570 Aquatic Dr re-roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J.
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-3114
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $4,500.00
Issue Date: 1/26/2017
Expiration Date: 7/25/2017
PROPERTY ADDRESS:
Address: 570 AQUATIC DR
RE Number: 171818-5190
PROPERTY OWNER:
Name: KNIGHT, R M
Address: 570 AQUATIC DR
GENERAL CONTRACTOR INFORMATION:
Name: HAMMER TIME ROOFING
,0001329983
Address: 13465 SOLEDAD CT DR ANTHONY BETANCOURT
Phone: -
FEES:
BUILDING PERMIT FEE $72.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $76.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL C OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
RUIMMG CODES.
Ff'.
BUILDING PERMIT APPLICATION
a
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
k Office:(904)247-5826 • Fag:(904)247-5845 17 -1700
Job Address: 5-7 Q ;(� Permit Norther:
Legal Description 2 -71 I -as-,)9EApitAr (xii&a5 !,F /1-CRE# Il1$ISC-519�
Valuation of Work(Replacement Cost)$_4/5T7D Heated/Cooled SF Non-Heate l/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of exisftng/proposed strut (s)(Circle one): CommercialRest tial
• If an existing structure,is afire sprinkler system installed?(Circle one): es 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 p ormed:
& -2 >u( sk, l sk s6 �)e
Florida Product Approval# /C*7 . I-9q for multiple products use product approval form
KO
Property Owner Infor`mnat 'rat(° - - n /1
Name: LUjilr1c, Kn Address: nO Mnt,rei-Flt IJt
City l State_Zip_2aaB_Pho�Ro a4e- �3q
E-Mail
Owner Or Agent (nAgm4pmvmofAtom mAgeacyr wRewu)
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
RECORDING YOUR NOIT GCrE OF CNSULT OMMENCEMENT.WITH UR LENDER OR AN ATTORNEY BEFORE
Contractor Information: �7 /� /�
Name of Company: KGn e l lT . 1G�rtf-ia I ZX Qualifying Agent: z4 �'ro n.0 [Sr'fz:Ker WA
Address: 13 1, City T.r kSr>atyState rp C( 3a�
OfficePhone 90 71 J_-G I vl j Job Site/Contact Number
State Certification/Registration# ext 1313-� k 2 E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation
xempt insurer 7 Tm-ployces 7 Expiration Date
1App(icatlon is hereby made to obtain a permit to do the work and installations as indirn[ed !certify that no work ar installadon has was.sced
// y or to the issuanre ofa permit and that a[I work wit!be performed to meet the standards of all laws regulating co�truction in It urisdictiae.
This permit beromes null and void ij work is wt commenred within six(6 nths, or if rosrstruction ar work nded or Boned for a
period o((s!x(d)months at any Brae after work is commenced I undersmnd Naf separate permits must be seta far ectrieoi k,plumb' ,
Srgag II'el/s,Pocks,fivnaces,Bailers,N ters,Tanks and Air ndhJoners,efe. -
Signature of Property Ow Signature oFContra
Before me a+yn�ti"'•.r ENNIFEa L.BENOETTI
this a Day of y{po, Before me this y Q
1 " cry u c- nle of FlwiEe
tri[ f Commbslons FF 901388
Notary Pub
1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of'laws and
ordinances governing this type of work will be complced with whether spe ' ape
rmu does not
Pr
to give mo on to v!o/ate or tante(the provisions of any other t construction or the
performance ajconstrucnon I .fi. MY COMMISSIONaFPs24s51
'P��' E%PIRES:Oolabor s,2018 R .3/l4/16
vubi=Unaenr;;ero
NOTICE OF COMMENCEMENT
IGREPrvRE IN CUPULATE)
Permit No. Tax Folio No. -?)g �9- 5-190
StateofU( G County of
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 prop"being improved: ' /7'a5 a qt
A;Mc C�0ens Lot /I
Address of property being improved: 144plcAC ( FL 32433
General description of improveme Intl:
Owner n
Add 670 Z fi c 1. Q 33
Owner's Interest in site of the Aprovement
Fee Simple Titleholder(if other then owner)
Nara
Address _
Contractor rt
Phare No.9M x 7/4, V1449 Fm No.
Surety(d any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a ban for the construction of Me improw mems.
Name
Address
Phone No. Fax No.
Name of person within me State of Florida,other than himself,designated by owner upon wham notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the followelg person to receive a copy of the Lierror's Notice as provided In
Section 713.06(2)(b),Florida Stables.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Canmencemend=piration date is one(1)year horn me data of recording unless a
different data is specified):
THIS SPACE FOR RECORDER'S USE ON IOWI E
agree: ( 4rDATE / -1
9a1we �� eYa M , htlw
Cpnry of Wval,Slab WFl he allyinierel
Doc#201]002866,OR BK 17833 Page 2108. Inr t,mA_ _ a �.. Herein ey
Number Pages:1 ntmem nerserc am eiar mal au alalemanbI
Recorded 01/05/2017 at 10'.53 AM, anbusanoaaurele Ronne Fussed CLERK CIRCUIT COURT DUVAL ENNIFER L. ENOTTICOUNTY _ NalaryPub5111.of Florida
RECORDING$1000 E Commbsiont
IF 901388
corn..Y W9e. EaDlr.s Aug 7.2019
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