1080 Little Cypress Key re-roof permit ?1'-Cllr
J� n, 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
JOB INFORMATION:
Job ID: 16-ROOF-2441
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $10,163.00
Issue Date: 10/31/2016
Expiration Date: 4/29/2017
PROPERTY ADDRESS:
Address: 1080 LITTLE CYPRESS KEY
RE Number: 172027-5824
PROPERTY OWNER:
Name: Willard, Jennifer
Address: 1080 Little Cypress KEY
GENERAL CONTRACTOR INFORMATION:
Name: ROGERO &WILLIAMS ROOFING CONTRACTORS INC
Jeremey S. Rogera,CCC1330387
Address: 883 Lawhon Dr ST
Phone: 904-518-5463
FEES:
BUILDING PERMIT FEE $100.82
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $104.82
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
Office (904) 247-5826 Fax (904)247-5845 j (p-ROO (:-- 2
.lob Address: _!Q�. jed Permit Number:
Legal Description - 0 $ 111,41101LParcel # -.__-
oor Area ot bq.rt. Oil V1
Valuationof•Wm•k$/O// 3-Onn Proposed Work heated/cooled 5--S non-heated)cooled� .Z.
rsoF
Clans at Work(eirele one): New Addition Alteration Repair Move Demolition pot l/spa window/dour
Use of existing/proposed structure(s)((circle one): Commercial Residen '
If an existing structure,is a fire sprinW r system installed? Cirle one e� N/A
Florida Product Approval # — CLu-f)mC�'tf ,elli n o j'L) 5-2-) 4!
For multiple products use product approval form pp,,
Describe to detail the type of work to be performed:
!Ygpc1:q OwOwner information:
,iulwn✓1'(!n.�.11��/{{�',_r_(�I�If rte_ Address:
.(l) _C"7"Lk?±t6_4'� JJZ31_Phone
F.-Mad or 1 cv Ti (Optional).____
Contractor Information: /
Company Name: Y I nej s? el, T Quali ing Agent: 05(!f7
Address: �/< 7 CiTy n✓1/ Y tete ZiP
Office Phone 5 Job Site/Contact Number S$'7�DFax# �'�
State Certification/Registration# CrG /3 30.2`K7
Architect Name& Phone#
F.oginert's Name& Phone#
I�ee Simple -flue Holder Name and Address Q �p 1/g, ir• /i• D� VA.� 3Z25—
Bonding Company Name and Address__
Mortgage Lender Name and Address
Applinaton A hereby roods to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to
issuance of a permit and that all work will be performed to meet the standards atoll laws regulating construction in this jurisdiction. This permit becomes.
and mid g work is not commenced within six(6)months, or ifeausmuction or work is suspended or abandoned for a period ofsu/6)months at anytime a
work i.s cnnmrenced I understand that separate permits must be secured for Eleddca/Work,Mumbing,Sign; Wells, Pools,Furnaces, gollm Neat
Tanks and Air Condihmers,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.
hrn•I s tdy(Ir titt nx nod and ccmuined Ihn applo,whm and know unison,In be true and cruiser :Illy i rs.�'lu I
k I h ....rind 'th uher4 sp.aired Merem ar rml. The graMmg nJ a permit dins nru pre un to Krsx mrchm ur
.,,, s n1.nr 11 jrdu !'sir xlo-m(lnw regnlu/tag cnnrtnn.tinn ar the prrfmmance n/cunstnu non.
Signature of Owner Signature of Contractor
Print Name A<(V I?VI.......w.l V .......... Print Name
Swotryyr to and subscribed before me Sworn tp�nd subset ed B ore me
this J C Day of O VfJao"1, .20 ) thisDay of, .Y
pc"�"'4�1 EDWARD EUUENE CALLAWAYJR r'/J°-.c/
�:y ti �.;'j MV COMMISSION PPF1a6072 Not 15iE \ PAUL ROlFRT CA46Is
EXPIRES Juna 24. om \ Con us s F�F�LaI.91:6
swats trona u re sem .can Mr Cment r 914MNQ11 LG
s JUIY 26, 2017
Doc R 2016249344, OR BR 17759 Page 1547, Number Pages: 1, Recorded
10/31/2016 at 09:25 AM, Ronnie Fussell CLERE CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
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NOTICE OF COMMENCEMENT
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