334 OCEANWALK DR N - ROOF r `S, CITY OF ATLANTIC BEACH
r. i1 j 800 SEMINOLE ROAD
T.) N ATLANTIC BEACH, FL 32233
'` INSPECTION PHONE LINE 247-5814
j.1/-01119.. '
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-1411
Job Type: ROOF PERMIT
Description: ROOFING - SHINGLES
Estimated Value: $9,500.00
Issue Date: 6/20/2016
Expiration Date: 12/17/2016
PROPERTY ADDRESS:
Address: 334 N OCEANWALK DR
RE Number: 169463-1558
GENERAL CONTRACTOR INFORMATION:
Name: TROY RAY GUNTER ROOFING
Address: 816 Trinidad RD
Phone: 904-993-1572
FEES:
BUILDING PERMIT FEE $97.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $101.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH AL1. CITY OF ATLANTIC BEAC11 ORDINANCES AND '1'111': FLORIDA
BUILDING CODES.
Mt-
rs_1, BUILDING PERMIT APPLICATION
s
15 �� CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
' J;il>' Office: (904)247-5826 • Fax: (904)247-5845
iCo- RooF_ 14I, 1
Job Address: 3(/‘ DCeiW NI i&K DE S - 3../.133 Permit Number:
Legal Description RE# 1 Co`l 4 Co3 - 051 Pc_
Valuation of Work(Replacement Cost) $ 95-v- �'' Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial C eside i
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yesoj N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
tea-vooF Q
Florida Product Approval#Ft /00 711- 1Jir 1- /30 t-7.4 for multiple products use product approval form
5I4-4t1-L s 0'tq ppg v+yrrt f r
Property Owner Information
Name F rLC, gIV S Address: 33 bCF4� kJAL(A b S
City 4 i#(C E4'rf StateFLZip X10233 Phone gY? /`74--?/
E-Mail
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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.
Contractor Information: 9 ;„4„1.,.../Name of C m an a l v2�/'�oo (� I( ualif ' .......F7N ` e
�? �'(�� Q Agent:
Address: 1, ( -/C-/te li d' cl �'
l i� City ��� ate�Lip �Z Z t
Office Phone it OZ
' 9f 3 J 7 Job Site/Contact Number _
State Certification/ egistration# ..—;71—
o� O . 1 S-474( E-Mail r. AMIME • L,„_,-
Architect Name &Phone# no hA
Engineer's Name & Phone# h s n.c
Worker's Compensation 6oaP/ le 5--/(r S7 p0KC€ LEr5 &,D/o es
Exempt / Ins er / ease mployees / Expiration ate =�` r
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 sus ended or abandoned or a
period oJ'six(6 months at any time after work is commenced. I understand that separate permits must be secured for ctrical W rk,P1'•ing,
Signs, Wells,Pools,Furnaces,Boilers .e, anks and Air Conditioners,etc. /
Signature of Property Owner: '
11/A .t Signature of Contractor: �y�l ll/�� ',
Before me f �o"' L P 0, _ w; . /1
[his2t�4 t,Day of --WAR. `� - P ... �i Before me this"�d��. .y of ,V •a -�...'':•p '/I
Notary Public:/7:" T.
/
y Gomm EicpMec Z Notary Publi • !�'►Y Comm,Ex�es;
January 05,2020 • ,p. Nous F 9�4�,2020 ! S
I hereby certt&that I have read of
ez•imintd 11t0i Fif ?nji•. h?ow the same to be true and correct. All I?f OA:vans o laws Ziff(P l Z.
ordinances gate rningauthothistype
p violate of , *e complied 141�,. �thespecified
cified,state, of lot. The
law eatlattn cwt o�.•� r�•
petformanceofconstretction• iVic �i �F F1.�����
�•,/, O F fr roe Rev. 3/f4'e i/1111 i 00
!111111
Doc#2016138081,OR BK 17601 Page 2213,
Number Pages: 1
Recorded 17/2016 at 01:22 PM,
�-r�q +7��T�/-�7� Ronnie Fussell CLERK CIRCUIT OURT DUVAL
.LV 8 111LelE OF COMM COUNTY
RECORDING$10.00
State of LO 12 Df1
County of DVV L
TTo Whom It May Concern: Tax Folio No.
The undersigned hereby informs you that improvements will be made to certain zealroperty,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOT CB OF CO
p
Legal Description ofproperty being improved: R — MMENCB ENT.
Address of property being improved 3 3�-�"S��y � d C
•ceRAi h 1-40,./k C,t1 }-
General description of improvements: LK P S. 3 a 3 3. ��! 1 ,1e
`�'� - r�'o4 �i '•-� dr �L
Owner: 8rLL QyrA/ES-
Owner's interest in site of the improvement: Address: 33 6 6E� W✓�L IG 1)g- 3-1-2•
Fee Simple Titleholder(if other than owner):• 3 /�� `�r
Name:
Contractor: goy R4 444147-. --/<4U,4147-��
Address: /4____________________.! PA1-0 R_D
Telephone No.:..9_01_13- 9 3 � �� L �2 )..1 f
, / —�S7, Fax No;
Surety(if any) /Y I &•
• Address:
Telephone No: Amount ofBond$
Name and address of an Fax No:
yperson making a loan for the construction of the improvements
Name: A I t,
Address:
Phone No:
Fax No:
game of person within the State of Florida, other than himself,*designated by
erved: Name: owner upon whom notices or other documents may be
1d�
Address:
. Telephone No:
addition to himself, owner designates�the followingFax No:
3.06(2)(b),Florida Statues. (Fill ' t Owner's option)
Name: :t �j� person to receive a copy of the Lienor's Notice as provided in Section
Address:
Telephone No:
cation date of Notice of Commencement(the expiration date cis one1
ified):
( )year from the date of recording unless a different date is
i SPACE FOR RECORDER'S USE ONLY OWNER
Signed: 7,/ , APIIP _.
-.MC if
eo�PPY P��( Before ns:�;' day of— Date: C S� /6
Susan D.Ludlam Of Florida,has pe 'nallyappeared in the Co tyofDuval,State
/11 �" State of Florida' Personally Kno r
i. •.�� 4r MY COMMISSION#FF 103715N
roduced Identifica;on:
or
l'OCI�V F E%plret April-2,2018 My commission
ic:
;P ,,
commission expires: - i