2051 SEMINOLE RD - ROOF S, CITY OF ATLANTIC BEACH
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-2875
Job Type: ROOF PERMIT
Description: RE ROOF - SHINGLES
Estimated Value: $8,390.00
Issue Date: 12/10/2015
Expiration Date: 6/7/2016
PROPERTY ADDRESS:
Address: 2051 SEMINOLE RD
RE Number: 169713-0000
PROPERTY OWNER:
Name: DRYSDALE, CHARLES E
Address: 2051 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: TOWNSEND ROOFING &
Address: 10418 NEW BERLIN RD APT 115 QA RANDY CRISS
TOWNSEND
Phone: - -
FEES:
BUILDING PERMIT FEE $91.95
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $95.95
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 I S-ReoF _ z875
Job Address: 2051 Se wt;n o i t a' Permit Number:
)5-11 61-2-4 2.10.151, N Aff tivefec. $ercck No 3
Legal Description w SO ET Lo f 77 41 w SOFT o 1 5 3 5 Fr L,+ 75,4 Parcel# 161 713—0 00 0
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 4l 7 I 0 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial esidenti
If an existing structure,is a fire sprinkler system installed? (Circle one): s N/A
Florida Product Approval # 1L I C l Z L
For multiple products use product approval form
Describe in detail the type of(w�work to be performed: Fi°0 f &f 14C e
6� F ,M Tt MLc N� sou fits, ( 1 7 r. w S ►� �` UlJej(A FL 15y �7
Property Owner Information:
Name: p Mink D ctoeW e Address: Z-65I Slum t.It- RI
City M1tiN4-;c_ c_t., State el-Zip 32-23-3 Phone Ito{-651- 1451
E-Mail or Fax#(Optional)
Contractor Information: �. r� LL (� "
Company Name: l 6WYISevld rof in 41 5Ttr1c7►o4 �c(triW/ � ,�A d —0-
,p Quali mg Agent: Imo'� y 10 w�Ott
Address: IO9t 9 New (Dee-(rv, 1'. (15 City 3ac ksc-u`(k. State zip 3ZZ 2 6
h' �L p
Office Phone 10 L1—614s--5 567 Job Site/Contact Number an's 7Z-4i1179 Fax# `/Z
State Certification/Registration# GLC I 4 Z 6 Z 89
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 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
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 ElectricalWork,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 cert�that I have read and examined this a plication and know the same to be true and correct. All provisions of 1', !•. ordinances governing this
type o/Ywork will be complied with whether speci red herern or not. The granting of a permit does not presume to 7. on/o violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Own,"/"... __ Signature of Contracto ,
Print Name .gn. by- ___..._.__..._.._..._..._._. Print Name qn "t
Sworn to and subscr'bed before Sworn to . d subs.
this ICt"'Dayof Lce41,6e-r ,20/5 this ► .y of _.u..r�_ :>r►
*AiettrieteitE3
Notary Pulfl►c N.t "'Tic
•
p4 St PO&4, CHRISTOWNSEND � w les.
A
* MY COMMISSION l FF 092654
* EXPIRES:March 25,2018
°r4,f�R�•�e BondedTh e ruBudgetNotarYS iko
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 169713-0000
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: 15-93 09-2S-29E.156 N ATLANTIC BEACH UNIT NO 3
W 80F1'LOT 72A,W 801 F OF S 351'"1'LOT 73A
Address of property being improved: 2051 Seminole Rd. Atlantic Beach, FL 32233
General description of improvements: Roof Replacement
Owner Drysdale,Dianne
Address %D p�{Y1.rY"117J f_fleGe 4 rthC, h '32.Z 3,S
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Townsend Roofing and Construction Services,Inc.
Address 10418 New Berlin Rd#115 Jacksonville,FL 32226
Phone No. 904-6455887 Fax No. 904-645-5442
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
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
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 Owner's 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 OWNER
Signe,>iSIVAti _ {�tn i � DATE 1241012,0 J
Before me this 10 day of \t om the
County of D al,State of lorid.\ p�rs�nally appeared
Doc#2015281339,OR BK 17394 Page 1713, t^�"t r s Telly herein by
himself'herself and affirms that�II statements and declarations herein
Number Pages:1 are true and accurate et*ar°�
Recorded 12/10/2015 at 02:26 PM, ;•'••tio CFtRIST04VNSENp
Ronnie Fussell CLERK CIRCUIT COURT DUVAL * •�= * MY COMMISSION S FF092654
COUNTY T' EXPIRES:March 25,2018
RECORDING$10.00 %OFF'. Boated iwU Budget Nobry Service!
Notary Public at Large.Stati pf_��— , County of 0 titr I
My commission expires: /°ta r � r—gyp
Personally Known u or
Produced Identification