1650 PARK TERR W - ROOF ' SrAPPrlL' ATLANTIC BEACH
�. PERMIT RECEIPT
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PERMIT DESCRIPTION: tear off and re-roof
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PERMIT NUMBER: 16-ROOF-1601 POS'�
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ADDRESS: 1650 W PARK TER ���19 216
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OWNER: C:C°
i DATE ISSUED:
FEES DUE:
BUILDING PERMIT FEE $161.89
$2.43 CITY OF ATLANTIC BEACH
STATE DCA SURCHARGE 800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
1 STATE DBPR SURCHARGE $2.43 07'19 2016 15:50:21
CREDIT CARD
MC SALE
CARD; XXXXXXXXXXXX9262
Totals: $166.75 INVOICE 0008
SEQ P: 0007 1
Batch$: 000360
Approval Code: 00640J
Entry Method: Manual
•
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUf $166.75
CUSTOMER COPY
! s J CITY OF ATLANTIC BEACH
m - 800 SEMINOLE ROAD
-; 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-1601
Job Type: ROOF PERMIT
Description: tear off and re-roof
Estimated Value: $22,377.64
Issue Date: 7/19/2016
Expiration Date: 1/15/2017
PROPERTY ADDRESS:
Address: 1650 W PARK TER
RE Number: 172020-0162
PROPERTY OWNER:
Name: DAVIDSON III LVG TRUST. PAUL E
Address: 1650 PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: BIGFOOT ROOFING & CONSTRUCTION
Address: 615720 RIVER RD KYLE S MAXWELL
Phone: - -
FEES:
BUILDING PERMIT FEE $161.89
STATE DCA SURCHARGE $2.43
STATE DBPR SURCHARGE $2.43
Total Payments: $166.75
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 I ([J - OQF- t(P 0 i
Job Address: 1650 Park Terrace West Atlantic Beach.FL32233 Permit Number:
•
Legal Description 34-51 09-2S29E Selva Marina Unit 6 Lot 15 Blk 6 parcel# 172020-0162
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work S 22377.64 Proposed Work heated/cooled 2675 non-heated/cooled 35 Squares
Class of Work(circle one) New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval# FL10124-R17 F1.1654-R14
For multiple products use product appiroval form
Describe in detail the type of work to be performed:
Tear off and re-roof
Fronerty Owner Information:
Name: Paul Davidson 1650 Park Terrace West Atlantic Beach,FL 32233
Address:
City State Zip Phone Text
E-Mail or Fax#(Optional) '
Contractor Information:
Company Name:Bigfoot Roofing&Construction.Inc. Qualifying Agent: Kyle Maxwell
Adress: 10737 New Kings Road City Jacksonville State Florida Zip 32219
Office Phone 904451-6112 Job Site/Contact Number 904.608-1977 Fax# •
State Certification/Registration# CCC1329769 •
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 mode 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 perforin to meet the standards of all laws regulating construction in this tar).sdictiort. Ibis permit
becomes null and void if work is not commenced within six(6)months,or if construction or work is suspended or aharkk,ned//or a pe nod o/six 09/months
• Bot}ln/ s aiter.wlgrrilcrisa gtrC'o rid rticklthatseparatepermitsmustbe.securedforElectricalWork.Plumbing,.Ylgas.Wells.Pools,F'arnaces,
•
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 eyar,ined this application 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.spd herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of other federal.state,or local law regulating construction or the performance of construction.
Signaturep —cC .._ Owner SiBnatu ( Contractor
Print Name _2tJk i a6a7 Print Name Kyle Maxwell
Sworujo and subscf ore me Sworn to and subscribed before me
this..Day of .20 1 C this .t P.ve of4 _ ,fA June 2o16
N is •o ary Public
`- ALEXANDER G. WATSON �w`'"ji°a'a� ALEXANDER G.WATSON
IS A MY COMMISSION#FF034904
MY COMMISSION esFF034904
i4, •P..; `fin`` EXPIRES July 9.2017
•'•'e' rid.: EXPIRES July 9.2017 '*.?a_n„f
(407)39&0153 Floridallolary(;orvwo,00m (407)3960153 FioridallotaryServiee.eom
Doc # 2016163057, OR BK 17636 Page 2218, Number Pages: 1, Recorded
07/15/2016 at 03:27 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
.s.RE"..E d:D•.,,,,oTE
Tax Folio No '720162
PermitFLORIDACounty of DUVAL
Stalelateoff F
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.
34-51 09.2S-29E SELVA MARINA UNIT 6 LOT 15 BLK 6
Legal description of property being improved
1650 PARK TER W Atlantic Beach 32233
Address of properly being Improved
General description of improvements.
Tear on and reroot
OwnerDAVIDSON RAUL
A,,:i,ess 1650 PARK TER W Atlantic Beach 32233
O::ner s interest in site of the improvement--'
Fee Simple Titleholder(if other than o.rner.--
Name "'
Address--
Contractor Bigloot Roofing 8 Construction.Inc
Acdress 2220 CR 210 W Jadcsonvite.FL 32259 '
Phone No.904.75'-6112 Fax No.866257-5115 ,
Surety of anyi-'"
Address "- Amount of bond S"' .
Phone No. "- Fax No ---
Name and adcress of any person making a loan for the construction of the improvements ..
Name-""
Address---
Phone No '-- Fax No ---
4 Name of person:+thin the State of Ronda.other than himself designated by o:.ner upon .hom'nollces or other
documents may be served
Name -
Address'
Phone No --- =ax No—III
In addition to himself.owner designates the idlo:+log person to receive a copy of the Lienor s Notice as provided in
Section 713.0612i tbl.Florida Statutes Fill in at 0...net s option,.
Name"'
Address'"
Phone No _._ Fax No "-
Z
Expiration date of Notice of Commencement r0 o
the expiration date is one(11 year from the dale of recording unless a O ^ E
different date is specified i I-Q 2 o V
`1 N u
WNER n c. z
THIS SPACE FOR RECORDER'S USE ONLY I �—� a z T v
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