830 Jasmine St Roof permit 'ri,ylrlrin .
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
... ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
706 INFORMATION:
Job ID: 16-ROOF-2083
Job Type: ROOF PERMIT
Description: RE ROOF WITH SHINGLES
Estimated Value: $7,066.00
Issue Date: 9/16/2016
Expiration Date: 3/15/2017
PROPERTY ADDRESS:
Address: 830 JASMINE ST
RE Number: 170927-2020
PROPERTY OWNER:
Name: THORNTON, MARC K
Address: 1015 ATLANTIC BLVD APT 353
GENERAL CONTRACTOR INFORMATION:
Name: ROGERO &WILLIAMS ROOFING CONTRACTORS INC
,CBC1254634
Address: 883 Lawhon Or ST
Phone: 904-518-5463
FEES:
BUILDING PERMIT FEE $85.33
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $89.33
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 nn ,�Q
(Office (900y4)247-5826 Fax (904)247-5845 I �j a-ROOF-ZO83
.lob Address: 1_ STItIT r"1� 3�a3 3 Permit Number: -------.-.
CJr �IAr*r�t& F N ID )-
LegalDescriptionla.>,d zg-a4-a�tL . 1K lt(4 ParcelN I /I f7//o�7 �ad l __ _
F n0or0t P"e a ot tq. t
Valuation of Works-2 0�O�l, —Proposed Work heateeats d/cooled�_ non-treated/cooled_
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Class of Work(circle one): C Ne Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing proposed structure(s)((circle one): Commercial esldenti
If an existing structure,is a fire sprinW r system metalled?(Circle one . s No N/A
Florida Product Approval # 1' 0 'ICl LAnG�fflat(rVq_ Qkico rcl5a1(e
For multiple products use product approval form /� I/
Describe in detail the type of work to be performed: QD PnQ f— .2( Sa Jarf s
c�
tti rinlolunc_l:rtyOwner
aYI AddIpp ,�
�etatei32e3 PhoneaOUa1
_ ( _
I-.Mail o, }ax k(Optional) ---•y
Contractor Information:
Company Na ne: ,I IOD76 610hC l.Ct'vl Qualifying Agent:- fPf/rnOss A/ C0
Address:.3 I City yang A t tate -nL3P L Zip 3t_2S�1
Office Phone - Job Site/Contact Number a61? ? -2 01P Fax# 8l/1,'y7l 1
State Certitica[ion/Registration# _P 133D 3sI
Architect Name& Phone#_
Lngineo % Namc & Phone#___— __ �
I7ee Simple fide Holder Name and Address k 7 O l I Om. 2ild �; _3t2,S?
Hooding Company Name and Address
Mortgage Lender Name and Address
Appficalian is hereby made to obtain a permit to do the work and isatal/ations as indicated. 1 cerf6 that no work or installation has commera:edprior to
issuance of u permit and Mar all work will be performed to meet the standards ofalllaws regulating construction in this jurisdiction. This permit becomes
and rind J w, kis nm commenced within sit(6)month. or ifcons ruction or work is s:rnded or abandamaijin a period ofsix/6J months a,anytime a
work ie cnmmrrtorJ f understand that separate permits must be secured far&ledricaf Work,Plumbing, Signs, Wd/s, Poofs, Furnaces,
Tanks and Air Condilinners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
inrrhv r qh that Is ry•read and n,sm.... this application aril know fM1e Burne fo be true and tnrrect. :I U pr .......J lus mdor,fioo,u,-, w"c
A it ill h rlied tifth vhether specJred herOn or not. The AraMi r, of a,o mil fines nnf,dela, m xn v t violet n.e'
o q.nr.tln r Ji t4nd, a n a r f uvr!law regulaf/mF m .vfruction or the perfrrman. of enmgruvnon.
xSignature of Owner �" )1 Signature of Contracto
Print Name Q/G ,,, /kd r^,.,TO rl Print Name ... _ . .. ..._ . -...........
.
Sworn to and subscribed befsre me Sworn to and subscri d be 20/6
this _Day of [ 120 /15 this Day of .+
►I1UL76iERl ZAISETT -._
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ERT CAE6EttA
Comm ssionN IFF a commission Is FF 39166
s•, 2 e,aaee Revved OL26.10
July
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July 24. Yp17 �
Doc M 2016211726, OR M 17707 Page 674, Nmuber Pages: 1, Recorded 09/13/2016
at 01:48 ETE, Ronnie Russell CLERK CIRCUIT COURT DUVA COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
PemR No. Tax FO:I.Na
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To wham X hey emern:
TM undersleetl Went Inf.you Met W hdo amends will M math W ceMn.1 W,M,,.In
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