1489 MARSH VIEW CT - ROOF CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
/;r 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-528
Job Type: ROOF PERMIT
Description: RE-ROOF SHINGLES
Estimated Value: $10,774.00
Issue Date: 3/3/2016
Expiration Date: 8/30/2016
PROPERTY ADDRESS:
Address: 1489 MARSH VIEW CT
RE Number: 170704-0075
PROPERTY OWNER:
Name: HALL, MICHAEL L & SARAH C, *
Address: 1489 MARSH VIEW CT
GENERAL CONTRACTOR INFORMATION:
Name: PREFERRED ROOFING LLC
Address: 2332 DUNN AVE QA ROLAND KEVIN GREEN
Phone: - -
FEES:
BUILDING PERMIT FEE $103.87
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $107.87
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233'-
Office (904) 247-5826 Fax (904) 247-5845 1 Co--R 00 - 5Z$
,4-f(G� 2..3-5
Job Address: /�gr /L7ars�i 14 rid tit- �tc Beach FL Permit Number:
Legal Description 34 Ti 28-- E,l'i HQ- 1 dme 1_0+-k1 Parcel # 11010y-001
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ Icy.?? Proposed Work heated/cooled & )33 non-heated/cooled1297(J1
Class of Work(circle one): New{ Addition Alteration Repair Ms - Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial 'eside i
If an existing structure, is a fire sprinkler system installed? (Circle one): 'es No I
Florida Product Approval # I 0 C , FL. I S4&1 , I
For multiple products use pro uct approva orm
Describe in detail the type of work to be performed: 9-43,100C
Property nOwner Information: (��y ,A '
Name: 'V11(��1.\ N Address: 14p"t (�VL YSh VIeu3 C_OS+
City A- -\U.n+i(. b Stateff Zip `Z ac,73?) Phone 9ON.2CJ 15 P
E-Mail or Fax #(Optional)
Contractor Information: {�
Company Name. l 1(' i 1-1 IV _Quali ying Agent: I"10 �1('Q- V1
Address: Z-932. Ur\A 117 ' City ()MOW I L - State It Zip 3220S
Office Phone I '1 •".. 1. • .40 Job Site]Contact Number Fax # 'Oil 1 \ • U'IS0U
State Certification/Registration # - r-51';150t1
Y1
Architect Name & Phone#
Engineer's Name & Phone#
Fee Simple Title Holder Name and Address
'Bonding Company Name and Address
Mortgage Lender Name and Address
plication 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
is ante 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
an void if work is not commenced within six(6)months, or if construction or work is sus ended or abandoned for a period of six(6)months at any time after
won hs commenced. I understand that separate permits must be secured for Electr.suspended
calpWork, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tan 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 hereb 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 regulating construction or the performance of construction.
Doc # 2016042811, OR BK 17472 Page 1004, Number Pages: 1, Recorded
02/25/2016 at 03:16 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
:PREPARE ill D JP_ICATE.
ty./
Permit No. Tax Folio No 1 1�.J� `''1 C1�'
State of ri(1RIn4 _ 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: I—91 1 l s -; gi C i q
i_ct- tut
Address of properly being improved. //7 A/4/.51/ /t" h/rc
f1O - dc c.A rL :J 4 3?
General cescription of improvements: RE-ROOF
O.vner M I(li\ 1 1'621 L �-y�2
Address 1 110 CA" fan �Qi L T �- v`J6
Owners interest in Site of the improvement (c)aQ i-h. J6(t 1 L .(
Fee Simple Titleholder(it other than tuner) 1� `
Name
• Address
Contractor PREFERRED ROOFING LL(:.
Address 2332 DUNN AVENUE.JACKSONVILLE.FLORIDA.32218
Phone No. gat 751.0840 Fax No 904 751-6600
Surety Of any
Address Amount of bond S�_
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 os,ner upon....ham notices or other
documents maybe ser+ed:
Name
Address
Phone No. Fax No.
In addition to himself.owner designates the follo.oing person to receive a copy of the Lienor's Notice as pro•.ided in
Section 713.06(2)(b).Florida Statutes.(Fill in al O::ners option)
Name
Address
15 0
Phone No. Fax No. 8 N LL
9 pLLs
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a .2 3�'3
different dale is specified). g E C
THIS SPACE FOR RECORDER'S USE ONLY I OWNER ,fr // e u
j3rnxd 1.. ? 9 i Lr CA..TE 2/22// z w
Before ate Ina'7r. oey d' ',:.a:.i° 4 I�' !I �f(e I.
t j of Duya.State of rorida.has cersona:,hppeared Ysj7
i)lr t r( he:e:e
ihtae!t horse f and at4r-'s iMt all statsrnerta a'd declarations herein •t
SIP true and 9ttY:rat?
►VC y P.C1ic at1erpe.State of • . Ccunt o' r �-
k rr ssiarr sp res:
Pei I Kno.n ---o
vo Macedon ic}7!4RIE t• -,, -
Signature of Owner. 4:i!(az /, '?4) • • Signature of Contractor J/ j
Print Name Nice/ L• /1-40, Print Name K-e 1- V 1 e)Y- eii
Sworn_�tppkand dbscribed before me . Sworn t. • 'I ubs '•-d before me
thisZee 'Da, . r l ,20 ILA this I . of _L.Aa/r► !' , 2CI ' 21
ASAMFI■PI -ublic to Nota• P • •
' evised 01.26.10
Notary Public State of Florida
� LauraRodriguez My Commission FF 015183 g,�r Notary Public State of Florida
Expires05ro8t2017 Laura Rodriguez
j My Commission FF 015183
cm Expires 05108!2017