755 Plaza - ReRoof S L A ,,
% 4 .1.\)
CITY OF ATLANTIC BEACH
,s 800 SEMINOLE ROAD
J _ 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: 16- ROOF -433
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $6,500.00
Issue Date: 2/19/2016
Expiration Date: 8/17/2016
PROPERTY ADDRESS:
Address: 755 Plaza
RE Number: 171120 -0000
PROPERTY OWNER:
Name: TORRENCE, SCOTT & DONNA MCKEE, *
Address: 3271 MERRILL BLVD
GENERAL CONTRACTOR INFORMATION:
Name: BRC Roofing & Construction, Inc.
Address: 6254 Powers AVE
Phone: - -
FEES:
BUILDING PERMIT FEE $82.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
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: 755 Plaza Permit Number: 171120 - 0000
Legal Description 30 38 2S - 29E ROYAL PALMS UNIT 1 LOT 30 BLK 1 Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 6500.00 Proposed Work heated /cooled 1371 non - heated /cooled 1371
Class of Work (circle one): New Addition Alteration Re air Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial dZesidentia
installed? an existing structure, is a fire sprinkler system nstalled? (Circle one). es of N /A
Florida Product Approval # / o G . /
For multiple products use product approval form
Describe in detail the type of work to be performed: Tear off and replace roof.
Property Owner Information:
Name: Scott and Donna Torrence Address: 3271 Merrill BV.
City Jacksonville Beach State FLZip 32250 Phone 234 -6878
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: BRC Roofina & Construction, Inc. Qualifying Agent: Jerry Rowe
Address: 3938 -1 Sunbeam Rd. City Jacksonville State FL Zip 32257
Office Phone 904- 288 -0431 Job Site/ Contact Number 904 -463 -2952 Fax # 904 - 292 -9390
State Certification/Registration # CCC 056398
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 f work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a of six (6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, 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 certify that I have read and examined this application and know the same to be 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 r lating construction or the performance of construction.
1 Signature of Owner Signature of Contracto Ci
Print Name (t) 0- 6E J'i i/t Print Name J e " C. 12- 014
Sworn to and subscribed before me Sworn to and subscrib d efore m e
this /0 Day of FC 6Rk.a,t y , 20 1 this /0 Da • / E l i(' A ✓ 20
NO Pu iC aF Notary Public State of Florida v .8 : i" �
ft
Jerry C Rowe . �
My Commission EE 830205 i `i ; :o MY COMM ' #FF055564
"''on wt Expires 08/26/2016 ' EXPIRES December 17, 2017 Revised 01.26.10
(407;398-0153 FloridallotaryService.com
Doc # 2016030470, OR BK 17456 Page 1516, Number Pages: 1, Recorded
02/10/2016 at 10:50 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
COUNTY OF Duval
STATE OF Florida
To whom it may concern:
The undersigned hereby informs you that Improvements, arlli be made to certain real property, and In accordance
with Section 713.13 of the Florida Statutes, the following information Is stated in this NOTICE OF
COMMENCEMENT.
Description of property 30-60 38- 2S -29E ROYAL PALMS UNIT 1 LOT 30 BLK 1
755 Plaza, Atlantic Beach, FL 32233
General description of improvements Roof Replacement
Owner Scott and Donna Torrence
Add 3271 Merrill BV, Jacksonville Beach, FL 32250
Owner's Interest In site of Improvement Fee Simple
Fee Simple Title holder (if other than Owner)
Name
Address
Contractor BRC Roofing & Construction, Inc. 904-288-0431
Address 3938 -1 Sunbeam Rd., Jacksonville, FL 32257
Surety (if any)
Address Amount of Bond
Name of person within the State of Florida designated by owner upon whom notices or other documents may be
served:
Name
Address
In addition to himself, owner designates the following person to receive a copy of the Uenor's Notice as provided
in Section 713.06 (2) (b), Florida Statutes (Fill In at Owner's Option).
Name Addre s�
Y
t Owner /Contractor Signature
Print Name
Sworn to and subscription before me this �
day of - -aer24,-, •2�f
(Notary�gnature
County of Oli a P State of ROlZ,l
Personally Known X or
Produced Identification
3Par� 4 Ncaty Pudic State of Fbrde
lr- Jerry C Rowe
g My Commission EE 830205
- w n Expires 68!26/2016