 227615 ' ,•IORY Poo,, SHEREE J. CARUSO
( ,„,+�—y'`c My Comm.Expires May 5,2019 ( ``1 `�= Notary Public-State of Florida
1 ''F,°;,,; Bonded tftrowjh Wong Notary Assn. _ I '' Commission#fF 227f31S 0 ii.
"-.,',._--,,,-.-_,43,: M Comm.Expires May 5,2019
Bonded through National Notary Alan. 0
Doc # 2015143568, OR BK 17210 Page 117, Number Pages: 1, Recorded 06/23/2015
at 03:23 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPME n DUPUC.ATc)
Permit No. Tax Folio No. 171518-0000
Stale of l;tgxii1:1 County of Oa I _.
To whom it may concern:
The undersigned hereby informs you that improvements wilt be mado to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
31-16 17-2S-2SE RIP OF PT OF ROYAL PALMS UNIT 2 A
Address of property being Improved: 578 ROYAL PALMS DR Atlantic Beach FL 32233
• General description of improvements:RE-ROOF
°met SMV MANAGEMENT LLC
Address 12677 ASH HARBOR DR JACKSONVILLE,FI.32224
Owner's interest in site of the Improvement
Fee Simple Titleholder(If other than owner)
Name
Address
Contractor QUALITY Y DISCOUNT ROOMING T.P.C.
Address 3481 ST.AUGUSTINE RD.JACKSONVILLE FL 32207
Phone No.904•3o6-scan Fax No.866-326.6692
.Surety Of any) 4) E.
Address of bond$
Phone No. Fax No,
Name and address of any person making a loan for the construction of the improvements.
Name J0
Address
Phone No. Fax No.
Name of person within the State of Florida,other then 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 Uenor's Notice as provided In
Section 713.06(2)(b),Florida Statutes.(Fill in at Ormer's option).
Name
Address
Phone No. Fax No. —
„wyy
Expiration date of Notice of Commencement(the expiration date is one((1)year from the date of recording unless a 41'
different date is specified): i =�•
THIS SPACE FOR RECORDER'S USE ONLY 1 .Eft 1%'4
Signed: //• -°' DAT°r..
BAore r+lat Fas- day Of _µ, •'`�,:��c;:_ Z;1 i in 1116
Cou�Vy e1 Ott at,Stfs a of Fladda,Pas personalty appeared
! 2• heroin by
ill;1
IOntetl:r1¢rsee and anima that all statements ars'decraratfoans/main
are sue and accurate
:� •
II
Notify Pupae at Large,Salt.of ,Cam7rcf • ;n
AryoomnruWnexpires: .t`^.Cc;• A
: 3f. — vn..
Per cnel.itnonn or rp