1305 Violet St - ReRoof r J �
`A CITY OF ATLANTIC BEACH
114 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
J1
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- ROOF -361
Job Type: ROOF PERMIT
Description: RE - ROOF
Estimated Value: $3,560.00
Issue Date: 2/12/2016
Expiration Date: 8/10/2016
PROPERTY ADDRESS:
Address: 1305 VIOLET ST
RE Number: 171061 -0400
PROPERTY OWNER:
Name: HARVEY, ROBERT
Address: 1305 VIOLET ST
GENERAL CONTRACTOR INFORMATION:
Name: NORTH FLORIDA ROOFING CONTRACTORS INC
Address: 13758 Pleasant Valley DR
Phone: - -
FEES:
BUILDING PERMIT FEE $67.80
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $71.80
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 1 (p _Root _ 3c 1.
Job Address: 1305 ATLANTIC BEACH FL 32233 Permit Number:
Legal Description 18 -34 38- 2S- 29E.09 ATLANTIC BEACH SEC H PT LOT 6 RECD O/R 14140 -46 BILK 233
Parcel # I71461 -o4o0
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 3,560.45 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 Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval # FL I 0674-R 13 FL 15 21 - RO
For multiple products use product approval form
Describe in detail the type of work to be performed:RE - ROOF
Property Owner Information:
Name: ROBERT HARVEY Address:1305 VIOLET ST City ATLANTIC BEACH FI. 32233
-- - - - - - --
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: NORTH FLORIDA ROOFING CONTRACTORS
Address:2730 ISABELLA BLVD STE.50 City JACKSONVILLE BEACH_
Office Phone 800 - 229 -9908 Job Site/ Contact Number 904 -219 -1812 Fax # 866-
941 -6461
State Certification /Registration # CCC1330474
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 becomes null
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for u period o/ six (6) months at w, time alter
work is commenced. I understand that separate permits must be secured for Electrical 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 certify that l have read and examined thisplication and know the same to he 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 o/ construction.
Signature of Owner X72 Signature of Contractor 4 4:
Print Name j � K 1-14 ` J / Print Name fKK rv S
Sworn to and subsea. - • before me Sworn to and sub crib d before me
this At f Day o f 1 •� 20 14.; tit Z4_ Day oI_
4 ,,RY PV
°,'.. DAIRA PAOLA RAMIREZ
r �� P ` DAIRA PAOLA RAMIREZ ' i .? t► =
+ °j �� • Y COMMISSION #FF0460 72
Nota I' , e = MY COMMISSION #FF046072 /, • . ) llbll
• ; �` oe
O �o�= EXPIRES August 15. 2017
oF . . .. EXPIRES August 15. 2017 (407) 398 -0153 .R e51�l II(dt1;�Y Q$•com
(407) 398 -0153 FloridallotaryService.com
Doc # 2016032914, OR BK 17459 Page 1797, Number Pages: 1, Recorded
02/12/2016 at 10:55 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE INOUPLICATE)
Permit No. — fax I-olio No
State of FLORIDA COUrIy of CUVAc - -T..
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 I g' 34 3Z . - 25 - 29 C , 69
ATLANTIC REAch SE. FI i ' Lot 4 REcp o/e f i i -4C
G3(.k 233
-----.__-.._.-- -
Address of property being improved: 1 305 V /OL.ET �T
ATL* I EA-. FL 32233
General description of improvements: RE OF
Owner ROBERT {-IARVEy
Address / 30 5 4TLA N T 1 c 8 4 C ti FL 3 Z Z 33
Owner's interest in site of the improvement
Fee Simple Titleholder (if cther than owner)_
Name
Address
Contractor NORTH FLORIDA ROOFING CONTRACTORS, INC
Address 2730 Isabella Blvd Stel50 Jacksonville Beech, FL 32250 p /� /
Phone No. (904) 552 -1009 Fax No. Elo� ' ( 4 1 - �� Ca 1
Surety (if any)
Address _ Amount of bond $
Phone No. Fax No.
Narne and address of ary person making a loan for the corstruction of the mprovements.
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 :o receive a copy of the Lienor's Notice as provided In
Section 713.06 (2) (b). Florida Statutes. (Fill in al Owners option)
Name rS
Address _ _ . � �" •=
Phone No. Fax No '
r q
Expiration date c( Notice of Commencement (the expiration date is one (1 ) year from the date of recording unless rn < D
,, x (t 7J
different date is specified): __ _ __ o 0 y
C.
THIS SPACE FOR RECORDER'S USE ONLY ^ . OWNER o r u Q
Before n. this of jAylu In the o ^, T'
County cl Duval. Stale of Florida, hes per ett - • • - o . 3 31
ROBERT HARVEY _ _ herein by • g' ■.n n 1,
himself.' herself an• afsrms that al stemma and deUaral •ns herein , o p
are true and ac ; ? p To
Notary Pudic at L •e. ate of Row- ! =nunty or MAIN.
My commission ex•ires. Denver,'
Persmolly Known or
Producec derrlitic.tIon �L