129 Jasmine St re-roof permit ?S I•,1`17jr,1
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
IOB INFORMATION:
Job ID: 16-ROOF-2331
Job Type: ROOF PERMIT
Description: re-roof
Estimated Value: $4,900.00
Issue Date: 10/1712016
Expiration Date: 4/15/2017
PROPERTY ADDRESS:
Address: 129 JASMINE ST
RE Number: 170848-5100
PROPERTY OWNER:
Name: COVELL], JOSHUA R
Address: 129 JASMINE ST
GENERAL CONTRACTOR INFORMATION:
Name: HAMMER TIME ROOFING
,CCC1329983
Address: 13465 SOLEDAD CT DR ANTHONY BETANCOURT
Phone: -
FEES:
BUILDING PERMIT FEE $74.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $78.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
51 CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
rt v� /gyp Office:(904)247-5826 • Fax: (904)247-5845
Job Address: (�( 1 145lMh)'k $t _ ,,P�rmit Number: F -Sal
Legal Description!(('y'13ff-05'2QF n.ogy B _ c A ALt$RE# Z708y8
Valuation of Work(Replacement Cost)$ %i* Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): re Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Resr
• If an existing Stmeture,is a fire sprinkler system installed?(Circle one): Yes No 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:
V-00\0
` (� Rc- Rra-oF sti1�51e sSinsl�
Florida Product Approval# t' 10 �.k' „ ` l��w - a for multiple products use product approval form
Property Owner Infoxmadon�^\cr*
Name: Joawe [ COVt��I Address:_ 102% ��� JG6
City 5 �; tt, Staters Zip Phone
E-Mail
Owneror Agent (IfAgmt,PowerofAummsym Agmwy Letter Reywred)
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: �; ,f U g ,t
Name of Co�mYypany:���� " ey 7tn,t (,([ Qualifying Agent: /t lk to 1Jef&ACdt1T
Address: raN64-'SetrlbA City Terl(aeaui/L_ __ State Zip r
Office Phone 4V 171 1 Job Site/Contact Number
�_�.�
State Certification/Registration# CCe13aQQ23 E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation iOh .1 YISu(GACr
xempt n Lease mh-Expiration Date
Application k hereby made to obtain a permit to do the work and installations as irulirated. l rerHfy that no work or insta!(ation has commenced
pnor ro the issuance ofa permit and[ha[a1!work wi!(be performed to meet the standards ofa!!laws regulating ronstrucdon in Ikisjurisdiction.
This permit beromes null and void if work is not rommenced within six(61 months, or if ronatruchon or work ms sus ended or abandoned for a
period o/'sic(6 months at any time offer work k commenced. !understand that separate permits must be secured leGrica7 'r Plumbing,
Signs,Welk,Pods,Furnaces,B ers,Xeaters,T ks andAir Con " ners,etc
''jam/Stgualure of Property Owner: s Signature of Contractor: ��
/ ' Before lye m
Ibis(�' Day of Before me this y_Da'Iy�of OCTOBER
Notary Pub Public:
NMery Puak Sbb al FbM
Pat A Mein
Thereby terrify that have read and ex a C fthe me tobe true an n
ordinances governing Phis type of worF e n yyI Get er spec ed, or not. rrfirftg na
presume to give authority to via ate or ra(, state, or lova `doth t r
performance ofconstruction. •ti.... eanar ^'N••s
ev.
NOTICE OF COMMENCEMENT
(PIEARE IN DUPLICATE)
Permit No. Tex Folio No. 110'
State of Comry of
To whom It may concern:
The undersigned hereby Informs you that improvements will be 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 desripti ang imP�ad: U .Vv
Y
/ gya
No 6 LAS^
Address of property being i prowl: �d ✓�h'1 h� 5
1.
+lan is ao 4 1,61.112?
General description of impmwfinents: / i— fi
Owner TOS LAG q Coi/.! l _ [sem
Address 7.0 '� S� t,. .aV�
Owners interest in site M the improvement
Fee Simple Titleholder if other then owner)
Name
Address
Contractor. 146mve, I i nA 9,44.s LLC
Address /.1465 5a/rc4Tac bujj//e
Phone No. Fax No.
Surety(it any)
Address Amount of land$
Phone No. Fax No.
Name and address of any Person making a loan for the construction of the improwarents.
Name
Address
Phone No. Fax No.
Name of Person within the State a Florida,other Nan himself,designated by owner upon whom notices or other
documents may be served:
Name
Add..
Phone No. Fax No.
In addition to himself,owner designates the following person to recoive a copy,of the,Lienor's Notice as provided in
Section 713.06(2)(b),Flonda Stables.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration data of Notice of Commencement(Ne iration date is one(1)year from me date of recording unless a
dieereM data is specified):
THIS SPACE FOR RECORDER'S USE O Y 91Q'NER
Mari C- -.�G/� DATE ..
e MeSehtln7t
Y.51 dFl pee ti fPBf%mally neseO �6n
Number ages700,OR BK 17742 Page 1(X34, tansem hisser"stems run cul atst.mane am oeoxalxms ksh.
Number Pages:l entmeeweraxae
Recorded 101142DJBat 11:i6AM.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL "potnyPubut,Sura a(yam�
COUNTY
RECORDING$10.00 • PelnpeA Kbm FV9W2
Rp[ltaaT. a C • la
W�
Pev+eY laxxm �
I1oEwed