470 Orchid St metal roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
IOB INFORMATION:
lob ID: 16-ROOF-2107
3obTYpe: ROOF PERMIT
Desciption: NEW METAL ROOF
Estimated Value: $12,527.00
Issue Date: 9/28/2016
Expiration Date: 3/27/2017
PROPERTY ADDRESS:
Address: 470 ORCHID ST
RE Number: 170869-0020
PROPERTY OWNER:
Name: RODRIGUEZ, ANNIE & EDUARDO J,
Address: 470 ORCH I D ST
GENERAL CONTRACTOR INFORMA77ON:
Name: Dale Tadlock Roofing, Inc.
,CCC1328417
Address: 1408 Capital CIR NE Suite#3
Phone:
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $112.64
PLAN CHECK FEES $56�32
Total Payments: $172.96
PERMIT IS APPROWD ONLY IN ACCORI)ANCE WITH ALL CITY OF ATLANTIC BEACII OMINANCES ANTI TE[E FLORIDA
BUILDING CODM.
City of A lamdc�Beach APPLICATION NUMBER- -
(To be assigned by the Building Department.)
I\ Building Department
)�'l 800 Sminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 - Fax(9),1)247-5845
E-mail: building-dept@coab.us EFDaterouted:
Cityweb-site: lrftip[/�vccalhus
APPLICATION REVIEW AND TRACKING FORM
Property Address: 477c) Qy_bAif�,, Sr &"nt review required Yetl-No
1
Building
Applicant: _T'�tojnCK Q0 P�-16, ,)a -Flaaang&Zoning
Tree Administrator
Project: PublieWorks
Public Utilities
Public Safety
Services
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept.of Environmental protection
Florida Dept.of Transportation
St.Johns River Water Managentent District
Aunny Corps of Engineers
Division of Hotels and Restava a
Division of Adcoholic,Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: RA/pproved. ElDenled.
(Circle one.) Comments:
PLANNING&ZONING Reviewed by: Date:9_016
TREEADMIN. Second Review: ElApproved as revised. E]Den-z.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Revievved by: Date:
FIRESERVICES Third Review: ElApproved as revised DDenied.
Comments:
Reviewed by: Date:
R.v1sed 07127110
BUILDING PERMIT APPLICATION OFFICE COPY
CITY OF ATLANTIC BEACH
300 Sesidneole Road,Atlantic Beach,FL 32233
Offim(904)247-5926 Fn(904)247-5945 -R00E- z( Qq
Job Addrew: 470 Ochid at. Penult Number:
Legal Descriptime 18-34 17-28-29E 2130 Aflanfic Beach Piano a 170869-0020
Valentine of Work a 12.527 "plum Week mued/coaled. ac"estOlicnioled.
r=of V
Clan of Work(chrele ow) C Near Wition Attention Repair Move Decordifinso poaVspa window/door
uie.findurn,io,ro Orm.;.)awmi, a):
N/A
FloridaProduaAsp—whl EL11551.19
Formultipleperes arm use prailuwt iipo-m-*Tlom
Describe in dewil the type of enwk to be performed rerwf 5:12 23SO
— Guff Coast Tuff Ribb Exposed fastener System
preenory fhv, 'a
None. ddn.. 470 Orchid Street
_8nnie&Medriguez
Car---AflachWailaab—Shift-E-ZiP-322213-Yhow (Q(7id)211�9AU
E-MailmFox#(Opronal)
CoUrn,tor Information,
con,pary Name Taclock Roofing (�bahpymg AV, Stan Bashir,
Addmm. L'ir, Jacksonville am R Lip--a29-�
offi,"m Job SibeCommaNumber ��Zw --yes N
CCC1n8417
Architect Name&Mom#
Engimn'sN.&Pho.4
Fm,SmapIeTftIeHoIdwNamewdAJdn,n_ _
Bonding Company Norm and Morrie
Mortgage Lender Name,and Adilreiiii
,,Lllalrts
WARNING TO OWNER: YOUR FAILURE To RECORD A NOTICE OF,
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IIKPROVICMENTS
TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR L NDER OR AN ATTORNEY BEFORE RECORDING VOMN NOTICE OF
COMMENCEMENT.
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Pro lon( 40 --jiAe- Prim Name I LA
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Doc # 2016210952, OR RK 17706 Pac
.to 514, Number Pages: 1, Recorded 09/12/2016
at 04:46 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY kCORDING $10.00
Permit No.z/6-kc-P-�?0-7 OFFICE COPY
Tu Folio NO: 00869-0020
NOTICE OF COMMENCEMENT
To Whom It May Concern:
The undersigned hereby inform you that improvements will be made to certain neid property,and in accordance with Section
713.13 of the Florida Staftmes,the following information is stated in this NOTICE OF COMMENCEMENT.
Description 6f property:SINGLE FAMILY RESIDENCE—Built 1997—COUNW
Legal Description: 18-34 17-2S-29E .200 ATLANTIC BEACH SEC H -
Street Address.,470 ORCHID STREET,ATLANTIC BEACH,FL 32233
2. General descriplionof improveirrents:ROOFING
3. Owner's Infomnation: Name:ANNIE RODRIGUEZ,
Addresst 470 ORCHID STREET,ATIANTIC BEACH,FL 32233
Interest in Property:
Name and Address of fee simple titleholder(if other than owner):
4. Contractor Information: Name:Bale Todlock Roofing,Inc,
Address; 1408-C Capital Circle NE,Tallahassee,Florida 32308
Telephone No�:(850)977-5516 In No.:(8SO)879-0289
5, Surety InIbimationz N/A Name:
Addrves7
Amount of Bond;
Tolisphonc-No. Fax No.(Opt.)
6. Lendor Information: N/A Name:
Addregat
7. Identit Telephone No.- Fax No.(OpL)
�y of person within the State of Florida designated by owner upon whom notices or other documents
may be served: N/A Nam:
Addreas:
Telephone No
S. In addition to hinuself,owner designates the following person to receive a copy of the Lievor's Notice as
Provided in Section 713.13 (1)(b),Florida Statutes:
NIA Name:
Addritais:
Telephone No. Fax No.(Opt.)
9. Expiration date of Notice of Commancementithe mpiration date is I year firom the date of recording unless different
date is specified) NIA
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE BXPIRATION OF THE NOTICE OF
COMMENCEMENT AR13 CONSIDERED IMPROPER PAYMENTS UNDJER 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 SITS BEFORE rHE FIRST INSPECTION.IF YOU INTEND
TO OBTAIN RNANCING, CONSULT YOUI LEND��011AN��TIORNEUYi BEFORECOMMBNCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT
0 at"A
S, 1 0 at's Authorizod Officar/Cilsaistor/Partner
J�
Irint Nam
State of Florida
County of
The Foregoing instrument was a0kridwiedged before me this I't I'.'day of AQ3(A'ja IV, 20 1 kc
By who is pevionally knownto moor has produced as
identification and who did/did not 1"ke an oath.
Signative of Notary
021219
6�'l W1-A I "I 1., 1.,. C
Prime,]Name E�Dhes JU08 6,2017