175 Seminole Rd re-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 NE7tT DAY INSPECTION: 247-5814
306 INFORMATION:
Job ID: 17-ROOF-3081
Job Type: ROOF PERMIT
Description: RE ROOF SHINGLES
Estimated Value: $5,100.00
Issue Date: 1/24/2017
Expiration Date: 7/23/2017
PROPERTY ADDRESS:
Address: 175 SEMINOLE RD
RE Number. 170607-0000
PROPERTY OWNER:
Name: BIRDSONG, GREGORY ET AL
Address: 175 SEMINOLE RD 175 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: LOCKHART CONSTRUCTION &
,CRC002394
Address: 5380 TIMBERLINE DR 5380 TIMBERLINE DR
Phone: -
FEES:
PLAN CHECK FEES $37.75
BUILDING PERMIT FEE $75.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $117.25
PERMIT IS APPROVED ONLY PI ACCORDANCE WITH ALL CrFY OF ATLANTIC BEACH ORDINANCES ANO THE FLORIDA
BUILDING CODES
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845 17- Roc,-r- 308 1
Job Address: 175 SEMINOLE ROAD
Legal Description 10-8 17-2S-29E SALTAIR SECTION 1 LOT629
Parcel#
oor Area of Sq.Ft Sq.Ft
Valuation of Work$ cJ U Proposed Work heated/moled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of evsling/proposed structures)(Nrcle one): Commercial X Residential
Man existing sEErrnucc[taare,u a fire sprinkler system installed?(Cure am): Yes No NIA
Florida Product Approval# FLI0124.1 / P-L t S Z I Co
For multiple products use product app—rovaTform
Describe in detail the type of work to be performed:REMOVE AND REPLACE ROOFING
Property Owner Information•
Name: GREGORY BIRDSONG
City—ATLANTIC BEACH FLORIDA 32233
E-Mail or Fax#(Optional)
Contrmelor Information•
Company Name:LOCKHART CONSTRUCTION AND ROOFING SERVICES LLC
Address:5380 TIMBERLINE DRIVE JACKSONVILLE FLORIDA 32277
Office Phone 904994-3865 Job Site/Contact Number 9049943865 Fug
State Certification/Regishation# CRC002394 __. .... --
Architect Name&Phone#
Fagimer's Name&Phone# -
Fee Simple Tile Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
AMlhwvon is hereby made to obtain apermit to do the work and instillations ar Ndicared !certify thin no wwk w votallavan has cammetrced prior to the
aruaraceo apetmitandrhmallwwkwill be armedto meet the standards ofdllaws rega/ating construction in thisfurisdiction Thispermitbeeomesnull
and void wwk u rmt commenced wtthirt sit/ mONh.[w ifenamection ar wereAvuyended or atwrdorred for a p¢riod ojsix/6J monks at any vine a(ear
wwk b commenced 1 understand rhos reparare persons must be mcwedfw lJerbias/Ww*,PlundAug,Mgu, Wear,Pools,Farmrq Be"'m Nrders,
TonkaoodAb nre divI uncle do
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EWPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOM NOTICE OF
COMMENCEMENT.
Ihere rervfythat
llvtve read andexamirredthis opp(ma(ton andlrtaw lhesame fo be true we/cwrem. Allpravisiwu o(Iaws and ordimttces gmrmir�¢this
type_ _wwk will be cromplkd vith wlrether ss��cciJr"rd herein w not The gwrving of a permit does not prvsvme ro glue autharTry ro vio/are m cancel the
provtstow afmry other ma,wlacdlaw regufating mnstrumionwtheperjwmanre ojconetructiwt.
Sigrtmure of Owner Signature of Contractor
Print Name �.-FX=KFfh�1—
Sw ru to and subscribed before me Swotp and subecr' ed before me
th- Day of ,t 20 itis pay of
'yJ t trxx x[xoExsox
N My Comm.Expires Mar 5,2016
NOTICE OF COMMENCEMENT
(PRQ+ Nou,UckTE)
Permit No. Tax Folio No.
State of ft r Coumyof DUVAL
To whom it may concern:
The undersigned hereby Informs you that Improvements will be made to certain reef property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated In this NOTICE OF
COMMENCEMENT.
Legal descriptio,of property being Improved: 10-8 17-2S-29E
SALTAIR SECTION 7 LOT 629
Address of prop"being Improved: 175 SEMINOLE ROAD
ATLANTIC BEACH FLORIDA 32233
General description of Improvements:REMOVE AND REPLACE ROOFING
Owner GREGORY BIRDSONG
Address 175 SMNOLE ROAD ATLANTIC BEACH FLORIDA
Owner's interest in site of the improvement FEESIMPLE
Fee Simple Tideho6Rr(l other then owner)
Name
Address
Contractor LOCK ART CONSTRUCTION AND ROOFING SERVICES LLC
Address MOTIMBERILINEDRIVE .l KSONVILLEFLOMDA32217
Phone No. as - eaaa Fax No.
Surety(11 my) N/A
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan ler the consbuction of the Mpimmments.
Name N/A
Addross
Phone No. Fel No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be sewed:
Name
Address
Phone Na. Fax No.
M addition b himself oma designates the following person to receive a copy of the Llenoes Notice as provided in
Section T13.06(2)(b).Florida Stnutes.(Fill in at Owners option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration data is ona(1)yeartrom the date of reeding unless a
ddlerem data is speed):
TNISIMACE FORRECORDER•S USE ONLY Ntgi /J)
S19 DATE 4Z !b
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Number Pages: 1 mine and aCNaW
Recorded 0112412017 W 10:35 AM.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL •y�/ IAN(IE!;U�A
Wita
I1D
COUNTY
RECORDING$10.00
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