423 IREX RD ROOF PERMIT CITY OF ATLANTIC BEACH
f)
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
;3
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-1596
Job Type: ROOF PERMIT
Description: RE-ROOF SHINGLES TO SHINGLES 21 S.F.
Estimated Value: $4,500.00
Issue Date: 7/15/2016
Expiration Date: 1/11/2017
PROPERTY ADDRESS:
Address: 423 IREX RD
RE Number: 171414-0000
PROPERTY OWNER:
Name: DANCEL, FELIPE
Address: 4161REX RD
GENERAL CONTRACTOR INFORMATION:
Name: Birkholz Roof Mechanics, Inc.
Address: 12728 Daryl Hill DR
Phone: -
FEES:
BUILDING PERMIT FEE $72.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $76.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)2477-582p6 Fax(904)247-5845 Ib- R-pOF- IS-910
Job Address: 'Yn(.") r I�anAl A-�'�I1rille IJCN. _W3yPeermit Number:
Legal Description�Q of PT 6& DA�wS 1)424aAWT Z3Parcel#
F o1000r`Arrea q. t. q.rt
Valuation of Work$y.rJ00 � Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition poollspa window/door
Use of existing/proposed structure(s)((circle one):. Commercial Residentia
U an existing structure,is a fire spnnW.r s tem
installed.
(Circle one): o N/A
Florida Product Approval# 42
-
For multiple products use product approval torm I_
Describe in detail the type of work to be performed: I`oa� S I'1 V1aIQ5 �O S/l I/1Q�,Q
�1
Property Owner Information: �7 nn dd
Name: n. GT 1'26LEy Address: /'/'3 .LRE)! 9d h7 a,Nb, /Ziehl AP933
City_ pY1C C't a� r.h State�Zin 32233 phone 90 U— X172- 3(099
E-Mail or Fax#(Optional)
Contractor Information: ^� 2
Company Name: RrQk d t�oo� )'uJMC5 Qualifying Agent: ?ala � 1�12k4131?=
Address: PeV N II City�1r:rksoti,lt State P� Zipalu i$_
Office Phone 90Y 3a - 1 Job Sitet Contact Number 90V - 449-j&3;2 Fax# Sbt/ 52A-a/j
State Certification/Registration# (Cr /327/95
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 u hereby made to obtain a permit to do the work and installations as indicated. /certify that no work or installation has commenced prior to the
issuance afa permit and that all work will beperformed to meet the standards ofall laws regulating construction to this jurisdiction. This permil becomes null
and void iJ work is not commenced within six(6)months, or ifcome wetion ar work is suspended or abardenedfor apenod ofsix/6)months at any time ager
work u commenced. f understand that separate permits must be secured for Elecaical Wwk,Plumbing,Sign; We//s,Pods, Furnaces,Bolters,Healers,
Tanks and Air Cont#doners,de
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 cert that!have read and examined this��ppplicatian ard.bnow the same to be true andcorrect. A!(provuiom oflaws aha ordInam esgoverntng this
typie a)work will be complied with whether s c)ned hereiie or not. The graining oja permit does not presume to give authority to violate or.. the
provuioru afarry oth(er/f¢ tate,or peal haw regdating comtruction a the performance ojconetruction.
Signature of Owrk Signature of Contractor
Print Name ��h Print Name /
Swom and subscribed a ore me Sworn to and subscri d before me
this �hDay of 20 1 this 1 SDay of l 20 I
TerryHWO
tary Publi ;i'� commnibnaii 963ns Notary Public
My Commisilon Gpnei $r21B KDOC d
"+;!,�� JpnuarY 26. 2020 My 6YI 17&
Gxnmissbn No.FF 6W&
NOTICE OF-C-OMMENCEMENT--- -- -- -
State of FLORIDA Tax Folio No._171414-0000
County of_DUVAL
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: /P_ROF PT OF ROYAL PALMS UNIT 2A LOT 23 ELK 10
31 -/6 ��-�s-a9�5
Address of property being improved:_423IREX ROAD.ATLANTIC BEACH,FLORIDA 32233
General description of improvements: REROOF-21 SQ SHINGLES
Owner: JANET WESLEY Address:_423IREX ROAD.ATLANTIC BEACH,FLORIDA 32233_
Owner's interest in site of the improvement:_OWNER/OCCUPIER
Fee Simple Titleholder(if other than owner):
Name:
Contractor:_BHtKHOLZ ROOF MECHANICS
Address: 12728 Daryl Full Road.Jacksonville,Florida 32218
Telephone No.:_904-328-2184 ext 102 Fax No:_904328-2184
surety(if any) Amount Amomof Bond$
Telephone 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 he
served: Name
Address:
Telephone No: In No:
In addition to himself owner designates the following person to receive a copy of the Lienm's Notice as provided in Section
713.06(2)(6),Florida Statues. (Fill in at OWner's option)
m
Noe:
Address:
Telephone No: Fez No:
Expiration dam of Notice of Commencement(the expired-dam is one(1)yea from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY O Date: ,iil.
Sued
ic#2016162753,OR BK 17636 Page 1046, Befomme dayof in the ounty of Duval,State
idler Pages:1 Of Florida,has personally appeared
otmetl 07/15016 at 1220 PM, Notary Public 9 Large,State of Fl rid. County of Duval.
nnte Fussell CLERK CIRCUIT COURT DUVAL My commission expires: e�1
'UNTY Personally Known: nr
CORDING$10.00 Produced ldentificatio yW, JODI
GLAROE
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