600 LEVY RD - ROOF (-------
1.` CITY OF ATLANTIC BEACH
'° .k,-- � 800 SEMINOLE ROAD
�r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\0121, '
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-1206
Job Type: ROOF PERMIT
Description: ROOF - RE ROOF SHINGLES
Estimated Value: $14,600.00
Issue Date: 5/27/2016
Expiration Date: 11/23/2016
PROPERTY ADDRESS:
Address: 600 LEVY RD
RE Number: 171077-0000
PROPERTY OWNER:
Name: SONRISE WORSHIP CENTER, INC
Address: 600 LEVY RD
GENERAL CONTRACTOR INFORMATION:
Name: ROGERO & WILLIAMS ROOFING CONTRACTORS INC
Address: 883 Lawhon Dr ST
Phone: 904-518-5463
FEES:
BUILDING PERMIT FEE $123.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $127.00
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
Job Address: hop /f-1/ R b
4�1�"T1C'rQC,tf R, 31233 Permit Number:
Legal Description ,/k 2.y
g p a E , i , " Parcel# 7/077-00n
t� nn Valuation of Work S , oor . ea o q. t. t
UU< Proposed Work heated/cooled ,39 Q non-heated/cooled (e5
Class of Work(circle one): New Addition Alteration pair Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one):
If an existing structure,is a fire sprinkler system insta e . (Circle one):Residential N/A
Florida Product Approval# FL 067 itr �2/Q
For multiple products use product approva` oorrm�
Describe in detail the type of work to be performed: •(j A . 5
1//12 Pir(tt s Fh n6 t S
Property Owner Information:
Name:SD/ /JD/5MP &717E12 Mr, Address: 660
City 4eln- 'e. State Zip3j2_�Phone
E-Mail or Fax#(Optional) 0/4/q:-
Contractor Information: CONTRACTOR EMAIL ADDRESS:amy@ Rtoe,orrntge_n)es,Cnm
Company Name:kga. .i 1.411 LEl/31x46 l 006116 ebn1aDZSQualifying Agent:T t E ,i/ jOGL w
Address:3q/6-1�Q.•l an yD
Office Phone G}'d T. 51' .S y 6.3 Job Site/Contact Number 90 �SOnV I C.l.E State l_.. Zip 3L'L$7
State Certification/Registration# CCC 330 3$r] 9��' g� •?O/ Fax# �1Q t/,$�(p, c f7 /
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address(?& lop . LI,W Aims QDvFFr�
Bonding Company Name and Address Com' 3U1SOLi�u � /'Z 32ZS�
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated I cert fy 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 thisjurisdiction. 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.
7rt hereby cert fy that I have read and examined this a plicatialrlartf k . . o be true and correct. All provisions of laws and ordinances governing this
ovisions of any other federal,with whether
or localspecified taw regulating r construcatt-•-r4,t of a permit does not presume to give authority to violate or cancel the
��?j�, ormance of construction.
>ignature of O u,9 <°%%.;.„�o
Signature of C tractor
nn KC >
'rint Name 6,....... (,v n . e.44-1,,S < . 0 Printt Name
70e.,..cl
Iefore me ° `"' 0
> Before me
i ' 1 P Day of// .4 sr, 20 C N ' .^
l .�..i` M/ H " ,„ 'is /O Day of ,20/ L
- / 71
° 7 N y
"""',•• DAVID DALE I3AFSE °L ! otai 'ublic
?:� ��'s Con,mission# FF 218179 co
;<•�. •c M Commission Expires w CO
. ;i►a Y Revised 01.26.10
"ik71'a.,6^,c April 07, 2019 +
<pppH,� i
Doc # 2016105786, OR BK 17557 Page 1938, Number Pages: 1, Recorded
05/11/2016 at 09:38 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
Permit
VI DUPLICATE)
Permit No�� . Tax Faao NQ
store a Kia--"" comfy of :LA/Mai,.
To whom It may concern:
The undersigned hereby informs you that improvements will be mad,to certain real property,end In
accordance with Section 713 Dt the Florida statures,the following lnfartaatian Is stated In this NOTICE Of
COMMENCEMENT. `, n�9 /�
LeOW desdoiphon of property being Initiated: //8-b3 7 J b -AS-. 176
Address et property beirsg*proved'1 V V {/MlAirfico, ��_i.�CdD/ 5Z2,33
Genera!description 01 5npbwments. i`-‘10-1)D/"
Owner S.20nSG �_ �IQSf tf/ • — ' AC_
Address .LJ/��.JF,\. I',jJ u l G.-11
Owner's interest in site of the improvement 'WPM -
Fee Sunple Titleholder til otter than owner)
Nem, ROCER°MDWILLIAMS BUILDS';ANDROOHHO OOKMACIOns
Address 29E0 HARTLEY ROAD.SURE 12 JAOQONdLlE ROMA 32257
Contractor JERBAEY S.ROGER°
Address 2910 HARTLEY ROAD:SthrE 12 MLXSONYILLU FLOIUDA 92257
Phone No.9015185/03 Fax No.904•819-2400
Surety{d any)_
Address Amount Of bond 3
Phare No. Fax ha
Name and address of any person making a loan for the comp lamp()et the unprovenrnts
Name
ADdresa
Pine No •_ Fax No
Narita Of person wit,n Ute State of Fiooda,other than hsnse t deslgnafed by owner upon than notices or other
documenh may be saved:
Name. JEREMEv S.ROOINO
•
•
address 2980 HARTLEY ROAD SUITE 12 JACKSONVILLE FLORIDA 32257
Phone No ser 511 e4e3 Fax No 904-619-2400
Mr adetion to hrnse 1.owner deck/nears dy fdlo,Mrp person to receive•copy of Na Liana's Notice as pren,ded in
Section T13.0,5 t2f phi.Florida Statures.)FII In of Owner',of+*On).
Name
Address —Phone No ----
Fax No
iffere ron e is W Notice oft=�urrnoamenI(Me cels ration dates �
Expan'dateatrpworried). one:t)year tram the dale of recording unlesss a
a
THIS SPACI FOR RECORDER'S USEONLY-E
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