2118 S FAIRWAY VILLAS LN - ROOF PERMIT CITY OF ATLANTIC BEACH
' • \S� 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-2154
Job Type: ROOF PERMIT
Description: REROOF FL 1956 & FL2077
Estimated Value: $7,540.00
Issue Date: 9/10/2015
Expiration Date: _ 3/8/2016
PROPERTY ADDRESS:
Address: 2118 S FAIRWAY VILLAS LN
RE Number: 169398-1026
PROPERTY OWNER:
Name: COLSTON. DONALD W & MARY LOVE. *
Address: 2113 S FAIRWAY VILLAS LA
GENERAL CONTRACTOR INFORMATION:
Name: AFFORDABLE ROOFING
Address: 3859 PADDLEWHEEL DR QA VINCENT LAWRENCE
MARINO
Phone: - -
FEES:
BUILDING PERMIT FEE $87.70
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $91.70
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: 2118 Fairway Villas Lane S. Atlantic Beach, FL 32233 Permit Number:
Legal Description 39-22 08-2S-29E FAIRWAY VILLAS Parcel # 169398-1026
Floor Area of Sq. Ft. Sq.Ft
Valuation of Work$7,540.00 Proposed Work heated/cooled 1568 non-heated/cooled 406
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 No N/A
Florida Product Approval#;TAMKO Shingles FL 1956 Peel and Stick underlayment # FL2077
For multiple products use product approval form
Describe in detail the type of work to be performed: remove existing shingle roof down to deck install new shingle roof.
Property Owner Information:
Name: Mr. and Mrs. Colston Address: 2118 Fairway Villas Lane S.
City Atlantic Beach State FL Zip 32233 Phone 563-3350
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Affordable Roofing Qualifying Agent: Vincent Marino
Address: 1348 Clements Woods Lane City Jacksonville State FL Zip 32211
Office Phone 260-7663 Job Site/Contact Number 449-6339 Fax#260-7663
State Certification/Registration# CCC057697 (Roofmg), CGC059465 (GC)
Architect Name&Phone# N/A
Engineer's Name& Phone# N/A
Fee Simple Title Holder Name and Address N/A
Bonding Company Name and Address N/A
Mortgage Lender Name and Address N/A
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 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 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 plication and know the same to be true and correct. All provisions of laws and ordin ces governing this
type of work will be complied with whether specif ed herein or not. The granting of a permit does not presum to give authority to late or cancel the
provisions of any other federal,state,or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor (W0-\)(
Print Namey ,,C. C.eeN Print Name Vincent Marino
Sworn to and subscribed before me this Sworn to and subscribed before me this
`1,0w‘Day �"� ,2015 a9l' . Day J �� ri, Y•ti.
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Notary p ' Commis i tANGO Notar P ,,, My Comm.Expires Jul 13,2019
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NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 169398-1026
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: 39-22 08-2S-29E
FAIRWAY VILLAS
Address of property being improved: 2118 S FAIRWAY VILLAS LN
Atlantic Beach FL 32233
General description of improvements: re-roof
Owner COLSTON,DON MARY
Address 2118 FAIRWAY VILLAS LAS ATLANTIC BEACH,FL 32233
Owner's interest in site of the improvement 100%
Fee Simple Titleholder(if other than owner)
Name N/A
Address
Contractor Vincent Marino CCC057697 CGC059465
Address 1348 Clements Woods Lane Jacksonville,FL 32211
Phone No. 449.6339 Fax No.
Surety(if any) N/A
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name N/A
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 N/A
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),Florida Statutes.(Fill in at Owners option).
Name N/A
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified): expires ninety(90)days from recording date.
THIS SPACE FOR RECORDER'S USE ONLY . •WNER / /G/
Signed: '_ ��• ✓ DATE 9 Oa°•/, .
Before me • 7.. da of A _I l in the
County M of�'D :t=of Flori•., l 1 k a ' fly appeared
Doc#2015192235,OR BK 17276 Page 366, `uval, �l
Number Pages: 1 himself/horse and affirms that al statements an•::.e• herWANDINO LANGO
9 are true and accurate =
Recorded 0&20/2015 at 12:00 PM, '•. f' ::; Commission#EE 134507
Ronnie Fussell CLERK CIRCUIT COURT DUVAL =�s-' k Expires September 28,2015
COUNTY Bonded TM,TmyFain w wace eeo•les;oto •
RECORDING$10.00 v��
Notary Public at Large.State of nv 140n i w County of \)vt 1 i
My commission expires. et- _ - GG
Personally Known or
Produced Identification