1959 BRISTA DE MAR CIR - ROOF f- ✓JIN
■,��" ' ' ` `S� CITY OF ATLANTIC BEACH
Jr.' ,. ;) 800 SEMINOLE ROAD
JF ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�i JS319`-
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-464
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $15,493.00
Issue Date: 2/23/2016
Expiration Date: 8/21/2016
PROPERTY ADDRESS:
Address: 1959 BRISTA DE MAR CIR
RE Number: 169506-1666
PROPERTY OWNER:
Name: PARKER, TREVOR J, *
Address: 1959 BRISTA DE MAR CIR
GENERAL CONTRACTOR INFORMATION:
Name: PRIME ROOF CONTRACTING LLC
Address: 13792 HERONS LANDING WAY APT 9 QA MARK ANDREW
YOUNG
Phone: - -
FEES:
BUILDING PERMIT FEE $127.47
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $131.47
PERMI"I IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORID:%
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Florida County of Duval
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information Is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:`40 37 09-25 29E SELVA NORTE UNIT TWO LOT 88
Address of property being improved: 1959 Brista De Mar Circle,Atlantic Beach,FL 32233
General description of improvements: Re-roof
Owner Cynthia Parker
Address 1959 Brista De Mar Circle,Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
nifiv.), Address
Contractor PRIME ROOF CON'T'RACTING,INC.
' rcif 6 Address PO BOX 50247 JACKSONVILLE BEACH,FL 32240
Phone No. (so4)625-l446 Fax No
Surety(if any)
Address Amount of bond$
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 OWN ,,A I �1 Jp�
Signed: �/. //� !//1/v DATE ()'e6 2 r 1 e 16
Before day of in the
County. ... aj.Sta=•f Flo • has•= coal appeared p p Davis'Doc#2016040391, OR BK 17469 Page 1141, himselfi herself an•affirms that all statements and declaret t"''rg Andrew D. is
Number Pages: 1 are true and accurate -4.. `;' e
COMMISSION#FF160849
Recorded 02/23/2016 at 03:25 PM, 4LN n ` ∎� �: Sept 17, 2018
Ronnie Fussell CLERK CIRCUIT COURT DUVAL 9L- COUNTY �„;'FoF' .`° WWW.AARONNOTARY.COM
'�urmaa.
RECORDING$10.00 Notary Public at Large.Statepf I' County of ptivoi
My commission expires: "I
Personally Known or
Produced Identification F i. DL
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
��� Office(904)247-5826 Fax(904)247-5845
Job Address: Brista De Mar Circle Permit Number:_
Legal Description 40-37 09-2S-29E SELVA NORTE UNIT TWO LOT 88 Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 15,493 Proposed Work heated/cooled 2624 non-heated/cooled_3481
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial ccidentj3La
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes "No ED
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: Cynthia Parker Address: 159 Brista De Mar Circle
City Atlantic Beach,FL 32233 State Zip 32233 Phone (904)249-9803
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:Prime Roof Contracting Qualifying Agent:
Address:372 Royal Palms Dr City Atlantic Beach State FL Zip 32233
Office Phone (904)452-8440 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 certify that no work or installation has commenced prior to the
issuance o 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 ij 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. 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 I have read and examined thisplication 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 gt •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 /1..^L�"�! K [ 1 (�.•G-� Signature of Cont for
Print Name _ tap � (L,[(j p'. Print Name 4119"6-."6- _ ---------
Swo o and subscri d before me Sworq and subscrib,d before ,
this Day of .20 it this Z. D of t' b t&hlor,, f ,20 14
Notary Public Notary Public
Revised 01.26.10
Andrew D. Davis Andrew D. Davis
? ti►+ °= COMMISSION I Ff160649 —� 01' = COMMISSION 0 FF160849
EXPIRES: Sept. 17 2018
��i�,,.'•��,: — 17, 2018 EXPIRES, Sept. ,
WWW.AARONNOTARY.COM
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