463 Irex Rd - Roof ri,_ 1_,i.v.1:_„.,„
„ ,, , , e-,,
frj1SCITY OF ATLANTIC BEACH
”` J 800 SEMINOLE ROAD
� ;NATLANTIC 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-1137
Job Type: ROOF PERMIT
Description: ROOF - MODIFIED
Estimated Value: $7,880.00
Issue Date: 5/17/2016
Expiration Date: 11/13/2016
PROPERTY ADDRESS:
Address: 463 IREX RD
RE Number: 171409-0000
PROPERTY OWNER:
Name: RUST, JACKSON E & ADRIENNE G, *
Address: 4363 IREX RD
GENERAL CONTRACTOR INFORMATION:
Name: TOWNSEND ROOFING &
Address: 10418 NEW BERLIN RD APT 115 QA RANDY CRISS
TOWNSEND
Phone: - -
FEES:
BUILDING PERMIT FEE $89.40
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $93.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
-. BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845 1 (p -R o,p 41 37
Job Address: 9 6 3 162->c FA Permit Number:
Legal Description 3I-11. 78-25-2'E 6(f pc( po yy11 P410,5 t/ '•t 2.4- LV. li((I` arcel# / Lf 09— d 67°1()0-0 Ff P4`loor Area Of Sq.Ft. Clq.Ft
Valuation of Work$ 1l `r3 SD Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition AlterationMove Demolition pool/spa window/door Pfire
Use of existing/proposed structure(s)(circle one): Commercial identi�
If an existing structure,is a fire sprinkler system installed?(Cicf ircle one): Yes C N/A
Florida Product Approval # 53W
For multiple products use product approval form .
Describe in detail the type of work to be performed: 64-F L s fe y mod(--A ed (0 6 ( 1—ec/wazt-Ne aZ(
/ .� //z 5/ore //
PropertyppOwner Information:h
Name: LA54-/ Ars g.JAc.ks571 Address: Lf6 3 Tre.x. J...d
City lA„i-;c gt,.,&fn StatefLZip 3a33 Phone 90-6/0--% O9
E-Mail or Fax#(Optional)
Contractor Information: p (�� L �"
/ d R �� ¢C xAllces n 1
CompanyName: 6Wv►5¢tn co to roc /�Quali�mg Agent: I�k�y ►Twy►SQ.t1
Address: I09t" New tees qtr, IQ-i- -(IS City 30(c.1Lsc„u:fie. State pc__ Zip 3 ZZ 2 6
Office Phone 1014-64 S-5167 Job Site/Contact Number ('�,r, Li7Z-yy,j Fax# `)0 Li-6 yS-5/yZ
State Certification/Registration# 64C I g L IL in
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(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical ;Vork,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 herebycert that I have read and examined this a plication and know the same to be true and correct. All provisions of!, !e, ordinances governing this
type of ork will be complied with whether specified herein or not. The granting of a permit does not presume to g a i thori o violate or cancel the
provisions of any other federal,slate, or local law regulating construction or the performance of construction.
If
-)g1:6
Signature of Owner C�<!!�f/�/�.L�! Signature of Contracto . ' - ' /
Print Name , f aline Print Name A n SC
Sworn to and subscrib d before me Sworn to and subs•
this l�jtt'bay of
o. ...:.7, ,,20 /6 this ' P.y of � "r:'Y _ '`0i.
// (h 14r. ' Mie. . ' M Rada
Notary PublicctlwslowNstrm '��__ ng 'TM' l
o,�:.,k,„ N I • is :, •W INII
r: ;� MY COMMISSION t FF 092654 NOW Nlr/AIO.
* �,' * EXPIRES:March 25.2018
rNo�n e,is.,. . . .. .
Bonded Tin Midge Services
��'1E OF f'-
Doc # 2016110753, OR BK 17564 Page 1003, Number Pages: 1, Recorded
05/17/2016 at 11 :39 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio.No. 171409-0000
State of i arida County of Dui
To whom it may concern:
The undersigned hereby informs you that Improvements will be made to certain real property,and In
accordance with Section T13 of the Florida Statutes,the following Information is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:31-16 38-2S-29F.R/P OF PT OF ROYAL PALMS UNIT 2A LOT 18 BI.K 10
Address of property being improved: 463 Irex Rd. Atlantic Beach, FL 32233
General description of improvements:Roof Replacement
Owner Rust,Jackson&Adrianne
Address 463 Irex Rd.Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address •
Contractor Townsend Roofing and Construction Services.Inc.
Address 10418 New Berlin Rd*115 Jacksonville.FL 32226
Phone No.904-645.5887 Fax No. 904-645-5442
Surety(if any)
Address Amount of bond$
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(2)(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 �� —/7
Signed' 1t� DATE 5 i`(
Berore 1Fte this �7 r`1ie M N,�`
County of puval.State of Fbriyp.haa?pe.rs/nalty appeared
/� f,'4 vrN. tis f- hereto by
himself/hermit and affirm tapt ail statem_;{u selr�,IaWions herein
are true and accurater �. � CHfl1 1()MYNJtr !
* FAY OOM1USS QN$FF 092554
* 7 EXPIRES:March 25,2018
d'e'itorn��' 8ordetillinditoggeNotaryStokes
Notary Public at Large.State q(�, County of
fly commission expires: /r t A✓ 'Z I .P j{S
Personaty Known X or
Produced'identification