2226 Beachcomber Tr re-roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
1 ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
�r
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30SINFORMATION:
Job ID: 16-ROOF-2495
Job Type: ROOF PERMIT
Description: re-roof
Estimated Value: $18,936.00
Issue Date: 11(7/2016
Expiration Date: 5/6/2017
PROPERTY ADDRESS:
Address: 2226 BEACHCOMBER TR
RE Number: 169463-0050
PROPERTY OWNER:
Name: WALTERS, ROBERT M
Address: 2226 BEACHCOMBER TR
GENERAL CONTRACTOR INFORMATION:
Name: K & D ROOFING & CONSTRUCTION
Robert Hile,CCC1325852
Address: 2758 DAWN RD SUITE 1 NE QA ROBERT ANTHONY
HILE
Phone: -
FEES:
BUILDING PERMIT FEE $144.68
STATE DBPR SURCHARGE $2.17
STATE DCA SURCHARGE $2.17
Total Payments: $149.02
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
—" S JILDING PERMPP APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beacb,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: Zu. �R �e-ern. Z c, P7,rmit Number:
Legal Description 6 Ce-,kN f✓oi f i- (" 1-4 ! safcel# / Q�q(P 3 OCJ�
rioorTreao�Sq.rt. q.
Valuation of Work$j (�Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of esisting/propoaed strn:xe(s�cixcla one): Commercial nb l(�t�
If an existing struccituurree Ss a sp r system installed?(Circle one): Yes No I
Florida Product Anpmval# U
For multiple products use product approval orm
Describe in detail the type of work to be performed:
Property Owner Information: /J
Name: F Address: l,?p8t=� f t7iBn hP� IT
F
City 4 Sts _Zip3Phone P��3��/J
E- or Fax# Optional)
Contractor Information:
Company Name: (Zuelifyin Ag,,=
Address (,a _ t. 4.i d Ci State Zip
Office Phone%, L Sti'f 'JOb Site)Co Number _ Fax# -
State CertificationfRRemstration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Bolder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application v hereby made to obtain apermit to da the workand inttallatloos ar indicated I certify that no work or installation has commenced prior to the
tssumtce ofapermU and that all workwill be performedre meet the,et dards ofall laws regda sqg cont adon to thisjurisatadan TTds pendt becomes nail
and votd if work is not contmeatedwithin six(6)months,or ffcorsbvctlon orwork Is sus h*d or abandonedforapviod ofsis((6)morrths at arty h'me ager
work u commenced I understand thin separate permits must be sensed jor E lL Plumbing,Signa Wells.Pools,fitrrmcee,BoUers,Heaters,
Tonlsandm,Condntottas,ete
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 FINANCINGCONSULT WrM
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU NOTICE OF
COMMENCEMENT.
Ihenbyaerttjythat/havereadardexamnudthia''aapp limYonandknowthesametobetrueatdcorrect AllproWffions oflaws and orilhamse goverrdng this
type oljwork wU!6e compiled with whetM spectleed herein or not The granting of a permit does not presume m give m¢horhy to Wola a or cmmel
the
,/provfatom ofarry otherfederal,state,or lord 7laaww regubUn conenuctton w the performance afconsuvclton
(Sigaatureofowner !� SignatureofCoatractor rl
Print Name 51,SAN f, L-ig25 Print Name 7 C
Swornd subscribed bgfort�q me Sworn to and subscribed
ay ofL Y 20 /6 this
rsl(,o�it`,, sy of GC��1p'Ci � ,20 1 4
Notary Public Votary Public �X�I�,
�pea'Y ROBERT HE,E t T, 4tn'.am.ER Revised 01.26.10
4,2017
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IOTICE OF COMMENCEN NT
(PREPARE IN DL'PLIGM) /-
PermitNo. Tex Folio No. I/L'�C�r�
State of FLORIDA County of Du �
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 Find do Statutes,the fol lowing Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal escri n o m,perty bein ad;
°�-as- IN's Kt4ZJ
Address tp proPe being im[pro�ved: C&61 Ai;n
General description of improvements:REROOF USING 50 YEAR SHINGLES
OwnerIq C PL Y
Address_7.2J 4 _ cunt ber ;n4
Owner's interest In site of the Improvement OWNER
Fee Simple Titleholder(If ocher than owner) hL
Name
Address
Contractor R&D ROOFING&CONSTRUCTION CO. INC
Address 746th Street South Suite 104 I olo villB ch FL 32250
Phone No. 904-541-1710 Fax No.204-369-3249
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the Stale of Florida other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy,of fine Lienor's Notice as provided M
Section 713.06(2)(b),Fbrida Sfahrtes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration daft of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a l
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWN@
gnM: ..li DATE I Z
aeras m ym int W Xy5<j
Cavyry orpu,Rvel.title orb da LIyelWeaw ID 13
Ooc#018255632,OR BK 17786 Page 1069, nlmzSSellm naaarcane ar,mam�N a1s6enaelmin ey �$6
Number Pages:1 ,rue ena a«urea
Recorded seel CLERK
at 12Pl
3DRonnie Fussell CLERK CIRCUIT COURT DUVAL are
COUNTY � � (
RECORDING$70.00
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