2347 Seminole Reach Ct roof permit 14, rj' CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
_ ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-2686
Job Type: ROOF PERMIT
Description: re-roof FL10124
Estimated Value: $7,280.00
Issue Date: 12/1/2016
Expiration Date: 5/30/2017
PROPERTY ADDRESS:
Address: 2347 SEMINOLE REACH CT
RE Number: 168846-5730
PROPERTY OWNER:
Name: BOUDREAUX, LISABETH C
Address: 2347 SEMINOLE REACH DR
GENERAL CONTRACTOR INFORMATION:
Name: STONEBRIDGE CONSTRUCTION
,CCC1328917
Address: 12550 AGATITE RD CIA BRIAN HARDING VICK
Phone: -
FEES:
BUILDING PERMIT FEE $86.40
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $90.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLAM'IC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
4 �
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
J
800 Seminole Road,Atlantic Beach Fl,32233
C<onli�
Office:(904)247-5826 • Fast:(904)247-5845
Job Address: Xh I 2)irojnr1f bale +- PemtitNumber: lvuop -aw �fo
Legal Description !AL#-lQ7 �j - .--aqf, �Q(�' W fM(hRE#W
Valuation of Work(Replacement Cast)s ��to o p•dD Heated/Cooled SF 6D Non-Hmted/Cooled a3-1
• Class of Work(Circle one): New Additions - epair Move Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esidential
If an existing structure, is a fie sprinkler system installed?(Circle one): es NoN/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: htx,� a tll
p 1 "1 "I
Florida Product Approval# r L� I N 4 fm multiple products use pmduu approval form
Property Owner Information L
Name:� L YP�lite Address' inpp �Pflfj'1CT•
City QC� Stat Zip, Phone Q AB 101-
Owner Agent (Ifaeaat lrowa orhaomrymAgency utu ltmui4adl
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:
Name of Com y' Quali g Agent: -
Adthess: City State Zip -' p
Office Phone - - lob Site/Contact Number
State Certifrcahon/Registration# Cf�)q9 Rgl7 E-Mail 1
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation
amp[ Insum Lease tap oyes np,---m ate S
Ap�ahcatiC u hereby made to obtain a ptmat to do the work and installations as indicated. l certfy that w wark or installation has commenced - -
prior to the issuanre ofa permit and that.11 work will be pV'rmed to meet the standards ofatt laws regulating construction in this urudiction. `
pTehis permit becomes nufl and void if nark is not comnum within s��6)months,or mrutruction or work is suspended or abaManed{ar a
( )monfhsat any time aJ}erwvrk is commenced. 7unders+and thm sepamM iU must be.tecvredfor Electriee[4rm Plum3fr', a "1'
tg W osis,Furnoreg Be"ers,Heaters, Tanks and Air CondiBox3ns,eta m ; p
n y0m-
SBegnatureofProperty Own r0? -C�'[! 5 p!forqjnc -.,,L.�y p Signature of Contractor. f. €q ; z
this 1" Day of D2 F1 re me this of�MM41oY ..1110 @ : �n i
' MV COMMISSION kFFN6072 (� Z n
Notary Public. EXPIRESAuaustl0 20[ONa Public: i )pcntyOpp m gJ r mF
(40)399ol5 FbtltlallolaryServ-x.m � � _
I hereby cert th tl have read and examined this application and know the same to be true and correct. All provisions oflaws an u, y
ordinances governing this type of w ork will be complied with whether specified herein or not. The granting of a perm#does no
pretume to give au[ oriry m violate or conte/theprovisions;afaxy other federal,slate,or local law regulating construction or the
P ofconstructton.
Rev.3/14/16
Doc # 2016273398, OR SK 17793 Page 1820, Number Pages: 1, Recorded
12/01/2016 at 07:11 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(MaposE IN nUP1.ICATO G �F�
Permit No. Tee Falb NO. 10-51 W
Stated tf'11.� County of me
Towhom It may concern:
The undersigned hereby informs you that improvements will a made to semen nal prop",and In
accordance wish Section 713 of the Florida Statutes,the fallowing lnforma6e a le stated in MIs III OF
COMMENCEME . I1 /� ¢ -�_
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