1747 OCEAN GROVE DR - ROOF 6' 1# 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-2914
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $5,940.00
Issue Date: 12/17/2015
Expiration Date: 6/14/2016
PROPERTY ADDRESS:
Address: 1747 OCEAN GROVE DR
RE Number: 169607-0000
PROPERTY OWNER:
Name: KEENAN, PATRICK J & JEAN M, *
Address: 8221 CUSTER RD
GENERAL CONTRACTOR INFORMATION:
Name: TOWNSEND ROOFING &
Address: 10418 NEW BERLIN RD APT 115 QA RANDY CRISS
TOWNSEND
Phone: - -
FEES:
BUILDING PERMIT FEE $79.70
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $83.70
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AM) THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 3223 '
Office(904)247-5826 Fax (904) 247-5845
•Job Address: (717 Oce Ay\ G cc-,- _ Or. Permit Number:
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Legal Description 2-6'Zc t;'I-ZS-Z4E vGein 6r ve 0,,;t•„Iv,:yUZ to-11 Parcel# / £ 1 10 i - G 000
c.,; Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ j, `) '1 C — 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
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes ( p N/A
Florida Product Approval# r`I Ci 79
For multiple products use product approval form Cp /
Describe in detail the type )of work to 1be performed: I`c t t E' -F(4 cc we..f 6.4"F /tot,hr,- fit,‹- 1Z 51 y� fe c
�2.4F Tiler e�tW 1A61[ii ( tpl4fct FL I .5Y 11
Property Owner Information:
r
Name: v.f,( M. rto(� R.triLIL 14eQ14454ddress: 'ZZ I C r:Ff-r
City '!? 44.1-..Q.jdc-- Stater Zip _Phone $(4o- ;o3 .gyy2_
E-Mail or Fax#(Optional) .Q 4-...-F-Z o(tt 4____ ►,Cw..e.c*5 i- v e4
Contractor Information: ( r"
Company Name: I W�nv�Sehd �Lot;A r(�� ,(cticy( X(I.W.i'Quali IngAgent: N- Cw�1, ji.
Address: W it% New Vef';v, tzd- (i 5- City ac kscnu;fie. State eL Zip 3 ZZ z 6
Office Phone 10 L—645-CV7-_._ Job Site/Contact Number Ci e-c L172-1'09 Fax# °)Di/—L ii 5-5 V Liz.
State Certification/Registration# GC-C. 1 Z 12.-In _
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 certify 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 hecanzes 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 sir i6/months at any time Wier
work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Healers,
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.
/hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of I. •✓. , ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to gie/trtliori to violate or cancel the
provisions of any other fed - I.state,or lac taw re ating construction or the performance of construction.
I •
• Q1.clt—!
Signature of Owner , Signature of Contracto A
....142.a-n M. F1 o I'-e____ /i3 S 1Z e.e .
Print Name `'may Print Name ctn• N d- 1 Se'K
. .......................
Swonl tgiand subscribed before m Sworn to pnd sub . . . ,�. -
th' , Day of � F� Qr— 20 this `' o:y of 't:r. _ nn -„t
- ii
/ ` t"
N is N• '?`tic C% MnM lame AIM
e- '
RYAN M. FLYNN
NOTARY PUBLIC
MONTGOMERY COUNTY
MARYLAND
MY COMM. EXP.FEBRUARY 10,21118
Doc U 2015286525, OR BK 17401 Page 618, Number Pages: 1, Recorded 12/17/201E
at 09:28 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING 510.00
NOTICE OF COMMENCEMENT
:-rrnit No. Tarr Folio Nc. A 69607-0000
1,x.e of t...t„ Co.mty r1, ouva
To whom It may concern:
The undersigned hereby Infonna you that improvements will be made to certain real property.and it
accordance with Section 713 of the Florida Statutes.the following Information Is stated In this NOTICE OF
COMMENCEMENT.
! oesaioion of proptr^,/being Crow ro:e3:ZU-ZU U9-2S•ZcE OCEAN GROVE UNIT NO 2 S112 LOT I;
1ddr s pi prone r<ng improved: Ocean Grove Dr.Atlantic Beach,FL 32233
3rierar description of irr.Fro ementc Roof ReplacemenT
G•::ner J 4y..Il !'s 0 a-- f Pit.'1 w•t IL _lac CAI-
t.dcress ��iZ[ til=ts•f yr &t+-1-6)4_6... !A)
interest:n site of me improvement 14 0 7 1 4'NthV11.∎f
F*.S:rttoi&Tdeholder;if other Man C:•T.tlr1 t
Nva^te
Address
';ona.:or Townsend Ruulfrts and Construction Services.Inc.
Address 10418 New Berlin Rd al IS Jar wine.FL 322Z6
Fhcre No.9t4-645'58a7 Fa4 NG.110.1.R4:,.■44•
sure:: an;:
.Address Amount of mono
Phone Ns. Fax No.
tva.e and address:•I any person making a:can for tie construct.on of Inc improvements.
Andress
;none.,o. Fa:Y.a.
':acne c+person••ri!nin the State of Florida.other than himself.destpnaIed by o••.ner upon',horn notices er other
documents may oe ser ad:
mom!:
Address
roc.a Fax 1:o.
in add;tion to rimmed.c.:her des,anates the falo:vino person to racer*a cow of the L;enorc Notice as provided in
Section 713.0512;tr..Rondo Statutes. FO in ate-marsoptce..
Address
Plitre S^ Fax No.
Excirnd3n sire of Notice of Commencement t3te expiration date is one:1,year from t.e date of recortirp unless a
ddferemt date:s speu`teo;:
THIS SPACE FOR RECORDERS USE ONLY WN
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htae ascerA-^st's^sari �,MAINE 1012G C,"
-n Ne
-a' e's 'sir. . •t'•
icy tsc z z a prat•NOTARY PUBLIC
MONTGOMERY COUNTY
MARYLAND i S
MY COMM.EXP.FEBRUARY 10,2013
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