2233 SEMINOLE RD #2 = ROOF 1# - s, CITY OF ATLANTIC BEACH
A 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
1.-) INSPECTION PHONE LINE 247-5814
JF31c)r�
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-1848
Job Type: ROOF PERMIT
Description: remove existing roof down to plywood decking, install new
tapered insulation & 60 mill TOP roof system
Estimated Value: $8,000.00
Issue Date: 8/15/2016
Expiration Date: 2/11/2017 _
PROPERTY ADDRESS:
Address: 2233 SEMINOLE RD UNIT 002
RE Number: 169519-0104
PROPERTY OWNER:
Name: SMITH, TAYLOR M
Address: 4118 ORTEGA FOREST DR
GENERAL CONTRACTOR INFORMATION:
Name: TOWNSEND ROOFING & CONSTRUCTIONS SERVICES, INC.
Address: 10418 NEW BERLIN RD APT 115 QA RANDY CRISS
TOWNSEND
Phone: 904-268-7310
FEES:
BUILDING PERMIT FEE $90.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 2233 Seminole Road Atlantic Beach, FL 32233 it oa 110 Q-ooF -1147
Legal Description Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$8,000.00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move �emolitio;pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Qfesidentia
If an existing structure ,is a fire sprinkler system installed? (Circle one): yes o N/A
Florida Product Approval # FL5293-R20
For multiple products use product approval form
Describe in detail the type of work to be performed: Remove the existing roof down to the plywood decking, install
new tapered insulation and a 60 Mill TPO roof system
Property Owner Information:
Name: Ocean Village Association, Inc_Address: 1825-A North 3rd Street
City Jacksonville Beach State FL Zip 32250 Phone 904-353-6555
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Townsend Roofing and Construction Services, Inc. Qualifying Agent: Randy Townsend
Address: 10418 New Berlin Road Unit 115 City Jacksonville State Florida Zip 32226
Office Phone 904-645-5887 Job Site/Contact Number 904-226-1384_Fax# 904-645-5442
State Certification/Registration#CCC1326289
Architect Name& Phone#
1 Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 tf 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. 1 understand that separate permits must be secured for ElectricalWork, 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 herebycertify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of law and ordinances governing this
type owork will be complied with whether specified herein or not. The granting of a permit does not presume to giv• hority to violate or cancel
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owners V t 4► •Signature of Contractor
Print Name .� jQ�E Rte C�c Print Name 1 { j
Sworn tpp and subscribed before meSworn!_.9 and subscribed before Tne
this t 1T"`'Day of �j , 20 L l_p this 11 Day of 1\ll_ U-LS , 201 LR
Notary Public K •
TURNER
' UE M
-'' MY COMMISSION#GG0026 7ised 01.26.10
CANDY DANIELS '• w �•'
EXPIRES June 15,2020
Notary Public,State of Rorida (407)3960163 FlorideNotertSwootoom
My Comm.Expires August 2,2020
Commission No FF 9914114
a
Doc # 2016186813, OR BK 17671 Page 426, Number Pages: 1, Recorded 08/12/2016
at 11:48 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. _ Tax Folio No.
State of Florida County of Duval
To whom it may concern:
The undersigned hereby informs you that improvements will bo made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following Information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being unproved: 09-2S-29E Ocean Village One Condominium.
Address of property being Improved 2233 Seminole Road, Atlantic Beach, Florida
General description of improvements: Roof Replacement Unit 2
Owner Ocean Village Association, Inc.
Addressc/o Marvin & Floyd Realty, Inc., 1825-A North 3rd Street, Jacksonville
each, FL
e50
Owner's interest in site of the improvement Fee s t arp i n
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor TOWNSEND ROOFING AND CONSTRUCTION SERVICES.INC
Address 10416 NEW BERLIN ROAD UNIT 11s JACKSONVILLE,FL 32226
Phone No. 984 645'5887 Fax No. 904-645.5442
Surety(if any) N/A
Address Amount of bond$
Phone No. Fax No
Name and address of any person making a loan for the construction of the improvements.
Name Fidelity Bank c/o Kristy Thorsen, VP
Address 10611 Deerwood Park Blvd., Jacksonville, Florida 32256
Phone No. (904) 821-3493 Fax No.
Name of person within the Stato of Fbrida,other than himself,designated by owner upon whom notices or other
documents may be served:
NRmA William C. Cooper
Address)4ti Hast Bay Street, Jacksonville,Florida 32202
Phone No. (904) 353-6555 Fax No. (904) 353-7550
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.08(2)(b),Florida Statutes.(Fill In at Owner's option).
Name N/A —
Address
Phone 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 or AGENT
(It gent,Power of Attorney or Agency Letter Required).CO I.
Signed i7,11.44.11„./.., OOat*:e I161 I.6
Wore me b . day o* 4.1.4A.81-- L LL)ti. in the
County of Duval,State of Florid has rowed).appeared
lTrr lee- E. la herein by
Nore661 hgtae6 a ale that II et merits true arca: e.
Notary Public at Large,S1 a,Sica�Ounty of jamAlat
My commission expires. / _
Pe'sonally Known or Produced identification Y!
CANDY DANIELS
Notary PuNie,Stets d Raids
MyComm.Ex iresAu ee2,2020
Canrnisalon No.F1401003