1911 SHERRY DR - ROOF f S \J`1
• �� CITY OF ATLANTIC BEACH
Sl 800 SEMINOLE ROAD
J r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
0.319''
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-1686
Job Type: ROOF PERMIT
Description: tear off and re-roof with Certainteed Flintastic and GAF
architectural shingles
Estimated Value: $1,495.00
Issue Date: 7/29/2016
Expiration Date: 1/25/2017
PROPERTY ADDRESS:
Address: 1911 N SHERRY DR
RE Number: 172020-0820
PROPERTY OWNER:
Name: DEHATE, DELBERT
Address: 1911 NORTH SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN ROOFING OF JACKSONVILLE
Address: 1720 Wildwood Creek LN
Phone: 904-385-4375
FEES:
BUILDING PERMIT FEE $57.48
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $61.48
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND 171E 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 1 Co— '(LD Q F— Ito $v.,
Job Address: 1911 Sherry Dr, Atlantic Beach, FL 32233 Permit Number:
Legal Description 37-40 09-2S-29E SELVA MARINA UNIT 10-C LOT 9 Parcel# 172020-0820
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 1,495.00 Proposed Work heated/cooled 3303 non-heated/cooled 4285
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
installed?an existing structure,is a fire sprinkler system (Circle one): Yes No N '.A
Florida Product Approval# GAF Shingles FL10124 Atlas Underlayment, FL16226
For multiple products use product approval form
Describe in detail the type of work to be performed: Tear off and Re-Roof of a 325 square foot section. There is
about 8 sq feet of Certainteed Flintastic FL 2533 and the rest will be GAF Architectural Shingles
Property Owner Information:
Name: Michael Little Address: 1911 Sherry Dr
City Atlantic Beach State ELZip 32233 Phone 904-894-9163
E-Mail or Fax#(Optional) little.michael@yahoo.com
Contractor Information:
Company Name:American Roofing of Jacksonville Qualifying Agent: Daniel P. Kinkel
Address: 1015 Atlantic Blvd. #352 City Atlantic Beach State FL Zip32233
Office Phone 904-385-4375 Job Site/Contact Number 904.226.1205 Fax# 904.853.5318
State Certification/Registration# RC29027546
Architect Name&Phone# NA
Engineer's Name&Phone# NA
Fee Simple Title Holder Name and Address NA
Bonding Company Name and Address NA
Mortgage Lender Name and Address NA
Application is hereby made to obtain a permit to do the work and installations as indicated. I certtbr 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 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.
I hereby cert that 1 have read and examined thisplication 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 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 o e performance of construction.
Signature of Own;: '/% Z Signature of Contractor
Print Name micMel E/ia, Lu*/& Print Name Q,,,,:e.f Pjy/1/4"(
Sworn to and subscri•ed .efore me Sworn t and subscrsbe4l before me
this 22 Day of / ,20 /6,_ this Day of J ti - �?n I(!
,.. ° ?ri DAYNA H.WIWAMS
�/ a �� r';Af" P"' DONNA L BARTLE ' /,'I e.. V MY CAMMISSION i FF 217841
a
�, tON1Yff018392— i `�! � tN �:
ry =*; :ry Pu is =., f EXPIRES:August 7,2016
Ota Pub11C EXPIRES:May 14,2017 j '"~'
,•% „p;r`... 6orbad Thru Notary Public Underwriters
.'� Bonded Thru Notary Public Underwrde�
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No. 172020-0820
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance
with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
37-40 09-2S-29E SELVA MARINA UNIT 10-C LOT 9
mpo Xc O
1911 Sherry Dr, Atlantic Beach, FL 32233 m o g o g 8
Oz(•ag
2. General Description of improvements: o ;Z. o
=m co rn
Complete Tear-Off and Re-Roof rroo_
o r-t(1,) w
3. Owner Information: o X O
a)Name and Address: Michael Little, 1911 Sherry Dr N., Atlantic Beach, FL 32233 x. Al
a t b)Interest in 100% c- J
c)Name and address of simple titleholder(if other than owner): E
NA o
c
m
4. Contractor Information: o $
a)Name and Address: American Roofing of Jacksonville D
r-
1015
1015 Atlantic Blvd, Suite 352, Atlantic Beach, FL 32233
b)Phone Number: (904) 385-4375
5. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are true to the best of knowledg d belief.
ill,,,(tac,( E 1,+& 0c,in„
Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office
, 16
The foregoing instrument was acknowledged before me this 2 7. day ofji
20
•
by Michael 6/ia5 61-71/e. as 0 Ct1hei- for /vj t Chau! Elias 1141-le
(Name of Person) (Type of Authority,i.e.Officer/Attorney) C(Name of Party Instrument was Executed for)
i lied&ge,
�;y, DONNA E enRnE NOT RY PUB0
LIC , STATE OF FLORIDA
ii,.‘ t.aMY COMMISSION 4 FF 018392Av
t�Print Name: o n✓)G� G . aa.,---7L/e...
•-".."-di! EXPIRES:May 14 2017
,jtt;Sy. Bonded ThruNotary Public undenyrters Personally Known '
•
Identification'Type: F 9r/VeK L(C /I Se
(Affix Notary Seal Above)
Revised 2/01/16