109 BEACH AVE - ROOF �' ' " `S CITY OF ATLANTIC BEACH
z '"'"' � 800 SEMINOLE ROAD
J� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
F31)'r
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-1563
Job Type: ROOF PERMIT
Description: METAL ROOF
Estimated Value: $15,170.00
Issue Date: 7/15/2016
Expiration Date: 1/11/2017
PROPERTY ADDRESS:
Address: 109 BEACH AVE
RE Number: 170212-0000
PROPERTY OWNER:
Name: FECHTEL FAMILY JNT VENT ET AL
Address: 6830 MEADOW RD
GENERAL CONTRACTOR INFORMATION:
Name: THE ROOF DUCK WATERTIGHT ROOFING SYSTEMS
Address: 6095 Shadehill RD
Phone: - -
FEES:
PLAN CHECK FEES $62.93
BUILDING PERMIT FEE $125.85
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $192.78
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BIUII.DING CODES.
1.1-v f City of Atlantic Beach APPLICATION NUMBER
Js r Building Department (To be assigned by the Building Department.)
✓ - -. -," . 800 Seminole Road /
�� �r Atlantic Beach, Florida 32233-5445 ( (.P—R OO F — ( S G3
Phone(904)247-5826 • Fax(904)247-5845
1>% E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I 09 SeROA- VE Department review required Ye No
...___ Building _.)
Applicant: t he. (Zoo -c (--- 1/43c..... k Planning Zoning
Tree Administrator
Project: NA.E1-A-L_ ROOF Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: roved. ❑Denied.
(Circle one.) Comments:
ILDING1
PLANNING &ZONING . �/
Reviewed by: Date: �'
TREE ADMIN. Second Review: Approved as revised. ❑Denie
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
FILE COPY BUILDING PERMIT APPLICATION /_� _ ROOF
CITY OF ATLANTIC BEACH l.C� 1 f
5 6.3
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 109 Beach Avenue,Atlantic Beach,FL Permit Number:
Legal Description 16-2S-29E 321 ATLANTIC BEACH PT LOT RECD OiR17334-592BLK32 Parcel 4 170212.0000
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 15.17000 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): Is.12.,..9 Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed,structure(s)(circle one):, Commercialelanda�
If an existing structure,is a fire sprinkler system installed?(Circle one): —
No N/A
Florida Product Approval# FL 11651.R2
For multiple products use product approval form
Describe in detail the type of work to be performed: New Metal Roof _
Property Owner Information:
Name:_GUIDONE.FRANK Address: 4708.ALLENCRE ST LN
City DALLASState TX Zip 75244 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: The Roof Duck Qualifying Agent: Gregory Alan Ross Jr.
Address: 3948 3rd St.So..#195 City Jax Beach State FL Zip_ 32250
Office Phone 904-345-0663 Job Site/Contact Number 904-345-0663_Fax#_
State Certification/Registration# CCCI330963
.Architect same&Phone#
Engineer's Name&Phone# -n-m___
Fee Simple Title Holder Name and.Address_ /
Bonding Company Name and Address R Q� i.'Q GL(k K
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 Oa peauf and that a//work will be petformed to meet the.standards of all laws regulating coastructton in this lurisdiciion This permit becomes null
and void if work isnot commenced within six(6/months.or i,+'construction or work is=wended or abandoned Jora rind of six.G)months a!any time alter
work is commenced l undeistad that separate[tenons mils,he.secured for Electrical Work, Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Healers,
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 hereby certify that l have read and examined this application and know the same to he true and correct. All provisions of laws and ordinances goeernmg this
type ofwork will he 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 perjornwnce of construction.
Signature of Owner Signature of Contractor
Print Name Gre,.Alan Ross Jr Print Name Gregory Alan Roos Sr.
Sworn to and subscribed before me Sworn to and subscribed before me
this iI I) 1 ,./1 _ e>y', .2916
GC - - �i,._.l IffOr
otary ub is . otary t lc
Revised 01.26.10
• ,,`'''3 ;, RANDA SWANK ' Q/41�'a)A SWANK
. MY COMMISSION#FF986648 �* FISSION F
z.
•*f. 1: EXPIRES April 27.2020 % '•• E'Stplp 4S 44
X48
>.,54753 F. .. diof�ip,..). 27,2020
• .coat a eN_
N e-c/ H 0 (r\-E, — t/L.) 0 t K o P P
Doc # 2016023474, OR BK 17446 Page 1778, Number Pages: 1, Recorded
02/02/2016 at 09:08 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
ferni 'r - lir /6 Poor -156 3
NOTICE OF COMMENCEMENT FILE COPY
State of _ �4"`t t
_--.------- Tax folio No.�'-?C?2,12- <J 000
County of i. .1VAL--
To Whom It May Concern:
The undersigned hereby infonus you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: L.tz,r I ,Ll: t,m,t,,r-r- G;.
Address of property being improved: 1 tta' �y, ,b„A", , ue,,•f.rrg 32.-4.-1:3
General description of improvements: Rep, ,,,• �{ a '.
Owner: 1 're..-. • C.,u1 c�u,t, _ Address: M 3 -;L 4,C r e„...4i. 1„) .--r( 152.
Owner's interest in site of the improvement: - -
Fee Simple Titleholder(if other than owner);
Name: -- _
Contractor: -17,s ..../ C,
Address: 2..a.t5 S.—n-,4 rd s`4. 4l"bt ' ..ck.5c�,vi . 2
Telephone No.: ��`�•' .�?�Z.'-Z!I --.-. �u,,t 3__-fir r�
pFax No: 96 2.175%- (4'f
Surety(Warty)
74/4
Address: Amount of Bond S
Telephone No: - Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: NI
Address: A - T
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be
served: Name:
•
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address: kl
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed:. AL, Date: l-ty-Z6
Before me this 1 day of 2/3 it - in jhe County of Duval.State
Of Florida,has personally appeared Fr.--,1$_• c y c)-.t..-'.
Notary Public at Large,State of Florida.Con c a •
My co n' i.a virus: 1* ;;, -- - JEAFREIV TABB
•• ION.#-FF916223 or
PmducedIdentification: tt9