1585 E PARK TER - ROOF c \ ti CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
;, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\0B11}r
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-2555
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $16,000.00
Issue Date: 10/28/2015
Expiration Date: 4/25/2016
PROPERTY ADDRESS:
Address: 1585 E PARK TER
RE Number: 171957-0000
PROPERTY OWNER:
Name: CROFT, ROBERT W & EILEEN P, *
Address: 1585 PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: JAMES SHELTON ROOFING
Address: 252 SANTA BARBARA AVE QA JAMES W SHELTON. III
Phone: - -
FEES:
BUILDING PERMIT FEE $130.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $134.00
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: 1585 Park Terrace E Atlantic Beach, Fl 32233
Legal Description Selva Marina Unit 2 Parcel#27-6 16-2S-29E
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$16,000.00 Proposed Work heated/cooled 3253 non-heated/cooled 2383
Class of Work(circle one): New Addition • iteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No
Florida Product Approval # FL 3443 R-7
For multiple products use product approval form
Describe in detail the type of work to be performed: Removal and Replacement of Shingle Roof.
Property Owner Information:
Name:Robert Croft Address: 1585 Park Terrace E
City : Atlantic Beach State : Fl Zip : 32233Phone 904-716-6820
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:James Shelton Roofing LLC Qualifying Agent: James Shelton
Address:5352 Highway Ave City Jacksonville State Fl Zip 32254
Office Phone: 904-387-9205 Job Site/Contact Number: 904-704-6369 Fax# 904-378-9206
State Certification/Registration# CCC 1330143
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 certifil 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 aperiod 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 RECORDIN f ►!__ 1
COMMENCEMENT. ,��..1'.', r�aa
y:�fv'• NIKKI BARTON ° ,, MY COMMISSION#FFFF 232946
,, .
�r :r_ MY COMMISSION t FF 232946 Vii-+ EX'IRE • .
n;• •
I hereby eerie* .,;,- •,'6 ve &d iSf>t9Jhis �.plication and know the same to be true and correct. All pro .•�;,��'� :.t 6.6�l'�„t%Y• •r. rni this
type ofYwort\ ':r:.r?'oreondieteima d1r bak „ i J i d herein or not. The granting of a permit does not presu e__•_h!>/„311i i:rt>' the
provisions• - — — - - - ,ulating construction or the performance of construction.
Signature of Owner �, �c��t Signature of Contractor
Print _/ o
Print Name 0 6,4.--„..; Print Name ,S_e,
Swo•. • and subscribed before me Swo t• and subscribed •: ore me
t1-4 :C1;; Da •f g' Iat ,20/f this i 10. of , 20/S
•
111 MO=\
ta
N•tary Public No . ” • c
ke/ C6/5-, Revised 01.26.10
Doc # 2015248161, OR BK 17350 Page 1551, Number Pages: 1, Recorded
10/28/2015 at 12:32 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Pernik No. Tax Folio No.
State of PI- County of tract
To whom it may concern:
The undersigned hereby Informs you that Improvements will bo made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal descepnon of property being improved: 27-6 16-2S-29E SELVA MARINA UNIT 2
Address of property being improved: 1585 Park Terrace E Atlantic Beach, Fl 32233
General description of improvements: Removal and Replacement of Shingle Roof
Owner Robert Croft
4 Address 1585 Park Terrace E Atlantic Beach, Fl 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
0 Name
Address
Contractor James Shelton Roofing I.I.0
Address 5352 I ligh ay Ave Jacksonville,H 32254
Phone No.9e4-378-9205 Fax No.904-376-9206
Ii Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for thy construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within Lie State of Florida.other than himself.designated by owner upon whom noticos or other
documents may be served:
Name
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 ut Owners option).
Name
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):
THIS SPACE FOR RECORDER'S USE ONLY ��r7 OWWN,ERR
," ' r 2`e/Y DATE 'E1"n ze,`
Bekaa me this day cd l Ao' In Cro
Cot. ty or vN FerfCa. appeared
/G(/J�/,t�O/' � gowln by
htms>lSyhersed end afflrms6 ,al statements end decbrutlons harem
are true end accurate
1 1
ttli00 BARTON
f;
....op.
` !; MY COMMISSION t FF 232946 ra L.),,,275.0,,La state a _•county of V
{ EXPIRES:May 20,2019 r ty conur stop
fri. Bored n•U Wary l�ttbk L dencimrs nvaotra'Iy Known pcfz to V.A,.v.rl1 or
Produced Identnca3m
9Lcf/f- f-vs--o,--sY7-0