907 STOCKS ROOF CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
N P
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-1902
Job Type: ROOF PERMIT
Description: RE-ROOF SHINGLES
Estimated Value: $3,980.00
Issue Date: 8/10/2015
Expiration Date: 2/6/2016
PROPERTY ADDRESS:
Address: 907 STOCKS ST
RE Number: 170951-0000
PROPERTY OWNER:
Name: GIACHETTO, LINDA A
Address: 2865 FORT WILDERNESS TR
GENERAL CONTRACTOR INFORMATION:
Name: QUALITY DISCOUNT ROOFING LLC
Address: 1794 ROGERO RD QA RICHARD BRIGGS
Phone: - -
FEES:
BUILDING PERMIT FEE $69.90
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $73.90
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 1�� O O F-
Job Address: 907 Stocks St. Atlantic Beach, FL. 32233 Permit Number:
Legal Description 18-34 17-2S-29E .138 ATLANTIC BEACH SEC H Parcel # 170951-0000
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$3,980.00 Proposed Work heated/cooled 1,152 non-heated/cooled 1,216
Pe F
Class of Work(circle one): New Addition Alteration epair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial
If an existing structure,is a fire sprinklers tem installed?(Circle one): Yes No N/A
Florida Product Approval# 10124.1 j
For multiple products use product app ova orm
Describe in detail the type of work to be performed: Remove 1 layer down to roof deck. Re- nail deck to code replace
with new GAF 3tab shingles 8 squares FL-10124.1 L41 lal
Property Owner Information:
Name: Alexis Chapas Address: 907 Stocks St.
City Atlantic Beach State FL Zip 32233 Phone 904-687-9398
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 9043965000 Job Site/Contact Number Fax#_8663296692_
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 f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aWeriod 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.
I hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances
type o1work will be complied with whether sped herein or not. The granting of a permit does not presume to give authority to violate
provisions of any other federal,state, or local l e lating construction or the performance of construction.
Signature of O er Signature of Contractor
Print Name I�X;S Print Name e`V. � o
t�" o
�. . .... ................... a.. ..y
Sworn to and subscribed before me Sworn to and subscribed before me m = T
� BxT
This 7th Day of Au u This 7th Day of August 201 5 y
T- W
REEJ.CARUSO % r,
Notuy Public-Stete of FloridaA rai
otary Public 1s otary PublicMy Comm.Expires May 5,2019 R
Baidedthr Nation�INot Asan. Revised 01.26.10 U a
d
Doc # 2015182333, OR BK 17262 Page 930, Number Pages: 1 , Recorded 08/07/2015
at 01 :58 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
�p i
_ .
17 OT= 0,ir1EYI�r1Lr 11� 1Y 1
tf"ftr;t'AR�)�p11PttCAYE) j
permit No _.,a.. . Tax Fbild no
t
Cour€fy of Tu
To$000 t may critteern.
"Ffte tfttdorstgn®diroratty Inforhi:you th#finpraxements wlU;3te rnsd :to+certain teat pfopertyx and itl:.
aceordance w€titi See 713 of*ifforttta 5tatd'#es,the<fvfiott+It�gfir►Iurt»atiorf fs:statecf tn:thls Nt'1�'#E OF f
!COMMENCEMENT. i
Lep@I de5t rrplittrt ofpfaperfyhetng unproveda
Addnsof{stn{iertyfxalMglmpiQYed i'3
t
Gef waf dvsefiponofirfiprwcrrisnts AMP
.
f €
Owner
Address
t7hvntsr 5 V tefest in sits of the. : z
:rnprovemenE
t=ee Sirnp€e.Trtfehofder(9f other:than:av+qqter):
Name _..
Address ......
1TROOFING Q04.1G
C_
Address: t ST;AltQQ"NE Rte lr4G"pf 0 t.M Ft.`.0220 .. ..
,�hotta l fc+: -ass- Faz t4(i.SW 20-6692
5utety.(ifanY).-.
Address:
t
Phone Nm E=sx Mv: i
_
Name and address+of:aay persOrf;making.a.loan for the;cons nxtw,dfft itnprovomems:
r.
N ribs .
i
Ptiorm:NO. Fsti Na,
Name.of person:within tfi#State:of Efoxidh,:other than himself,desfgngjed fiy�asrrier updn�uttctri tial€ridg Orother:
(tocurneoft way be served:
Name.
Asidre�.
f'hona IVo,.. _ FOX Na. t
In arktWon to fit tisae€fr ownsr designates ttfa folia vdrf;Personto recefye a capy:ofth#E.IwWs Noticeias pmv d_(n
S'z=Gtrurt 713.06(2)0)'>RorjdaSfatutes t0U4 to at drmer's opt€on}.: _
Name .
,
�lstdtess.
t'I4orta t3o. fax-No.
`at�it�QlN i ..
C-xpuat r�t�date rsf Nofice elf Gomme•rttemerit(#hc expiration date it one(1)year ftam the date of ierprding uiites$:a _�$VVI •�� L `'
dtf{erertt dafa is spaciffedjs : c+ ,,•
THIS-SPACE FOR RECORDER'S tt3i=OW ,� Y �R f`
Sinned. '{, ds•, DATE � e o
eefaem� daYP' ASrE uTttr o. �•
00Wz F art]uva= S or i i6�#da ha.{rrrsoe appeared.
AM
;04*
litrrfs �y het'scit snd arfim�s.fffa3alE�st tsm:ni5-.arid dsc3a�eNarie#;ereln '��.+.�£ m ,mr,
ere true 8nd aecutefe. � A m
w
ry ticft—-*ge 114t,,ofa of a—A— i»
biycw�xtF!ssso�eyyefras:: 3A1;L
PrCificzd tt!M