1879 BEACH AVE - ROOF - y.\JVr
rf
`1, CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
r' r)
N ATLANTIC BEACH, FL 32233
\c) INSPECTION PHONE LINE 247-5814
'-, 01219`"
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-922
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $4.700.00
Issue Date: 4/20/2016
Expiration Date: 10/17/2016
PROPERTY ADDRESS:
Address: 1879 BEACH AVE
RE Number: 169683-0000
PROPERTY OWNER:
Name: PETRONI TST,GERARD P & REIDUNN, *
Address: 1879 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: PRIME ROOF CONTRACTING LLC
Address: 13792 HERONS LANDING WAY APT 9 QA MARK ANDREW
YOUNG
Phone: - -
FEES:
BUILDING PERMIT FEE $73.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $77.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WIIII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i
1
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 1 D
R
Office(904)247-5826 Fax(904)247-5845 1 Co t — CG F - 9 Z
Job Address: 1879 Beach Ave Permit Number:
Legal Description 15-57 9-2S-29E N ATLANTIC BEACH UNIT NO 2 PT LOT 43 Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 4,700 Proposed Work heated/cooled 792 non-heated/cooled 1544
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one): Commercial
If an existing structure,is a fire sprinkler system installed?(Circle one): es No ED
Florida Product Approval# FL10674R7 FL17420-R2
For multiple products use product approval form
Describe in detail the type of work to be performed:Single Family Home Re-roof G A('c 9e
Property Owner Information:
Name: Reidunn Petroni Address: 1879 Beach Ave
City Atlantic Beach State FL Zip 32233 Phone 0401539-5600
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>4524440 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 ofa 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. l 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 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 give authority to violate or cancel the
provisions of any other federal,state,or local law regulating construction or the performance of construction.
/
Signature of Owner° mot'P Signature of Contractor ...i.
Print Name i?F1 r�Q I tV I E/\•6 tit4 f ETe0WI'rint Name/tier VI /
Swo nd su, ' 'bed •>ore e /� Sworn to.nd sub^ ed b`fore me
this Day '/ 'a• ( COO this Adi say of "-1- . I . ,20 it
No: Pu, ii •fury ' ' tc
Revised 01.26.10
41.-it ERIN F.KELLY
Notary Public,Stets of Florida
CommiaaloMFF910710 41' ,,, Andrew D. Davis
MY COMM-exPins Aug.19,2019 = ,s,
Ise , 41. COMMISSION 0 FF180849
, -∎ ,e EXPIRES: Sept, 17, 2018
'''t it t WWW,AAROf NOiARy,COM
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: 15-57 9-2S-29E N ATLANTIC BEACH UN IT NO 2 PT LOT 43
Address of property being improved: 1879 Beach A vc A flan tic Bcach,FL 32233
General description of improvements: Re-roof
Owner Reidunn Petroni
Address 1879 Beach Ave A tian tic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
N\ C ntractorPRIME ROOF CON TRACING,INC.
11 Address PO BOX 50247 JACKSONVILLE BEACH,FL 32240
Phone No. (904)625-1446 Fax No.
S rety 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(21(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 O NE
` • DASigne
Before m this •l •ay of ;VT- 11111Wilf).11 in the
Cou y, +u =1.State of F•..-. a ersenall' a.•=aired
Doc#2016088389.OR BK 17532 P if h • • i UR. $ ERIN F.KELLY
himself'herself and affirms that all statemen s an dec: rations herein
Number Pages: 1 Page 2476, are true and accurate
Recorded 04/20/2016 at 08:30 AM. -- Notary Public,State of Florida '
Ronnie Fussell CLERK CIRCUIT COURT DUVAL ' 0.111,i " Commissional A 910710
COUNTY
I My comm.e>Pires AtJg 18,2019
RECORDING 510.00
No P lic at .rge.St- o . • ._ . County of DVy
My Ission= pires: : '
Personally Kno•.n J or
Produced Identification