1729 E Park Terr - ReRoof } '' s CITY OF ATLANTIC BEACH
-, 1
;, . r) 800 SEMINOLE ROAD
j \ / ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
1.7 0121 > r
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- ROOF -408
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $15,728.00
Issue Date: 2/17/2016
Expiration Date: 8/15/2016
PROPERTY ADDRESS:
Address: 1729 E PARK TER
RE Number: 172020 -0402
PROPERTY OWNER:
Name: NEVILLE, THOMAS & SHEILA, *
Address: 1729 PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: TOWNSEND ROOFING &
Address: 10418 NEW BERLIN RD APT 115 QA RANDY CRISS
TOWNSEND
Phone: - -
FEES:
BUILDING PERMIT FEE $128.64
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $132.64
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: r7 21 PA k ) e riA Ge Permit Number:
Legal Description 39 CI - 2-5 - 2M Se nnq � $ Lv 177-- J BIk N Parcel # 1� 02-0-- D�
ow Floor Ar ea of Sq.Ft. Sq.Ft
Valuation of Work $ 1 , 7 ZS — 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 esidentia
If an existing structure, is a fire sprinkler system installed? (Circle one): N /A
Florida Product Approval # FLI 012`1
For multiple products use product approval form
Describe in detail the type of work to be performed: Roo f (4Ctol .kt stF Mine. /-D s��k f eS
/V1�d 5-k4S (cciP -J- vK4k_x(rky eh} ft— i355
Property Owner Information:
Name: 1; 11e v, I IQ- Address: 17 21 Pet(- �&r ce 6:- Cit �i- I t& �i I i LL State Zip 2 ,223 3 Phone ° t'f - 0 7 - 13 2-2-5"
E -Mail or Fax # (Optional)
Contractor Information: p r LL --��"" gg
( R 1'� 9. 6)4/ �ioYl )U'l i w' d
Company Nam e: 6 WvtSev� co t n 6)4/RAM eS Quali mg Agent: � � y 11 �l1
Address: I D9t 9 New t8er (;., 1Q4. U fl 5 City ac kscr u ; f k12,_ State FL Zip 3 ZZ 2 6
O f f i c e Phone °IO -6 4 S- S 7 Job Site/ Contact Number (J.ri3 7Z -1 1 1 M Fax # I 0 ti-6 L/5 -5
State Certification/Registration # GLC. I Z- 12- $1
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 aperiod of six [6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo 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.
1 hereby cert that I have read and examined this and know the same to be true and correct. All provisions 1. , ",•. ordinances governing this
type of work will be complied with whether specified herein or no The granti of ng of a permit does not presume to : �•� - or: o violate or cancel the
provisions of any other federal, state, or local law regulatin o ction or the performance of construction.
Signature of Owner �h =� Signature of Contracto /� ' --
w
Print Name Th�r'/l/ $ oe C !e Print Name Ran / N — 17.# Se K,
Sworn to and subscribed before me Sworn o . d subs.. t
this IV" Day of 'ebrviN , 20 it' this Yr,` I .y of MMTIN ; 0 1
Itatriteilif2
Notary Public N AT' ''tic r.:a
*o t ;';;1e . CHRIS TOWNSEND
* ; t_ � * MY COMMISSION # FF 092654 e • is . :. V
EXPIRES: March 25, 2018
p 440, F S ' Bonded Thru Budget Notary Services
' ' Doc # 2016034002, OR BK 17461 Page 600, Number Pages: 1, Recorded 02/16/2016
at 10:47 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
+PREP 4R5In D'J°LKA''.
Permit No. Tax Folio Nc. 172020 -0402
State of need* County of bees
To whom It may concern:
The undersigned hereby informs you that Improvements will be made to certain real property. and ill
accordance with Section 713 of the Florida Statutes, the following Information Is stated In this NOTICE OF
COMMENCEMENT.
± egal description of popery being improve: 34 -85 09- 2S -29E SELVA MARINA UNIT 8 LOT 3 BI.K 14
:dares or property being improved: 1729 Park Terrace E. Atlantic Beach, FL 32 233
General description of improvements: Roof Replacement
Oe,,er Neville, Thomas and Sheila
Address 1729 Park Terrace E. Atlantic Beach, FL 32233
(3r. interest in site of the improvement
Fee Simple Titleholder :if ether than owner)
Name
Address
Contractor Townsend Roofing and Construction Services inc
Address 10418 New 3erlin Rd g 115 Jacksonville, FL 32226
Phone No. 904645 Fax No. 904 - 645.5442
Surety r11 aryl
Address Amount of bond $
Phone No Fax Nc.
Name and address of any person making o loan for the const-uceon of the improvements.
Nance
Address
Phore No. Fax No.
Name cf person within the Sate 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, te.•mer designates the following person to receive a copy of the Lienor s Notice as provided in
Section 713.0612 t,b). Florida Statutes. :Fill in at Owner's opton).
Name
Adcress
Phore No. Fax No.
Expiration date of Notice of Commencement (the expiration date is one (1; year from the date of recording unless a
d fferen: date is specified):
THIS SPACE FOR RECORDER'S USE ONLY > O
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Covnt• Gu - . - , pt =.o�:y�� .as par ade$ / apeea^w
twee: b
verse! ara atanera vat` 011 staterneuts aro o ac.a aN:ns h er> :rw
are
true and accurate
may ,
0,2/
* * WY CO ANSSION t FF 092654
4, EXPIRES: Mar h 25, 2018
n NadedEreaaigIONlrySeria'
itchy Pub c a: Lar 5tsts . County of ia —
,,i) comtnesion express _ !- « 7 7 - v J6
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