561 AQUATIC DR - ROOF w°A, CITY OF ATLANTIC BEACH
,ii, \IS 800 SEMINOLE ROAD
- 'r ATLANTIC BEACH, FL 32233
lisili�
^ " INSPECTION PHONE LINE 247-5814
'4.40.1319'>
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
0 Job ID: 15-ROOF-1687
Job Type: ROOF PERMIT
Description: ROOF FL 10674-R9
Estimated Value: $7,821.00
Issue Date: 7/15/2015
Expiration Date: 1/11/2016
PROPERTY ADDRESS:
Address: 561 AQUATIC DR
RE Number: 171818-5332
GENERAL CONTRACTOR INFORMATION:
Name: NORTH FLORIDA ROOFING CONTRACTORS INC
Address: 13758 Pleasant Valley DR
Phone: - -
FEES:
BUILDING PERMIT FEE $89.11
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $93.11
PER\III- IS .APPROVED ONLY IN ACCORDANCE 1YITII ALL CI.11 OF 11 IAN"'IC BE1C11 ORDINANCES AND T11E FLORIDA
BUILDING CODES.
Y BUILDING PERIVIIT APPLICATION
CITY OF ATLANTIC BEACH •
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845
Job Address: 6( I CID� i-lC b r- 033 Permit Number:•Legal Description ", — V 3 I -cis --c ' C�1 G Parcel.
oor Area of q. t. q, t
Valuation of Work$ 7,$2), 93 Proposed Work heated/cooled (321 non-heated/cooled t:-2'
Class of Work(circle one): New Addition Alteratio Repair Move Demolition pool/spa window/door
Use of existing/proposed structures) (circle one): Commercial esidentia
If an existing structure,is a fire sprinkler rinkler system installed? (Circle one): o N/A
Florida Product Approval# ELL JQ va -
For multiple products use product approorm OO
Describe in detail the type of work to be performed: eil-e0e-c
Property Owner Information:
Name: ) Cc 5 ��C t.,i► a� • Address: I Sc(a I()1 V- S td-e...- `b(
City.=1�(Dln.�, c_ ?,_ _L.. State rIZip -3 22 3Z Phone/t>/ -,241 - 3(,3c,,
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name:10errTh Ror;CIA- 1Pnoke Qualifying Age t: R,.-// F..,;e 5
Address: 073D 375:4,1201lA. BI del- 5(J-� City_, i4)GtSo h Stated _Zip
Office Phone $'00 - R- 940 Sob Site/Contact Number cloy-,,g.I q -/if 12_ Fax# I$(o&..' cii—10.c/4,/
State Certification/Registration# C C,C.- 1330414
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 cert fy 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 a period 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 certify that I have read and examined this a placation 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 federa, ate, or local law regulating construction or the performance of construction.
ignature of Owner
x//'11 K,� Signature of Contractor
Print Name -.a.c. L�.c : z a..t Print Name R .01:7,x- •'l e--..S...........................------....-
Before me Before me
this J_Day of July ,2013 this J
Day of CA_L ,20 I,S
Notary 1,. slot tc
,., sue'.. JAMIE L MIRANDA ...-.4.0,Poi
MY COMMISSION #FF158o25 _. ��:_ JAMIE L MIRANDA
Iv. °�' September 8,2018 MY COMMISSION#FF158025 Revised 01.26.10
> 0„1„ EXPIRES Sep o;
(407)39&0153 Flondallotary
Service.com ''..'+osnd, EXPIRES September 8,2018
(407)3980153 FlondallotaryServico corn
Doc # 2015152945, OR BK 17222 Page 1125, Number Pages: 1, Recorded
07/06/2015 at 09:05 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
tPREPARE 114 DUPLICATE)
Permit No. Tax Folio No.
State of FLORIDA County of DUVAL
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 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:38- -2- - 2. E • el 1 L�
Address of property being improved: 5 c' rdf.t• ` Jr
44 lit,-, /, ate
General description of improvements: RE-ROOF
owner IJOBrS £c IAA y l �[
Address /5.�q f,•ikS t
/etz )(r2- ' tf/1i[. 1 Jc t �ZL3 i
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name —Address
Contractor NORTH F1.ORIDA ROOFING
Address 13758 PLEASANT VALLEY DRIVE JACKSONVILLE.FL.32225
Phone No.904-219-1812 Fax No. 866-941.6461
Surety(if any)
Address Amount of bond S
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida.other than 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 Lienor's Notice as provided in
Section 713.06(2)(b).Flonda Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No. $ v.''
Q 3t
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a g
different date is specified): ••
THIS SPACE FOR RECORDER'S USE ONLY • e\, ER !+ �G( ��j/ m L
Signed:. i // , ' J OATE,K/.1) / ! S n D
Before me this l°sTday of �7 .__eye .o ILf In(((none O
County of Ouval.Stale of Florida.has personally appeared a q) t
^�n,e ( )t,51'14/'11.- herein by 2 (n K M
himself/herself and alarms that all statements and declarations herein d 9 ( r.
are true and accurate .2
1 Ch CD O
• notary Public at Large.Stale of PL- County of��NAL. 3 N 0
I tily comnusston expires:c/�S^rffi O o
personaay Known or CO cn
Produced ldentltcaltOn FLI 1�