94 W DUTTON ISLAND RD - ROOF S vir;
�' " �s, CITY OF ATLANTIC BEACH
. J
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
30B INFORMATION:
Job ID: 15-ROOF-1656
Job Type: ROOF PERMIT
Description: REROOF FL 1956.3 741.1 (94 CHURCH)
Estimated Value: $5.600.00
Issue Date: 7/10/2015
Expiration Date: 1/6/2016 _ __ _
PROPERTY ADDRESS:
Address: 94 W DUTTON ISLAND RD
RE Number: 172198-0010
PROPERTY OWNER:
Name: CATTAR. JENET
Address: 110 WALNUT ST
GENERAL CONTRACTOR INFORMATION:
Name: BRC HIGH TECH ROOF DIVISION
Address: 6372 GREENLAND ST STE 6 QA JERRY COLEMAN ROWE
Phone: - -
FEES:
BUILDING PERMIT FEE $78.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $82.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Doc # 2015155649, OR BK 17226 Page 922, Number Pages: 1 , Recorded 07/08/2015
at 10:58 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
COUNTY OF Duval
STATE OF Florida
To whom it may concern:
The undersigned hereby informs you that Improvements will be made to certain real property,and in accordance
with Section 713.13 of the Florida Statutes,the following Information Is stated in this NOTICE OF
COMMENCEMENT.
Description of property 19-16 17-2S-29E .132 Dormers R/P
94 Church Rd..Atlantic Beach,FL 32233
General description of improvements Roof Replacement
owner Fred and Jenet Cattar
Address 110 Walnut SI., Neptune Beach, FL 32266
Owner's interest in site of improvement Fee Simple
Fee Simple Title holder(if other than Owner)
Name
Address
Contractor BRC Roofing&Construction, Inc.
Address 11250 Old St.Augustine Rd., #15313,Jacksonville, FL 32257
Surety(if any)
Address Amount of Bond
Name of person within the State of Florida designated by owner upon whom notices or other documents may be
served:
Name
Address
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided
in Section 713.06(2)(b),Florida Statutes(Fill in at Owner's Option).
Name Address
.�• -I ik '11""&.a
ner ontractor Signature
J Ai-CI . t--A02_
Print Name
Sworn to and subscription before me this 7
day of 7eltyp. 1-0 )
Nom(,/�
/1/ ary Public Signature
County of1✓/4fret/ State of / 4)r<<'' '
Personally Known or
Produced!dertificatlon
)0' 4'44. NOtury PuRac Stoto of FloHtlo
.IP.rry C Rowe
41y Ccm-n,ssion EE 830205
n7,0. E:pares 08/28/2018
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 94 Church Rd. Permit Number:
Legal Description 19-16 17-2S-29E .132 Donners R/P Parcel# 172198-0010
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$5600.00 Proposed Work heated/cooled 936 non-heated/cooled 300
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
• If an existing structure,is a fire sprinkler system installed? (Circle one): Yes N/A
Florida Product Approval# /c/ G• . 3
For multiple products use pro
du approval form
Describe in detail the type of work to be performed: Roof Replacement
3 5-9-1 5 Ize, 'ti 6 55,S
Property Owner Information:
Name: Fred and Jenet Cattar Address:110 Walnut Street
City Neptune Beach State FLZip 32266 Phone 904-571-7247
E-Mail or Fax# (Optional)
Contractor Information:
Company Name:BRC High Tech Roof Division, Inc. Qualifying Agent: Jerry Rowe
Address: 11250 Old St.Augustine Rd. #15313 City Jacksonville State FL Zip 32257
Office Phone 904-288-0431 Job Site/Contact Number 904-463-2952 Fax# 904-292-9390
State Certification/Registration# CCC056398
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 f 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. 1 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.
1 hereby certify that 1 have read and 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 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.
Signature of Owner 9tø_ J'/ �iQ%��w� Signature of Contractor C
Print Name deco– L• CA t lA-(2-- Print Name �1 C aOcvA
Sworn to and subscribed before me Sworn to and subscribe efore me
this 7 Day of J ctrl t , 2011— this 7 Day of , 20 /
ft All A 1-- • Abe ArAi •
NOt•,,fSr'ublic €••o"tic Notary public State of Florida otary Pu• i s °sY"6''••, JENET L CATTAR
MY COMMISSION#EE 875330
Jerry C Rowe
.� , � My Commission EE 830205 .. :,,g EXPIRES • 10
v"•or aO Expires 08/26/2016 '.;'. Bonded Thru Notary u� 8�