379 ROYAL PALMS DR - ROOF ry ' ',, � , CITY OF ATLANTIC BEACH
'" f 800 SEMINOLE ROAD
s-) 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-2869
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $6,575.00
Issue Date: 12/10/2015
Expiration Date: 6/7/2016
PROPERTY ADDRESS:
Address: 379 ROYAL PALMS DR
RE Number: 171491-0000
PROPERTY OWNER:
Name: AURE. EUDOCIO P
Address: 379 ROYAL PALMS DR
GENERAL CONTRACTOR INFORMATION:
Name: PRIME ROOF CONTRACTING LLC
Address: 13792 HERONS LANDING WAY APT 9 QA MARK ANDREW
YOUNG
Phone: - -
FEES:
BUILDING PERMIT FEE $82.88
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $86.88
PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Florida County of Duval
To whom it may concern:
The undersigned hereby informs you that Improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following Information Is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 31 16 17-2S•29E RIP OF PI'OF ROYAL PALMS UNIT 2 A
Address of property being improved: 379 Royal Palms Dr Atlantic Beach,FL 32233
General description of improvements: Re-roof
Owner Eudocio Aure
Address 379 Royal Palms Dr Atlantic Beach,FL 32233
O\vner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
JCOrltrector PRIME ROOF CONTRACTING,INC.
'\\\ Address PO BOX 50247 JACKSONVILLE BEACH,FL 32240
— Phone No.(904)625.1446
Fax No.
Surety(if any)
Address Amount of bond$
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 /p
/OP
Signed: to D• E L —
Before me this fl:i_day of M!�7..NA.MPA a / in the
Coup f grivat! tate of F rida.has personally appeared
Doc#2015280715, J o [u /k wr✓ harem by
OR BK 1 • himself!herself and affirms that all statements and declarations herein
Number Pages 1 393 Page 1971 are true ana accurate
Recorded 12/10/2015 at 10:42 AM
Ronnie Fussell CLERK CIRCUIT COURT DUV.AL �'
COUNTY /
RECORDING$1 , Ado& .
0 0t Not. ''c at Large.St: =of n- BYO.:
My c. mission expires: ,.•:.Y� r dilly , TROTHER
Personally Known ?• - •P' •• gfon#EE 15567(18
Y
Produced Identification j z '2 , ,; •
+..���•oa a•r a. . y 12.2C 1;:.
%F,;
... Bonded TlruTrcyFanIn•trancel£�3:'•'
AMIN
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 379 Royal Palms Dr Permit Number:
Legal Description 31-16 17-2S-29E R/P OF PT OF ROYAL PALMS UNIT 2 A Parcel#
Flor Area Ft.
Valuation of Work S 6,575 • Proposed Work heated/cooled 1424 non-(heated/cooled_1294
Class of Work(circle one): New Addition Alteration Repair Move Demolition pooUspa window/door
If an of sting�Pucture,dis a fire sp sprinkler system installed?(Circle one): estdentia o
Florida Product Approval# FL10674-R7
For multiple products use product approval form
Describe in detail the type of work to be performed: Single Family Home Re-roof
Property Owner Information:
Name: Eudoeio Aure Address: 379 Royal Palms Dr
City Atlantic Beach State Zip 32233 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:Prime Roof Contracting
Address:372 Royal Palms Dr City Atlantic Agent:
Office Phone (904)452.8440 City 25 Beach State FL Zip 32233
Job Site/Contact Number(904)625-1446 Fax#
State Certification/Registration# CCC1329505
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 cert fy 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 a period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical;York,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 fy that I have read and examined this a plication and know the same to be true and correct. All provisions laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granti of ng of a permit does not presume to give uthority to violate or cancel the
provisions of any other federal,state,or local law regulating construction or the performance of construction.
Signature of Owner YL 'r'�' Signature of Contracto
Print Name --_.—_-•—.------.-_.— Print Name iii/gg *410141r6_
Swot'p to and subsc ' d befor me Sworn to and subs ribed before me
this 1b Da Lt 201 thiscbL Day.of e C e,r.L q/ ,20 I
Notary Public NoryPubTic ' t �
Revised 01.26.10
°S ''w; TIMOTHY KELLY
=+R••' xL �pPY PUp Susan D.Ludlam
_.:
;e1, Commission#FF 903568 e ,�, � State of Florida
Expires February 7,2016
' >»''°'' Bonded uTm Far Vannes 7siD N9 �:., sr MY COMMISSION#FF 103715
of f�e Expires:April 2,2018