1771 Beach Ave 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
IOB INFORMATION:
Sob ID: 16-ROOF-2810
lob Type: ROOF PERMIT
Description: replace 2-story shingle roof with same - FL 10124.1
(shingles) & FL 9777.2 (underlayment)
Estimated Value: $9,712.69
Issue Date: 12/15/2016
Expiration Date: 6/13/2017
PROPERTY ADDRESS:
Address: 1771 BEACH AVE
RE Number: 169675-0000
PROPERTY OWNER:
Name: TRAGER, MITCHELL AND BETH,
Address: 1779 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: GRASTON ROOFING CO INC
Daniel R.Graston,CCCO58221
Address: 2680 FOX HUNT TR QA DANIEL R. GRASTON
Phone: -
FEES:
BUILDING PERMIT FEE $98.56
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $102.56
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMrr APPLICATION
CITY OF ATLANTIC BEACH
m 800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 • Fax:(904)247-5845
Job Address: r7 7 l32,9W RV r-- Permit Number: 110— "(F—a&I
Legal Description I Silo 04-.a&_A9e NR7in&j7lc_ Ecp a,vnl RE# I&9G, t7S— 000Q
WT3&
Valuation of Work(Replacement Cost)$4 / .& Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration epair Move Demo Pool Window/Door
Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?(Chale one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detaff the type of work to be performed:
AF&40E- ;. SWR, S)ftN64E ROOF OMLI W1714 SAKI= .
Florida Product Approval# L la 7 I SMt N PS for multiple products use product approval form
Property Owner Information 9�9?• 4 nnpfECi.dyNtrntf
Name: M 17CMLfL T2 AGER Address:" I 91FIC14
AVs-
City Al7Ldrrrtc tsitiM _Staley �]1�2 Phone 4ty/ XY9-o5?a
E-Mail
Owneror Agent Or,gpm,Power fAttarneyorAcue, �R,yaaxm
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 NOTI&OF COMMENCEMENT,
Contractor Information:
Name of Company: GAR8roiJ RooFlNe. e4l fnic.. Qualifying Agent: AAN/Et_ R 6Ph,%A-1J
Address: 1 City ftdT ors State Zip FL . 3RJS1q
OtHce Phone o 9 Job Site/Contact Number 'Lo 909 -3G&v
State Certifieatio egistration# Ccco5,?aAl E-Mail /,INH 48L7A&90404 •c>oM
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation Ftz SA SiF " SANViKe 1, PoW
xemPt nT surer l�ms<C p o�yea r'Exprmnon t�
Applimllon w hereby made m obratn a permft to do the work and insta!(ationr as indimted !ttrfify thN w work or imtallatian has commenced
or m rhe Issuat¢e of a parade and that all work w/a be performed ro meet the standards ofall Imw regtdating cxmreranion to the jutlsdicIme.
pThis pesmit become nu/!and w!d!/work Is not commeraod within sis(d months,or ifmnsnucaon or work is nded ar abandoned for a
period olstr(b)montluat any Nne after worktrrommenred. lunderstand that separate permit mus+be secured lerdrinf Work,!Hameln
Signs,qa''e//s,PPooAs,Furneca,BoG,e�rs�,Nea�trr�a,Ta�n/k�s and Afr CendUionera,de
Signatum oCProperty Oxver.l ' �-rh.x1/ ���Sigvature ofConnactor.
Befo l_
this Day of O'V L� Before me this 'fit Ih r of
61(o
�^ I
Notary Public: I'(/ Notary Pu61ic
I hereby certib,that 1 hair rad af d exawiilledt hcation a same ea he true and
ordinances,govergthis tye owott get pruricinrysg!(il waaaed
d frith .PiAipeci/t'�ed herein or nol. T ft(o`r § a/WypOl1A15siour ra4sotBt
presume to give autho yh to rmfare or nn r 1, - (dwt.o, Of •r7eral, .state,ar local!r 1y,4 qt u! :s .,mtAgrt(Eg+6pyy!ibeo
petfoT)antv of eanitnicaon.
L �q ^'I s fAlAlai5SI0IlV1407 1.' Bo di N ryPublk Underndan
�ORimlaam k FF03
NOTICE OF COMMENCEMENT
PERMIT NO.
TAX PARCEL NO. �(n 967S 'Ooao
STATE OF FLORIDA
COUNTY OF OGVAL
The undersigned hereby gives notice that improvements will be
made to certain real property,and in accordance with section
713.13 of the Florida Statutes,the following information is
provided in this NOTICE OF COMMENCEMENT.
Legal description of property(include Street Address,if available) THIS SPACE FOR RECORDER'S DATA
1$-I0 09-AS �aqF N471AM Ic— 69" NIT 14cT a(.17 1 E
General description of improvements R£ROD SHWblla ftuOF ON
Owner M 17CHrLL 71QAGF..0
Address 1771 BP.Atbf AVQ, A7LAN71L BEAnu ICL j1A22
Owner's Interest in sift of the improvement
Fee Simple Title holder(if other than owner)
B� Name
Address
` Contractor GRAa7oa1 RonF 16 Gc I
y Address Ul NO IvX1-lu Z 7RA14L SAINT TONNS F 1Ae'q
Surety
Address Amount of S bond
Any person making a loan for the construction of the Improvements:
Name
Address
Person within the State of Florida designated by owner upon whom notice,or other documents may be served as provided by Section
713.13(I)(a)7,Florida Statutes.
Name
Address
In addition to himself,owner designates
Of
To receive a copy of the Lienor',Notice as provided in Stolon 713J3(I)(b),Florida Statutes.
Expiration dam ofNofice of Commencement(the expiration date is I year from the daft of recording unless a different date is
specified.)
WARNING TO OWNER:ANY PAYMENTS MADE BY THE
OWNER ANTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE.CONSIDERED IMPROPER PAYMENTS
UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED
ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR
F pwna R nn s N AWnRNFY REFnRF.COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Doc N 2016285998,OR SK 17811 Page 2369, , _ ,�.. t1
Number Pages:I '>l 1 ,,-.X�c —P0 —L.
Recorded 121&MI6 at 12:33 PM, SIGNATURE OF OWNER
Rennie Fussell CLERK CIRCUIT COURT pUVAt 1<
COUNTY f \ TV ; t f ChC- t'1 ' ,"
RECORD NG$10,00 PRINTED NAME OF OWNER
SWC, TOANDSUBSDCI;IBEDB-ElFOR THIS I.111✓DAY OF �►sya\\- 06ra
ced
MYCOMMISION EXPIRES W
NOTARY PUBLIC