Loading...
77 W 10TH ST - ROOF S�:.',Ji f r- ass\ CITY OF ATLANTIC BEACH t J 800 SEMINOLE ROAD - =" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 0l,l.)f ROOF PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-ROOF-648 Job Type: ROOF PERMIT Description: RE ROOF Estimated Value: $6,600.00 Issue Date: 3/16/2016 Expiration Date: 9/12/2016 PROPERTY ADDRESS: Address: 77 W 10TH ST RE Number: 170811-0010 PROPERTY OWNER: Name: HURST, RICHARD Address: 77 W 10TH ST GENERAL CONTRACTOR INFORMATION: Name: HAMMER TIME ROOFING Address: 13465 SOLEDAD CT DR ANTHONY BETANCOURT Phone: - - FEES: BUILDING PERMIT FEE $83.00 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $87.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 l(0-Roo i- -648 4 Job Address: 17 I/ 1011) s+ Permit Number: Legal Description 03119 AMan$t.. &a c Parcel # 110S I t'r 00 ID j j Floor Area of Sq.Ft. t Valuation of Work$ t�,CQO Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): dab Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Residentta If an existing structure,is a fire sprinkler system in tailed? (Circle one): Yes No N/A Florida Product Approval # O(o`- t. t-R�•t �e et�l�Y ieAi— FL 9'177. (- KU For multiple products use product approval tom Describe in detail the type of work to be performed: /1 p Q- Roof ►Rev .Oue i c? &hin4tk I Tn54-gg 4e LUlde( •'►terl+ f `With eS Property Owner Inform i anon: �� • P d i- �G \ Name: (ichck( 34-a( ratkefrtle Y>k Address: 7'7 IA/ >NJ . City Cut e •.�A State FCZip 04453 Phone 0t4(e- gI(o q E-Mail or Fax# (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name:J4-G, ,' e r 1 me f� ir+q U-C Qualifying Agent: n +enu Ae 12 tom+ Address: l No Sjk C4. J City j teckSoR�111 D Office Phone egos) -7)lo- j l�- Job Site/Contact Number 94,31•.' P Fax#tate 1.--.L Zip 3a�c?y State Certification/Registration# CC C I S Zqg$-3 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 ofsix(6)months at any time after work is commenced I understand that separate permits must be secured for Electrical Work,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 this a placation 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 speci ied herein or not. The granting of a permit does not presume to • authority to violate or cancel the vrovisions of any other federal,state, or local law regulating construction or the performance of construction. t/ i signature of Owner Signature of Contractor di,( 'Tint Name fl4, ' A/`S9- Print Name B e:C4A.Cdu( )--- 3efore me Bef I his ,,''‘Dayof ,v c- 20 ((�, i this day of A' ;1 rid ,,.,, TONIGINs a / i. r► 1, - .r' ' ..,.I . : NOTICE OF COMMENCEMENT State of ROC r 8_o∎ County of QuU a I Tax Folio No. r10% 1 1 - 0 o 1 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 t s NOTICE OF COMryI ENCJMENT. Legal Description of property being improved: ©`3 f I A4k,1 4C Uelat Address of property being improved: '11 t J 10 fh p /-�f�(rrrti'C /�czc A F/o�r[la 3�233 General description of improvements: key- fioe Owner: i'I I cQ( )k -5 o r ra'I44t6:nr S1 r'k Address: Z) U/ >v fin 51-. 10 -1-1( Q ? 33 Owner's interest in site of the improvement: r) Fee Simple Titleholder(if other than owner):• 11 V Name: momxzU I (� mpo m c Contractor: f 4c&vr f 1 i eht, v nG �..L C Z '� 14YAddress: y4 5b( 4 } t� ( o N o Telephone No.: egot-U' -)110, 9/'(Cf Fax No: o o Surety(if anY) 8 u 0 0 Address: 55 w Amount of Bond$ c— Telephone No: Fax No: c 0i11 Name and address of any person making a loan for the construction of the improvements co up m Name: H N o 03 Address: D 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: . Telephone 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 Statues. (Fill in at Owner's option) Name: Address: Telephone 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 ONL' i�WNER / / '�■Signed: � /(G s • Date: ? // Before me this day of t p. in the County of Duval,State ' �sr:. AARON MCKENZIE Of Florida,has personally appeared '•h f-tv'�Si- '" •' ' Personally Known: _•_• Commission#FF 963249 y or '• Expires February 22,2320 Produced Identifica. .► O 0'7 2c>z o •.,-.2.s't' Bonded'Nu Troy Fain Insure:*800.385.7019 Notary � • .� � �,, My commission xpires: 02 2- c52. 0 I