513 AQUATIC DR - ROOF s, CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-2374
Job Type: ROOF PERMIT
Description: ROOF - RE-ROOF SHINGLES
Estimated Value: $5,535.00
Issue Date: 10/7/2015
Expiration Date: 4/4/2016
PROPERTY ADDRESS:
Address: 513 AQUATIC DR
RE Number: 171818-5316
PROPERTY OWNER:
Name: ATNIP. DOLORES M
Address: 513 AQUATIC DR
GENERAL CONTRACTOR INFORMATION:
Name: EXCEL ROOFING CONTRACTING
Address: 5722 DUNN AVE HENRY SCOTT SORENSEN
Phone: - -
FEES:
BUILDING PERMIT FEE $77.68
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $81.68
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 1 s R— O OF-. Z374
Office(904)247-5826 Fax(904)247-5845
Job Address: 5/3 1-9pigke- be.. 1l/4n 4c. &A fG 3,9a3 Permit Number.
Legal Description 31?-7/ /1-2S--) 4 /tom ,�, ��y �n/.16-A Parcel # /9/8/f
Floor Area o Sq.Ft. Sq.ht
Valuation of Work S 35.zz, Proposed Work heated/cooled non-heated/cooled v .
Class of Work(circle one): New Addition A1"teration Rep Yr Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential 11414‘14Y"e»1F t Ft' I?19 t:.-R l
If an existing structure,is a fire,sprinkler system installed?(Circle one): es .No N/A t*«*k
Florida Product Approval#R-/y56, q
For multiple products use product approval form /�
Describe in detail the type of work to be performed: /y e V'IOCVT /lil,P�
Property Owner Information:
Name: 1J3 IC Address: $73 A +ne Ui
- City /4w `c hCe4-4i1 Staten-Zip ?).1a3 Phone
E-Mail or Fax#(Optional)
Contractor Information: //
Company Name: c ' ./ /is ,%75 ee74- v>.4 rS Qualifyi i A gent: /`-e/2` ' ?
Address:_ 7. �� /14--- -- -City C// ,jt i/e State fG Zip Vic?/c'
Office Phone-_-14-"Z-ln - Job Site/Contact Number y yLi 34/3S� Fax# gp4/-V/y ect: /
State Certification/Registration II /3gk/e
Architect Name&Phone# i4''
Engineer's Name&Phone# /j//9"--
Fee Simple Title Holder Name and Address v
Bonding Company Name and Address A/
Mortgage Lender Name and Address ,A/
Application is hereby made to obtain a permit to do the work and installations as indicated 1 centfy 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 tf work is not commenced within six(6f months,or if construction or work is suspended or abandoned for aperiod of six(6)months at any lime after
work is commenced. I understand that separate permits must be secured far Electrical ork, 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 hereto,certtjj&that I have read and examined this application and know the same to be true and correct. All provisions a/laws and .dinners governing this
ore of work will be complied with whether.specilled herein or not. The granting of a permit does not presume to gc a aut mit,'to violate or cancel the
provisions of any other federal,state,or local law regulating construction or the performance of construction. r / i
Signature of Owne Signature.��� Si afore of Contractor i a`, i/
Print Name Print Name 'O /�1t
Sworn tg and subscribed before me Sworn to and subscribed before me
this_ 2'_ Day of. .SQ pi-e4-1(per .20 i.5" this g'‘Day of __Spgp ,her- --- ---.- . - .20 j
_�. . 11-11/1
Notary Public r Notary i>ubl�
+"" "'kr HARRISON J.HILL
�':...,. o'; HARRISON J.';L
MY COMMISSION 1 FP 160635 'i:• evised 01.26.10
* a * EXPIRES:September 16,201> * * MY�pMMIS''en t fF
Ti
'l EXPIRES:September i5,?4
d�'leoc ctd�t Bonded Thru Budget Notary ...."17, &VW ihm(Kai Hoary Sem,
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Doc # 2015230250, OR BK 17327 Page 1570, Number Pages: 1, Recorded
10/07/2015 at 09:39 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF CODAKISNCEMENT
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So wham it may coitcartr:
urtdetstgrted hotsby i;ttorms yam,that$rgsr[ivemeartx wig be matic to certain reatptpperty,and trt
K^o\:rcience atdh Se tisxn?la of tiia Plc Statutes,the tottovsititt thiet?naiigz`z is statai sn this NOTICE OF
COMMENCEMENT.
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