1935 BEACHSIDE CT - ROOF (-----
\SSA CITY OF ATLANTIC BEACH�! ,� ' `J 800 SEMINOLE ROAD
— 4,bswr r, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
,.1,..-
01il=r
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-1620
Job Type: ROOF PERMIT
Description: NEW ROOF
Estimated Value: $10.395.00
Issue Date: 7/7/2015
Expiration Date: 1/3/2016 _
PROPERTY ADDRESS:
Address: 1935 BEACHSIDE CT
RE Number: 169542-0715
PROPERTY OWNER:
Name: CORLEY. WILLIAM M
Address: 1935 BEACHSIDE CT
GENERAL CONTRACTOR INFORMATION:
Name: TOWNSEND ROOFING &
Address: 10418 NEW BERLIN RD APT 115 QA RANDY CRISS
TOWNSEND
Phone: - -
FEES:
BUILDING PERMIT FEE $101.98
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $105.98
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904) 247-5826 Fax (904) 247-5845
Job Address: 1 13 5 ge4c1A 2 r de. C4 Permit Number:
Legal Description `ky'1'6 CI'ZS'Z1 .6etcL5 i de. 't- k+ Lr f 3 Parcel#
00 Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 11 O)315— 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
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval # EL-I 01 l`t
For multiple products use product approval form
Describe in detail the type of work to be performed: G AT F H.ti,19-0( ins:. 00 5tt 1.11e---1
6R Tiler Pitw 5yN- j c.. thieleer iA t izi. - fL I5ti87
Property Owner Information:
Name: Vi t limes, Corley Address: 11 35 ?e,rc1 ;le C+
City kir∎ 4-,c Re. -cki State ft-Zip 32233 Phone 7 0`-1—0/—3i 7 b
E-Mail or Fax#(Optional)
Contractor Information: �I T
Company Name: 0WY►;evi' Rboi iA ¢l rtc�io4 C. C' /)'Qualif Qualifying Agent: t<- y 1c h5-2t11
Address: IO9t New iecrl.r 1Q4. (l5 City Iac.e-sc-xu;((e._ State FL Zip 3ZZ 2 6
Office Phone X10 t{-64 S-S g'7 Job Site/Contact Number Ct,s-5 47Z-41979 Fax# ' 0 Lb—Li-is-5v yZ
State Certification/Registration# GGC i-4 Z L Z 8I
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 certh 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. I understand that separate permits must he.secured for Electrical-Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners,eta
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 YO1JR NOTICE OF
COMMENCEMENT.
/hereby certify that l have read and examined thisplication and know the same to be true and correct. All provisions of la ✓. • ordinances governing this
type of work will be complied with whether sppeci Ted herein or not. The granting of a permit does not presume too gi liori •o violate or cancel the
provisions of any other federal,stale, or local law regulating construction or the performance of construction.
c
Signature of Owner (1,14 Signature of Contracto -' .�rI..�....
Print Name t:/14. 4ts-t It'l- ( ..i T .._ Print Name �qn, N ) o SeKe(
Sworn to and su. r'bed before me Sworn t�d subs•�u.' .. .• - -
thi .'4, Day of • 20 this I:y of arf '',_'" WAWA : 0 015
Notary ' b „�.„,
c• •``! •, P State of Florida \ N N. y '.-fine .,.fir
$4 Notary MI-
co, •rltifiso•FF 185985 �� e.is • .
'N, My m.Expires Jan 5. ,^ S
,
Doc # 2015154412, OR BK 17224 Page 1390, Number Pages: 1 , Recorded
07/07/2015 at 11:12 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
emit No. Tax Fdio go. 169542-0715
State of H°1AIU County of pins
To whom It may concern:
The undersigned hereby informs you that improvements will be made to certain real property.and in
ancordonce with Section 713 of the Florida Statutes,the following information is stated In this NOTICE OF
COMMENCEMENT.
eye,cesor.oton of proper.y being improved. 44-18 09-2S-29E BF.ACHSIDE REPLAT LOT 3
Aoarees or proper/being unproved:
1935 Beachside Ct. Atlantic Beach,FL 32233
Generci description of improvements.Roof ReplaceLnen:
C'ener Corley,William
- •
1935 lie,achside CI Atiatitic-Bench 11.:W23:4
.A.dcress • " ' •• ' - ` " ' "'
•:::•sner":,interest in tie of the improve
Pee Simple Titleholder ill oeler-.her,owner;
Nan.
Adcress.
contractor Townicnit Roofing and Constructl.ri Servius.inc.
•
Adcress 1C4 IS New Bulb'RA:1.115 Jacksonville.:'L 32226
phcfle 740.YU-245-S227 Fax No. 904 045 5442
Surer?(it anlr'.
Adc'ress .4mount of cold S
Phcrie No. Fax No. .
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Name and address at any person Makin;2 can for the constvrAion of the imp.c....ernents
Name
Address
Phcre No. Fax No.
•
Nuttic of poison withir.the State of Florida. the than 0: sell.designated oy°Amer upon....tic-o oetices Cr othei
documents may be served:
Name
•
Addre
Phone t . No..
in a:MP:i•n%)hirnsel.o'.vrter desvretes the followi er&-or;to receive a cooy of the Lienor's Piolice as provItie0 in
Section 713.06 i.::::io:.Fora Stet.ites.(Fill in at 0 bner's opEco.
Name
Address
Phone No Fox N .
,..
Expiration sate of Notice of Contraencerrainz ur.e eirpirema date is one li year from(1'..e,de:P of recordl-i;Jraess a
different date.is 2pefied;: -
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