1988 Brista De Mar Cir roof permit AL
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:
lob ID: 16-ROOF-2807
Job Type: ROOF PERMIT
Description: NOC REQUIRED - re-roof FL 13308.1, FL 15692-R1, FL
5444-R10, FL 16160.1R1
Estimated value: $10,350.00
Issue Date: 12/15/2016
Expiration Date: 6/13/2017
PROPERTY ADDRESS:
Address: 1988 BRISTA DE MAR CIR
RE Number: 169506-1686
PROPERTY OWNER:
Name: Feeney, Jeanne
Address: 1988 Brista De Mar CIR
GENERAL CONTRACTOR INFORMATION:
Name: DUVAL ROOFING
Jason Scott Hursey,CCC1329716
Address: 10250 Normandy BLVD STE 102
Phone: 904-764-8050
FEES:
BUILDING PERMIT FEE $101.75
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $105.75
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
' BUILDING PERMIT APPLICATION
nn
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
nr:lp% Office:(904)247-5826 • 1":(904)247-5845
Job Address: 1966 17f-,S4Ds- M = ct'rde Permit Number:
Legal Description Let- i,; 16d 01 IJopfe r Uln+ e7- RE# 1 0Sot -)L$6
Valuation of Work(Replacement Cost)$ dl X350 Heated/CmIed SF Non-Heated/Cooled
a Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
a Use of existing/proposed structures)(Circle one): Commercialesidenlial
If an existing structure,is a fire sprinkler system installed?(Circle 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 detail the type of work to be performed:
0
Florida Product Approval# 41 t�3hjrj 4a
�- -Oear for multiple products uu product approval form
Property Owner Information R.X 6166 .1 rel
� Name: Address:
4� ! ADo
City St 4Zip x.33 Phone_&W-G 72 Hd
E-Mail .T( N� —i7�f)T1 Ca? ,44F Ab�7:
Owner or Agen[ (lrABrnr,P wrr Oraromry orAFolY toner aequireil
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 NOTIUE OF COMMENCEMENT.
Contractor Information:
Name ofCompany:l�k\X,Lt Qualifying Agent: t
Address:lity ne IL"1,11e State%ip '1 1
Office Phone qt .-1t U- Job Sit&Contact Number Q
State Certification/Registration# CPP,13a 9111e E-Mail
Architect Name&Phone#_ YJA
Engineer's Name&Phone# VfJ
Worker's Compensation ,o �t I
�l Eadn�p isurcr r"Lase mp r zpi iFn�
Application Is hereby made In obtain o permit to do the work and Installations as indicated. /mrlify that no nark or installation has rommenced
p r to the issuance of permit and that all work will be perfrued ro meet the standards ofall laws repdating nonaction in dysjunsdicans.
Y'bis permil becomes mdf and void rf nnrk k not rommwreed ni(6in srx tont or ifconstnrcHon or v»rk u sys nded o bandoned for n
period afsia(b)mortths nt any firne nfienwrk is rommenced. luedersr that se rote pemdrsrnuat be searredjore<Mm%Work Plumbing,
Signs,WWells,PPools,Furnaces,Bollen tars,Tanks on /r Condr C.
Signature of Property Owno Si um of Contractor.
Beforeye
this (5 Dayof an L Before me this r�Day of LPCR�C1
1I �
Notary Public: X� Li�r.Ita..e. Notary Puhlic1: �> �— (:!!A�
/he...... errti/c l4rt(/hire rcarland I......incl I/tisnpplicationandknitthesanefobe Inceandron'ece Af/provis'ionsnflmvsand
ordinances gm'eruin this n're o 1raA rrif!he cmn lied frith nbnher speci red herein nr nm. Thr granting of rt pnmu dues not
presume ro girt rtu ns of anV nlhrr f[• n'n/ .crnle, m'fnrnl law rr¢ulnhng cnnsnvclinn n'fhe
pnfornmrrce ajc.. COMM.
.:( r MYe@iWSSIGROF21MI �+d" ' "'•. TERRIILStlRv.
EXPIRES:AV"7,2919ArYCOMl11351pN REEBfi'.21]
,qG', ' 4nkllluu Wry Pu4ErFi0awren c'.y��t:.j
EXPIM.,o oast PUAlrt U*e
T'' 1 NOTICE OF COMMENCEMENT
1-
State of 0&({r County of 1 1 o s'-Y�_\ Tax Folio No.
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 Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description ofproperty,being improved: ♦ dF )/9Sa6- f68L
L-0+ qg tle m NAchP 1 UAI+ f-w
Address ofproperiy,being improved: /L�$$ Wf f5�t�' �e /nor' 'cLk Lart�'c Re 'k-C
General description of improvements: 9*— - 1ot
Owner. Address:
Owner's interest in site of the improvement:
/Fee Simple Titleholder(ifother than owner):
1 Name:
ontractor:-�,Ic"01 \ ,�
Address;
Telephone No.: l{- Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction ofthe improvements
Name: (1 }
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida St�tupg, (Fill in at Owner's option)
Name: A W
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is
specified):
THLS SPACE FOR RECORDER'S USE ONLY OWNS
Signed:' ate; 2 l$ Ib
--- ---- - ---_.- Beforo e s I$ dyof iv the Countyof oval,State
Doc N 2016265693,OR SK 17611 Page 1626. P•rsn en,K�personally appeared
Number Pages:l rodu ed Ideanfi honj�LyL 190D or
Recorded 12/15/2016 at 11:33 AM,
Ronnie Fusee9 CLERK CIRCUIT COURT DUVAL Notary Public
COUNTY My comrms5lon exp
RECORDING$10.00
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