573 AQUATIC DR - ROOF 7' ' �1, CITY OF ATLANTIC BEACH
� "'`. f 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
-1::',105319''
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-2399
Job Type: ROOF PERMIT
Description: REROOF FL 1956.1
Estimated Value: $4,961.00
Issue Date: 10/9/2015
Expiration Date: 4/6/2016
PROPERTY ADDRESS:
Address: 573 AQUATIC DR
RE Number: 171818-5336
PROPERTY OWNER:
Name: TRANSUE,
Address: 573 AQUATIC DR
GENERAL CONTRACTOR INFORMATION:
Name: PREFERRED ROOFING LLC
Address: 2332 DUNN AVE QA ROLAND KEVIN GREEN
Phone: - -
FEES:
BUILDING PERMIT FEE $74.81
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $78.81
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: 51rb Pl9Uahc. \ ( Permit Number:
Legal Description 3B-"11 11„tc 1 g Ptii odic,.(;cider L '8D Parcel # I—I li - 533(0
Floor Area of Sq.Ft. q. -t
Valuation of Work $4k.o(,11 Proposed Work heated/cooled 9(a& non-heated/cooled 38E3
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial 'esidentia_
If an existing structure, is a fire s rinkler system installed? (Circle one): 'es o N/A
Florida Product Approval # L 1�5 Co; I
For multiple products use product approval form
Describe in detail the type of work to be performed: V-erenc
Property Owner Information:
Name:--&-)Af r1& lRxn6v42.. Address: 5.-lb Acitif - c_ 1.)Y-
City (}-1-10V11-;L VSpO,[.h StateZip 32 '3 Phone (40eq_ '4I - 1()(
E-Mail or Fax #(Optional)
Contractor Information: {�
Company a e. 0l (( { F-C • at �U.til'l �'lt'.j;�1
Quali ying Agent:
Address: Z ury\ wt ' City LIMON/11 i)- State ('U zip 327 (1S
Office Phone I ti '' 1• • •4 0 Jo iteJ Contact Number Fax # Ott 1151 • UUDD
State Certification/Registration # - 1)Z"IVly
Architect Name & Phone #
Engineer's Name & Phone#
Fee Simple Title Holder Name and Address
'Bonding Company Name and Address
Mortgage Lender Name and Address
plication 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
is ante 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
an 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
wor is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers,Heaters,
Tan 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 application 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 federal, state, or local law regulating construction or the performance of construction.
Doc # 2015229329, OR BK 17326 Page 1057, Number Pages: 1 , Recorded
10/06/2015 at 12:10 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
NOTICE OF COM ( '
(PREPARE IN DUPLICATE)
paerhtalt No. Tax Ferro No.
State of F lD lr t[S,\ County of ti!J CA_
To memo It may concern
acsoTdanea erO telbea Ilaroveree is ell be dada tR earbfa raaf property,and b et the Noddle Seabees,the foeotaak!!s iaaEorarrcFoR is stated b this NOTICE OF
Legal description a1 property being inprovect -1 l VI •°S /29 E
( ____
Maass or properly being i . AC ) ( fir
. a
General desci in of anproverrreneK 12-,ey6e
ownher 5s, An rvib._ (Ck41W{
Addresps_» A .: a I . a a - 7
Ou+rraers r*nest is sieonto anprotrarnam -
Fee Surge Titleholder(1 detergent otter)
Name
Address
Address i .• • - l•
Phone No. '1 SI 09‘c40 Fez tat —15-1 —(4 4:C)QQ
Staety(A any)
Address /M OUre Of bed$
Phone No Fax Pio.
Neme and address of any person makings ben for the aortstniction of the improvements.
Name
Address
Phone No. Fax Na
Name of person wells the Male of Florida.other than himself.desigmeed by owner kwon whom need or caber
documents mey be seaherst
Name
Address
Prone No. Fax No.
In arsdttbe to lbas lf.owner designees be follordig poem Sr retn%e a oapy al the IJertors Malice as provkled In
Section 71 3,.45(2)(bl.Fronde Statutes.(A In al Owner's*peon).
Name
Address
Phone No` Fax No
Expiration due tf Nobca or Croneadaaertnent(The rropiadon dale is one(1)yew-bore the dab at recording tadess a d4
TINS SPACE FOR RECORpgfrs USE ONLY OWNER
X 91;reny ` �� 7Q
erde a eis s y pt �ppgoYr�. in the o
EZ 3
'15470 ar /�ZCt25�C °ppellUaa p 3 tit
nl
HrrarrR hosoNrrd alma Ma A cErlemup and drtio�a»begin
meter and accurate c,m I
•
Pain• Al �
2t s1
cwmotwartmas ' Yw
ii
da Pt adw®c.%m
Signature of Owner . ,. w i.i. . '1 1,,.d. • , ' Signature of Contractor i/'� 4,//.....-e....4...—_-
--
Print Name 1./..0 i{ �( .� S _. Print Name f i )Y-t t
Swo,, o and subs ibei before me des Swo to and subscbe before me
t is I Day of I bc-/ 20 this J:y of U r ,20/S
IVA, Aia
ar Puj c Adiolo Nyy ' lic
Revised 01.26.10
at Notary Public State of Florida
4
Laura Rodriguez 49.00%, Notary Public State of Florida
' My Commission FF 015183
'tor h Expires 05/06/2017 Laura Rodriguez
Co
or K ExpiresMy ommissi 05/06/2017 n FF 015183