543 SAILFISH DR - ROOF r d
/"' r.''
CITY OF ATLANTIC BEACH
_ �� 800 SEMINOLE ROAD
\� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
Job ID: 15-ROOF-1619
Job Type: ROOF PERMIT
Description: fI 1956.3
Estimated Value: $5.950.00
Issue Date: 7/7/2015
Expiration Date: 1/3/2016 _
PROPERTY ADDRESS:
Address: 543 SAILFISH DR
RE Number: 171267-0000
PROPERTY OWNER:
Name: TORRENCE. SCOTT
Address: 3271 MERRILL BLVD
GENERAL CONTRACTOR INFORMATION:
Name: BRC HIGH TECH ROOF DIVISION
Address: 6372 GREENLAND ST STE 6 QA JERRY COLEMAN ROWE
Phone: - -
FEES:
BUILDING PERMIT FEE $79.75
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $83.75
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: l3 S�c,��I.(/ZK OA, Permit Number:
Legal Description 30- -2 S al Pals tAibyt-a Parcel#
Floof Area of Sq.Ft. Sq.Ft
Valuation of Work$ J/50(7 Proposed Work heated/cooled 17 73-
non-heated/cooled 2 IC
Class of Work(circle one): �ew Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial CResidenji
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes ( N /A
Florida Product Approval # lq S (o• )
For multiple products use product approval form
Describe in detail the type of work to be performed: I60
S/o/?-e -a f iz L'$ Sktieeo ave' PJ1.S-Pe cc-
Property Owner Information:
Name:S C O 17 1212PN C G Address: 32 7/ H e a'z 1/ I3l v.I
City 74cicSoNvk I It e6tkca State/=/Zip 3 2.2 S O Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: 13 12L I(/Vti _ Qualifying Agent: Tt' l4ty 12aui
Address: /l.?).) e(& S7 Auyc4,7t#.%c A4P Sut 7r l5 313 City114c&scvout('o State f-1 Zip322
Office Phone fog-Al -04-3 Job Site/Contact Number l'o'i - 4L3-29c. Fax# 904, ) -93Sib
State Certification/Registration # CC c v y L '34 6
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. 1 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)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical ;York, 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.
1 hereby certify 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 specified 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 construction or the performance of construction.
Doc # 2015148088, OR BK 17215 Page 2128, Number Pages: 1, Recorded
06/29/2015 at 09:17 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
COUNTY OF L4,Q7_Q
STATE OF .0254+
To whom It may caress:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In mordants
with Section 71113 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Desript>onofprepertyn3o- Li 38'?5`a r2
�7 14 7Ja.4/ the1,41 F1 32233
General description of Improvements etif2e#44e/Int,nY
Owner I'O i)2s
Address 32 7 ( MG 8121 f( Y3 Ate/ s/4c Sauer l A 1=/ .32zro -314'
Owner's Interest in site of imprownrnmt �._;_ •; 5,f PrPie _
Fee Simple 71de holder(If other than Owner)
Name
Address,
Contractor . L C 'J... 1 • _•.NS ti! /N c
Address I . • : .. . t. ' 1 . . = 1 13 . . 1 . 312S-
Surety(If any) ,
Address Amount of Bend
Name of person within the State of Florida designated by owner upon whom notices or other documents may be
wash
Nam*
Address
In addition to himself,awner designetes the following person to receive a copy of the dance's Notice as provided
In Section T13.06(2)(b),Florida Statutes(RU In at Owner's Option).
Noma Address
Owner/Contractor Signeture
� �osTe�Cr~r
Print Name
Sworn to and subscription before me this y
day of J 74iri-- ,?of r
// .I itl ry Public Signature
County!y of J)40744_ State of. Ra?1-0 -
Notary Public Sate of Fonda
Jerry C Rowe
My Commia5on EE 830205
'o p Exp:ros 08128!2016
Signature of Owner LP�A%i Signature of Contractor 6firlv".."-e–
Print Name Ic—cf t-e kGR__ Print Name 1-e l2 f C (i oki—
•Sworn to and subscribed before me S an. .ubscribed -.. � me
this 074 Day of 3t '--.., ,20 I + Da of '��. ,20 /5'
C� � b . `
Nota blic -5-Ty ry Pu.icy
Revised 01.26.10
NNotary Public State of Florida
Jerry C Rowe
if My Commission EE 830205
‘o„,, Expires 08/26/2016