1631 FRANCIS AVE - ROOF -S rA.1`l j+✓.,
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1:,-. ' CITY OF ATLANTIC BEACH
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a c 800 SEMINOLE ROAD
t) 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-2396
Job Type: ROOF PERMIT
Description: REROOF 10674 R10
Estimated Value: $5,217.00
Issue Date: 10/13/2015
Expiration Date: 4/10/2016
PROPERTY ADDRESS:
Address: 1631 FRANCIS AVE
RE Number: 172285-0050
PROPERTY OWNER:
Name: THOMAS, JULIE D
Address: 1631 FRANCIS
GENERAL CONTRACTOR INFORMATION:
Name: ROGERO & WILLIAMS ROOFING CONTRACTORS INC
Address: 883 Lawhon Dr ST
Phone: - -
FEES:
BUILDING PERMIT FEE $76.09
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $80.09
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904)247-5845
Job Address: _t��j r rz 1 � )N1QY1 �{
� rcel#
,Permit Number:
Legal Description ,:� , - p _
•
Valuation of Work$ oor • ea o q. t,
. t
Yfi
Ail. 06 Proposed Work heated/cooled 1< non-heated/cooled
Class of Work(circle one): ew Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial '
If an existing structure,is a fire spnnkler syst• installed?(Circle one):Resi es N/A
Florida Product Approval # ,
For multiple products use pr 1 e uct appr 1 va orm
Describe in detail the type of work to be performed: rt-r'v - 5 s ✓1=_'e...-
b
Pro Owner Information:
-
Name:
City 4r, a •'••
,: Address: ! )? F t
'� StateaZip .32233 Phone
E-Mail or Fax#(Optional)
Contractor Information:
•Company Name: =€Xo -t-�,()Il i t a S o f
Address: c� �,! ,,�� Qualifying Agent: �('
Ci rn . >• • „ —a
Office Phone 5l R- 5cf(, Job Site/Contact Number _La __ � _Sta e Zip 3 _eaS
State Certification/Registration# C CG 3 a 387 Fax# _ _
Architect Name& Phone#
Engineer's Name& Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
9pplication is hereby made to obtain a permit to do the work and installations as indicated. /certify that no work or installation has commenced
to the
ssuance ofa permit and that all work will be performed to meet the standards of all laws regulating construction in this Jurisdiction. This permit becomes null
2nd void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of sex I6,months at any time after
cork is commenced. I understand that separate permits must be secured for Electrical�Work, Plumbing,Signs, Wells,Pools, Furnaces,Boilers, Healers,
ranks 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.
hereby certify that 1 have read and a fined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
ope of work will be complied with hether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
ijfrovisions of any other e•eral.st.te, r local law regulating construction or the performance of construction.
(b L/ '�
ignature of Owner A4! . }k../... Signature of Contractor
rint Name
.. _.._ _ (;)"!.Il}s Print Name
worn tg4 and subscri•.
ii r Da of Sworn to and subscri•-
V ,.r..* LI.O`'e i,
is =sir_.�r3f 20 rV
i ! %Ni* ,,„ss .,o0 . q AV1 DALE ` —L—
1,11. 1491
'%; w^j .'',d,. i AptH 07. 2019
”" Revised 01.26.10
Doc it 2015228282, OR BK 17325 Page 1, Number Pages: 1, Recorded 10/05/2015
at 02:00 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
(pRepARE M DUIRJCATas
Parrot No Tax Folio No.
Stale of r1•••• Corny of UA 1
To whom It may concern
The undersigned hereby Worms you that Improvements w11 be road*lo cartel*real property,and In
acconhume sigh Section 713 of Ike Florida Statutes,Ma teeming kdormulon to slated ht this NOTICE OF
COMMENCEMENT. ^� ^t �7 t(�
Legal description of Property Immo Improved O�— 0 C 1 d�� ' Ps-1E E . E 1-I
'ED 5/D
Address oh property being improved I(i,731 b rant?15 14t Q E . A+i ani-i
F
Gent le+description cIbnprovemenes• r'�'COO7
Owner_ qi/ ��
Address_ I, L RVIIVIil S • 1 , 3
Owner's interest m see of Use Improvement ext>v:itt p4 -
Fee Sirept•TNebolder(k other than Owner)_
Name ROGF710 AND WI L1ASa1 BOKIN 40 AND ROOFING CONTRACTORS
Address 29a0HARTLEY ROAD,SURE 02IAC160tM LIE FLORiMA322S/
Contactor.IEREMEY S ROGERO
Address 2910 HARTIFF ROAD,St1RE 02 JACKSONVILLE FIBRIDA.ins7
Phone No 104 3165493 Fax Ne,8046117-2400
Surety(It any)
Address Amount of bond$
Phone No. ,_..,Fax No.
Name and address of any person making a loan Ica the constructor:of Ike improvements
Name
Addteus
Phone No Fat NO
Name of person wnhln the Stets of Rohde.other men+rime&desgnaled by owner upon whom MC/00110r*Ow
documents may oe served
Name
JEREMY a RDOERO
Address 2980 HARTLEY ROAD SUIT_112 JACKSONVILLE FLORIDA 32257
Phone No.904.5166457 Fax No.904614-2400
In edit on lo himself,owner desiprates the tofowing parson to receive•copy of the Lwow Noiee as provided in
Section 713.06 17)tbI.Florida Statues.(EIII In at Owner's option).
Name
Address
' Phone No. Far No
Explretlon rude Of Noece of Cortrnentemerx(the masker due Is one(1)yaar trem els data d••••■••D unless•
oitkersn+date n spealed):
THIS SPACE FOR RECORDER'S use ONLY
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