857 Amberjack Ln 16-ROOF-2760 roof permit 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-2760
Job Type: ROOF PERMIT
Description: re-roof with GAF HD shingles FL12328
Estimated Value: $6,520.00
Issue Date: 12/16/2016
Expiration Date: 6/14/2017
PROPERTY ADDRESS:
Address: 857 AMBERJACK LN
RE Number: 171181-0000
PROPERTY OWNER:
Name: WEAVER, MICHAEL J
Address:
GENERAL CONTRACTOR INFORMATION:
Name: TOWNSEND ROOFING & CONSTRUCTIONS SERVICES,
INC.
Randy C.Townsend,CCC1326289
Address: 10418 NEW BERLIN RD APT 115 QA RANDY CRISS
TOWNSEND
Phone:904-268-7310
FEES:
BUILDING PERMIT FEE $82.60
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $86.60
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
Job Address: 1657 A�iAc,� LAPle Permit Number. 1k6 V0yP--Q-+(00
Legal Description3L60 11-7-5-7-9E goml Ma s V..- '.1 LOV l5k`I Parcel# 1? 1 61 -06CO
yFfi>�of 3q.rL—S�
Valuation of Work S 6/520 Proposed Work heated/cooled non-hented/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro
(circle one): Commercial Residential
If an existing strucdi m is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida ProductApproval# 1 0 I Ly
For multiple products use pro uct approval arra ..
Describe in detail the type of work to be performed: Lo f KRO(tic 2vnw7 6A-F T, . bo✓/rk HO
Aig-6re 6mrd V rlajryuf FLIZ3ZS
Property O"er Information: L
Name: )"I .e( IJt-river Address, IdIW Buc+✓d' L'rorrr7 �na
City State dip XZ7.,6k-Phone
E-Mail or Fax W(Optional) .,r.�✓rr," ®tvm�s� c�r,+�A
Contractor Information: // p ti.. �LL '1 rr-- nn --�- f
Company Name-. I0Wr5daad RwTIn44�D*3Tfac�- 94Wc (Qpaf g_Agent: 9Akj Ipc,M O
Address: ID4IA r ' IIS City �LhL"u;/1 state _Zip 3ZZz
OfficePhone °I0N-648-5*`9 Job Site/Contact Number 6nk_ '72-'/479 Fax# a)04—AY5—s y.7.
State Certification/Registration# GLC t Z z LZ%j
Architect Name&Phone#
Engincer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application u hereby made to obtain a permit to do the work andinstallatlmu at bmanated I cert6 that no work or irudlatum hat commenced prior to the
issuance o a permit and that all wwk will be pe armed to meet the statdards ofdl laws regdadrg construction N fhisjurtadicNort This permit becomes null
and swld work is nm commenced within sir(A month,, or ifcaratrucdon or work is Med or abandoned forayertad ofsix/6)moilhs at any time
work is cammerxed. /uMerstad that separate petmitr must be securedjor E/Mr4V!Wark,PhtmWng,S/anr, Wr14,Poo1f,Pomace;Bol/ert,Heelers,
Tanks and Air CondmoneM eta.
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 resit'that/have readab ezamiredthis plication and Avow the same lobehs,eaMcarr¢M. Al/provisiwa oj'I ordimnces gocerrdrtg this
lygte M wwk wil!be complied with whetlrer speed/oerein or rtoG The granting of a permit docs not presume fo ori o'to, or ca. the
provtaiom ofarry other jederd,slate,or(xallw reguloMg couvuction or the performance ofcorotruction.
3igoetnre of Owner��R>r'�i Signature of Contracto
PrintName
Swam to and subscn'lled befom me Swom to and subs 1
thisL2 Dey of//1U/n/+ /Jnr 2 ! this sy of WMtM p
Notary PublicMCssia tsaymr►ta,tNf
ORSMWNSEND N Ic taws alaiY aiai
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MY COMMISSION i FFOM
!^Tiitila E%PRES:aena25,2018 e
�"saaP" BabEIMa AUEpINpry Servka
Doc f 2016274166, OR BE 17794 Page 2013, Number Pages: 1, Recorded
12/01/2016 at 01:07 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
IFnEPM1E IN( IGTl1
aarmeNo Tana Fob Np. 171181-0000
Steb d(tra. Caunba Owtl
To whom R may concern:
The wManmlpnad hereby Informs you met enproeamenn who be mads In certanin sad property,and In
accordance web aecaon T13 oldw nodde stabtn,the following Implantation la stated In Mb NOTICE OF
COMMENCEMENT.
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