1955 BEACH SIDE CT - ROOF -\,`l.
f- J;
s 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: 17-ROOF-2937
Job Type: ROOF PERMIT
Description: re-roof FL10124-R7
Estimated Value: $15,000.00
Issue Date: 1/5/2017
Expiration Date: 7/4/2017
PROPERTY ADDRESS:
Address: 1955 BEACHSIDE CT
RE Number: 169542-0580
PROPERTY OWNER:
Name: JURASIC, MATEO AND MARGAUX, *
Address: 1955 BEACHSIDE CT
GENERAL CONTRACTOR INFORMATION:
Name: SUNSTATE ROOFING CONTRACTORS
Theodore W. Alesch, CCC1330039
Address: 1946 BEACHSIDE CT THEODORE W ALESCH
Phone: - -
FEES: — - -- ---
BUILDING PERMIT FEE $125.00
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CiTY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845 ^ ^�
Job Address: 1955 BEACHSIDE CT Permit Number: I -►nnW 7 r—act 3T
Legal Description 42-1409-2S-29EBEACHSIDE LOT 20 BLK 1 _Parcel# 169542-0580
15,000.00 Floor Area of Sq.Ft. 3270 Sq.Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Qiesidentiaa
if an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 1(17/7k)
Florida Product Approval# FL10124-R7
For multiple products use product approval form
Describe in detail the type of work to be performed: RE-ROOF EXISTING SINGLE FAMILY RESIDENCE
Property Owner Information:
Name: JURASIC.MATEO Address: 1955 BEACHSIDE CT
City ATLANTIC BEACH State FL Zip 32233 Phone (904)626-8199
E-Mail or Fax#(Optional) mateojurasic@yahoo.com
Contractor Information:
Company Name: SUNSTATE ROOFING CONTRACTORS INC Qualifying Agent: THEODORE W ALESCH
Address:1946 BEACHSIDE CT City ATLANTIC BEACH State FL Zip 32233
Office Phone 904-945-5421 Job Site/Contact Number 904-613-6517 Fax# 904-247-9330
State Certification/Registration# CCC 1330039
Architect Name&Phone II N/A
Engineer's Name&Phone# N/A
Fee Simple Title Holder Name and Address
Bonding Company Name and Address N/A
Mortgage Lender Name and Address N/A
Application is 1 ereby made to obtain a permit to do the work and installations as Indic teal. i certify that no work or installation lras ommenced prior to
the tssuanee r f a permit and that all work will be pert caned to meet the standards ofaall laws regulating construetion in this junsdiclion. This permit
becomes null and void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six(6 months
at any time after work is comnienc•ed, /understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,
Boilers,!!eaters,Tanks and Air Conditioners,etc.
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.
I hereby certify that I have read and examined this ap lication and knave the.same to be true and correct. All provisions of lanes and ordinances governing
this type of work will be complied wilt whethgr speciep herein or not The grantin of a permit does not pDresume to give author,y to violate or cancel the
provisions ii]any other federal,state,or local law regulating construction or the perf ormance of eonstiuctwn.
Signature of Owner CArr' �I • Signature of Contractor
Print Name YOec) ,1% Print Name 11/Ne
Swo IgLand subs ib befor n Sworn to and subscr ed before me
i is ay of ►.', • 1 t this 5- Day of �U % .20 I Nq-
• aota ublic
a urlic
Revised 01.26,10
-44 w-- w
LJSAUTKOS ,sj9'�:ry ; JENNIFER JOHNSTON
4MY COMMISSION#GG 042984
�'�,.,�'__ MY COMtiASSION#FF 957813 .; s„ ;i:
• . EXPIRES:Much 16,2020 ;,;,�`Po EXPIRES:October 27,2020
'14 f6,f Bonded Tlliu Notary Pubic Underailers 1 '%sor r or Bonded nut Notary Public Undsm,tters
NOTICE OF COMMENCEMENT
State of FLORIDA Tax Folio No. 169542-0580
County of DUVAL
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 of property being improved: 42-14 09-2S-29E BEACHSIDE LOT 20 BLK 1
Address of property being improved: 1955 BEACHSIDE CT ATLANTIC BEACH,FL 32233
General description of improvements: RE-ROOF EXISTING
Owner: JURASIC, MATEO Address: 1955 BEACHSIDE CT ATLANTIC BEACH,FL 32233
Owner's interest in site of the improvement: FEE SIMPLE
Fee Simple Titleholder(if other than owner):
Name:
Contractor: SUNSTATE ROOFING CONTRACTORS,INC
Address: 1946 BEACHSIDE CT ATLANTIC BEACH,FL 32233
Telephone No.: 904-613-6517 Fax No: 904-247-9330
Surety(if any) N/A
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: N/A
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: N/A
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 Statues. (Fill in at Owner's option)
Name: N/A
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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Tara
Signed: , - - Date: t�-(1411 Se
Before me this f CJ�/ day of -,1!.77„,t=Lig, in the County of Duval,State
Of Florida,has personally appeared tr ► U..
Notary Public at Large,State of Florida, ounty of Duval.
My commission expires: Lc 140
Personally Known: or
Produced Identification:
Doc it 2017003096,OR BK 17834 Page 654,
Number Pages:1
Recorded 01/05/2017 at 12:17 PM, ;:y "'•s uSAUTK03
Ronnie Fussell CLERK CIRCUIT COURT DUVAL MY COMMISSIa h 16.57613
COUNTY j ti EXPIRES:March 16,2020
RECORDING$10.00 % Rett Bonded ThruNotary W66cUndernriters