633 Orchid St re-roof permit . ?flyLJrc�
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
JOB INFORMATION:
Job ID: 16-ROOF-2489
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $6,500.00
Issue Date: 11!7/2016
Expiration Date: 5/6/2017
PROPERTY ADDRESS:
Address: 633 ORCHID ST
RE Number: 170818-0070
PROPERTY OWNER:
Name: MORAN, THOMAS E
Address: 633 ORCHID ST
GENERAL CONTRACTOR INFORMATION:
Name: GREAT WHITE CONSTRUCTION INC
,CBC1256245
Address: 4320 DEERWOOD TRAVIS SLAUGHTER
Phone: -
FEES:
BUILDING PERMIT FEE $82.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CRY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MILDING PERMIT APPLICA'k IN
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
,,I Office(904)247-5826 Fax(904)247-5845 t'(p
Job Address:��J3 (} )f11/A '�"+ trltA.(n.l-t Ft- Permit Number:
Legal Description ste H Wyu fty-g' Parcel#
Valuation of Work$ 04�W -pO FIOorea o 9 t, 9
Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Aheration epai Move Demolition pool/spa window/door
Use of existing/proyyoaed structures)((circle one): Commercial R
If"existing straeture,is a fire spnnWer system installed?(Circle one): No ®/
Florida Product Approval# 2
For multiple products use pro uct approve orm
Describe in detail the type of work to be performed:- ttKA(,eR)ji:�- 2 L-,Gf 51 2
Property Owner Information•
City State 7'r Phone�p4'"7 • Z n
E-Mall or Fax#(Optional)
Contr sips Information: .1 � '�m
Address:�7� t)nAr/tt Ya'9Q / tete Q sks Qu^li�"�A�nt: +�W,11S oq,(lA(dtIJLA
Office Phone _._. Job Si Coutac[Numbort�' lt[Sq Fta� —Zip
State Certification/Eteg/snation# l3Z.Cl0°I-1 '� O
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder No and Address
Bonding Company Name and Address
Mortgage Lend
be
yyr Name and Address
"motnee�ofoper Moot hf attoall tearkw�bras orated tommeerhe standards ofall as as tm regulating o�rugworkoi or hisjunsdiclion..Thupermiibe natesne,
and vatd fwark is not commenced that six(e�monfha,er(/construction or work is suspended or abandoned fora period ofsu/6J months of anytime after
work b commenced. I understand hat separate permits must be secw ed for BlecMrn/Work,Plumbing,Sima, We/is, pep/s, Fllrnnees,Boilers,Hemess,
Tanks andAtr Cons#ttonera,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.
/hereby,cerity that/have read and sxamined hu aappp/wathwandknowthesamerobetraeaodcorneae Allprovisiow oliawsand ord/nances govern
rype o)work will he comped with whether sppeeckled herein or app The granting of a permit does nm prerame tog auhmd fo amats a ca (t
provisions ofany otherfedew",state,or locallaw regulating construction or theperfarmance efcanormction. 41 .......
Signature of Owner Signature of Contractor �� 'eg�*?r;;+`r
,Print Name f/►� ��' "' -
�.. 'J.Q/2IQS .._�.-[/-Qk�A.f�I..._.. .........._... Print Name .�YQ�1�S' �µA,tx T; � o
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Doc 4 2016249795, OR BK 17760 Page 076, Number Pages: 1, Recorded 10/31/2016
at 12:25 PN, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT Folio No,
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NOTICEWARNING TO OWNER: ANY PAYMENTS By THE OWNER AFTER THE
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OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713.3 PART E
SECTION 71313. FLORIDA STATUTES. AND CAN RESULT W YOUR PAYING TWICE FOR
DMpROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
COWITH YOURLENDER OR AN NSULT rtOFIRSTTHE INSPECTION.BEFORE ComMfENONG WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT
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Re.i.ed 3115117