603 STOCKS ST - ROOF J I. : ; CITY OF ATLANTIC BEACH
Jam; ,t 7 -- ) 800 SEMINOLE ROAD
J� =" 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-1015
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $4,500.00
Issue Date: 5/3/2016
Expiration Date: 10/30/2016
PROPERTY ADDRESS:
Address: 603 STOCKS ST
RE Number: 170913-0900
PROPERTY OWNER:
Name: BARNETTE, RODNEY S
Address: 603 STOCKS ST
GENERAL CONTRACTOR INFORMATION:
Name: FATHER AND SON ROOFING
Address: 5012 NATHAN HALE RD JOHN ALBERT BROWN
Phone: - -
FEES:
BUILDING PERMIT FEE $72.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $76.50
I
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
X -/70 9i3._D9a e Office (904) 247-5826 Fax (904) 247-5845 -R OO P _ J 015
Job Address: 572 /'5 S/ Permit Number:
/8- /7 - .2 $.-;2 9 �TL 14/77G ,Q rf //
ri
Legal Description .s J ' T of'A/ /s / 7 _tom 5 v S/•0,5- /Parcel#
O� &Oi t ��x ���/�r Floor Area of Sq.Ft. Sq.Ft
Valuation of work$ 4,k5--e).v Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residenti
If an existing structure, is a fire sprinkler system installed?Circle ong) s, No N/A
Florida Product Approval # rid 1 C S �`, ,3 I-1 15445 ?' ) Y1 �1�'5
For multiple products use product approve form p
Describe in detail the type of work to be performed: moo•41,' i /'
Property Owner Information: f
Name: 5 1 a 7 Address: 6a5 J /"XJ S r
City .4`774/11774- ,L/j State rZ-Zip S22-23 Phone 9e j' .51/—
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: I er,-fklr- f$U/LS liP.Swt.- n Qualif ing A_ent: a a G W. I Le)t)
Address: SO l a_ 146(.0- City _- State — Zip .1
Office Phone - - Job Site/Contact Number4'oU - Sy S-3 6x2.1 Fax#
State Certifi •o • - C. C/ r'
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 a_period of six )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 hereb cert�that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o/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 ll -Z‘ i Signature of ContractoiA4.Print Name A,--„re; Print Name -7
Sworpt to and subscri Bed before • e Sworn • an as. '4 ed,.+- = u• _t
this tDay of ' s _ ' •_ _ •• of . *TT*, ,,, +, . • a0 •
r y MICHAEL K.GURR X21,i ,u "� ►iM' • 0FF924951
� A/ 4, „„s
Notary Public-State of Florida ,.. • •. .:r6,2019
No .ry ' •lic ..wa_ •E My Comm.Expires Jr( •f r C •,• m _ = �___
o7 Commission#EE 20517
' OF
Bonded Through National Notary Assn. Revised I . 4.10
•
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of
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 s ed in this NOTICE OF COMMENC_EMEN
Legal Description of property being improved: / X' 3`4- 1'> -- :2 S ' V--q `- /C/'l�Ec-' 1Pi�
5 /a. 04-ex_JS7 ' /S t/ L71 S -a, D,)- F 7 o -'L a9L /3f0e/- /Z7
Address of property being improved: ' D 3 /�5/ 74%/l$ �/ /7/Za4/ ge., L� `--L 32ZZ$
General description of improvements: /4--- /[ 7®/
Owner: $t 77 X4 "I // 2- Address: o; 5'TfG7(f cr Zz Z 3 <5.(-9 /-4
Owner's interest in site of the improvement: d Ie-Dr,',-)C,-
Fee Simple Titleholder(if other than owner):
Name:
1 ,S
Contractor: �44,,„r r !- F)✓15 pot)�J j
F-. , /'1/lc,
Address: J O I .- WA— . rr . 7
- ,Ar - • I - -
Telephone No.:4W'S‘-'4'5-,3t4a./ Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Doc#2016097845,OR BK 17546 Page 1766,
Number Pages:1
Address:
1 Phone No: Fax No:_ cre5 ' ,
OURT DUVAL
RonnieRed Fussell 0 ;02 CLERK 2016 at CIRCUIT 12:11 PMC COUNTY d
RECORDING$10.00
Name of person within the State of Florida,other than himself, designs
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: ,. MIIAEL lr GURR
��PpV PV
Telephone No: Fax No: :° «o- Notary Public-State of Florida
nny t omm.Expires Jun 26,2016
Expiration date of Notice of Commencement(the expiration date is one (1) year from th `•:= ••ordirtgrani> 9 k1i P�t�iklat�is
p ''%°;,c; Bonded Through National Notary Assn.
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER l ��#1/ ��a��l e>
�0/' � /
Signed: / �- Date: �(�
Before this c� day ,./i ' ZJ 'n the County of Duval,State
Of Florida,has personally appeared
Notary Public at Large,State o Flonda, .f 'day''• MICHAEL K.GURR
My commission expires: Z�r=;''""'� 6-, Notary Public State of F1960
Personally Known: 4 * ,., * My Comm.Expires Jun 26,20'.or
Produced Identification: 1 s.+ Td "4;= Commission #EE 20` 75
,,i,,,'' Bonded Through National N '