778 VECUNA RD - ROOF \1k CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j . , z74: 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-808
Job Type: ROOF PERMIT
Description: ROOF - SHINGLE
Estimated Value: $9,100.00
Issue Date: 4/6/2016
Expiration Date: 10/3/2016
PROPERTY ADDRESS:
Address: 778 VECUNA RD
RE Number: 171353-0000
PROPERTY OWNER:
Name: ARNDT, GARY I
Address: 778 VECUNA RD
GENERAL CONTRACTOR INFORMATION:
Name: QUALITY DISCOUNT ROOFING LLC
Address: 1794 ROGERO RD QA RICHARD BRIGGS
Phone: 904-396-5000
FEES:
BUILDING PERMIT FEE $95.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $99.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 cc��
Office (904) 247-5826 Fax (904) 247-5845 f ( - Roc,c-_ U
-_ 0 j
Job Address: TV VeCUfla- Rd. G'Rea h IR. 3aa.3.3 Permit Number:
Legal Description3l-otnia-.?5-A'E 7.04k1 i3L1 w +2A LOT I3 8(K is Parcel# I ik.q53- &ODO
-Floor Area of Sq.Ft. Sq.I't d,5/�
Valuation of Work$t %00 00 Proposed Work heated/cooled.2,3'l B non-heated/cooled
(1fe-cF 5IiA P'-1-Eh
Class of Work(circle one): New Addition :iteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial 4l: - ident.7
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No ali
Florida Product Approval# ca.-100U. I (Ara t rIQLJMCna- FL-ker 1 sa,10
For multiple products use product approval form
Describe in detail the type of work to be performed: Ren►'c '1 t lya," down 40 rooP deck• Qena:I pe.r,
°T( 'it? pe,p1act w i-i-h netk7 l\co A trrh Z-Wc c,i.r t,l Sn: ies o?55 a re,s. A 60 Fe�ac a 11 st,,aares
it ce.r^-ip;h}rep* TiN f h-FL-AS-33 eats.e She eft- -c-- a g 3 3
Property Owner Information:
Name: lPro/ (APYlri Q A tea' Address: Y?8 UCCut1a. eO. A
City AHQ,i riC &stah State R,Zip 383 Phone got-I.241-0 tl4(
E-Mail or Fax#(Optional) n la
Contractor Information:
Company Name:Q%.AGt1l Di,y,bk01+- 120ba'5 LC.C.. Qualifying Agent: Ze,;n ie.-
Address:3-Ibl r 4-. AL(.9usI.1ne_ act. V City i GC1Gs3,1 v;I I.c_u StaY PL Zip .3,0045-1
Office Phone clog-•3ei o-S Doe, Job Site/Contact Number Fax# 48S-$dcoa,
State Certification/Registration# COO 13a988S
Architect Name&Phone#
Engineer's Name&Phone# N/A
Fee Simple Title Holder Name and Address /74_
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 a period 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, 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.
,,��ar pl" SHEREE J.C ON0
I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions l�l
47' nt type of work will be complied with whether specfed herein or not. The granting of a permit does not presume to gf • .tp vi e :' ea 4�ItFlorl
provisions of any other federal,state, or local law regulating construction or the performance of construction. ".,,,, „. `�; m salon f�FF 227615
48-;:;;:e My Comm.Expires May'��° "�`' bonded through National y 5,20■
Notary As
Signature of Ownerl fry' t” Signature of Contractor
Print Name /�ci( LI -/'L IZ- [ R. ' 1 i f Print Name 'a.,R zi le 19.,
Sworn to and subscribed before me Sworn to and subscribed before me
this, Day of IfG12 , 2014 this 31 "Day of tditArCh ,201(47
Iti — — - —
Notary Public 4�arnee,,,, SHEREE J.cAiiuSO Notary Public a���i�•,, SHEREE J.CARUSO
;:(. ...),s Notary Public-State of Florida
, 4V gf:„
_. •• ••_ Commission #FF 227615 ;a° +�; Notar Public-State of Florida
ister _' S,2019 •« •• ISed ibA#FF 227615
T My Comm.Expires May =': Ni « mw r rnm cxnir s^^iv `
P ^c,v1,hrough N71.nnal Nnta'
t'.1r
,
Doc # 2016075000, OR BK 17515 Page 677, Number Pages: 1, Recorded 04/05/2016
at 12:27 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
State of eice6x. Tax Folio No. 1 -7 i 353-OOC
County of " t1C&
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 31-cot 3$ray ale goTa pat,v)5 (kr 4 e7 A
LOT tg e1bc lc ?fswidece;ex P o/lz a. 3qtyq-qs-3
Address of property being improved: neS UCLA/VA. 1*4• # t ht cb,a• : ✓
General description of improvements: Fe -11.00c —�--
Owner: T "OV`tt'3r4a:.ne:11. -Firrair Address: -ne, vecf...u^1. ,. -ta -- °3 ,
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: O tlt 1 i- 3`,i ar 4- 6 "_Caf)(11` Ut . _--
Address:3.1 t a l-. AIRSI.ined l2Gd`. c) w:f Uri cc "5 r-Y`1
Telephone No.: W -, We-5GL ) - Fax No: (4 TLie&-g 241.eta -_
Surety(if any) fl 14
Address: Amount of Bond S
Telephone No: Fax No:
Name and address of any person making a loan.for the construction of the improvements
Name: A(Ql,
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:
Telephone No: Fax No:
3n 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 ONLY OWNER
- ,j 6 � /A
Signed X. 61 i a - r r -v4A-.. Date f /
6
�
„ rr Before me this ?s 3 a__ €ay of kf ', } ,, €,c in the County of Duval.State
\ pv p�'''''(,'':,1 :HER J.CARUSO
,�°; Of I'lertda has personally appeared t t _r�t�i1i=c: t x r
�`r A Notary Public Stai of Florida
Notary Public at Large Stag of Florida.County animal.
al.
+ x 4 Gsrnrrtrssion#FF 227th5
J ° �,." Canon. F, r. e' My commission expires: Iv�i t- :.:t`
,y, A.,' My ainn EKpir May 5,2_19 l !
+°in`\ Bonded tiitcatJtiNational Notary A.SSr ��
Personally Known --U)'
i'°0.\` 9 z' Q"!Ci°"4""\�::•,�u 4�� CrUCl`llt:C(1 IUYtintit7e @lii t c)(- 4-- t, ..