790 Triton Rd roof permit CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
1 " ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30SINFORMATION:
Job ID: 17-ROOF-3203
Job Type: ROOF PERMIT
Description: replace roof system with FL7006.4 shingles & 2533 bitumen
torch down
Estimated Value: $7,500.00
Issue Date: 2/7/2017
Expiration Date: 8/6/2017
PROPERTY ADDRESS:
Address: 790 TRITON RD
RE Number: 171331-0000
GENERAL CONTRACTOR INFORMATION:
Name: QUALITY DISCOUNT ROOFING LLC
Roger D.Zeigler,CCC1329885
Address: 1794 ROGERO RD
Phone: 904-396-5000
FEES:
BUILDING PERMIT FEE $87.50
PLAN CHECK FEES $43.75
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $135.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORWA
BUILDING CODES.
Doc 8 2017028593, OR BK 17866 Page 991, Number Pages: 1, Recorded 02/06/2017
at 12:50 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
P-wk".. NOTICE OF COMMENCEMENT
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"FOYMEN S TO TOM PROPERTY. A NOTICE OF COMMENL•Rh1SNT MUST HE RECORDED AND
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CONSULT W1TH YOUR LENDER OR AN ATTORNEY EEFORH 00Mh SNCMO WORK OERIiCO.W.
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1 2-2,70 BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
/ Office(904)247-5826 Fax(904)247-5845 -
Job Address: 7q0 Tri a &g(l) 3aa 33 Permit Number: 11- 40 F- -Q O3
Legal Description 31-14 17:75-�Ip / ou/ < lntE 24 10+1-3 &t t{ Parcel# 0133%'4000
-ou Cr o fit:—lq
Valuation of WorkS7/S00 'DO Prop osOdWork
l�ahne¢a�tted/rnoled 7S, non-hested/cooledLS
(P�® t)
Class of Work(circle one): New Addition teeth n Repair Move Demolition pool/spa window/door
Use of ewsting/pr=p ,sed structures (cycle one): Commen:ial esi
If an existing structpre,is a fire sp�nkler system installed?(Circle one): ca No
Florida Product Approval# 70Ob,4 2,mnt- 2533 gla0 r3rT. 7wte/j -�araJf�,�rfso
For multiple products use pr i approvtom
Describe in detail the type of work to be performed:4211oJB &Sh* &Qr : c t clow Do-rv.7 r1d{[ h yid e
Jn!iiull VeuJ IIrzJ 3-rn8 Sh%fl4jisallf; I,rd �°g 21z P+Lh Fit+ Ha 1sa/v
Property 1 Owner formation:
u
xame:JCt 'asm. DaQ Address: /003 CLi,r/�a/1rl E
City A[Ktoy State6 Zip '37�,R/j Phone qn -7/0- &3.711
E-Mail or Fax#(Optional)
Contractor Information:
CorriparlAddressY Name' G�i{� o LCfI� m ns, Qualifying Agent:'=dam A. 2-e,;,i
City-' State L Zip g o�
Office Phone4sY-396- ao Job Sitet Contact Number 90d-led?-yy7y max#goy Y65-9D1e4
State Certification/Regishation#au-ja&9 8:tf
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain operant to do the work and installations as indicated I cert fy that m work or installation has commenced prior to the
b.mm�cc fa pe:.u.t wd dwY a!!•,nrl:will he pe meed to meet the standurds.l'all hews regulating construction in this jurisdiction. This permit becomes null
and mid f work rs wt commencad within six O monthe,ar iJmnsbuction ar xv�rk issuspe�der/ar obruw'o.aa[Iar penoJ ci siz/5'mont!v y Vrm.sass
work u commenced, l understand that separate permits must be secured for Elebnral Work,Plumbing,Sig,u, Webs,d furnaces,BoLers,. ;In
Tanks end Ab Conditioners,enc.
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 rerdfythatlhauereodanderaminedthis teatime and know the same to be true and correct 911provirime,oflaw,md ordinances governing this
rype al work will be complied with whether sped ed hcnme or mi. 7Re granting of a permit does not prewme to gtce authority to violate or towel the
provwou ofany otherfederal•state,or local law regukting consnvction or the performance ojconslruction.
Signature of Owner ItO.ALQ, q j1kh Signature of Contractor
Print Name .' .... ...-�.A... �. ..., _.l._.!.....' i.'L^_. Print Name Ctpl.....J.G...�.._.... ...I�CiC.._._......._...-.._-_-.:.._.
Swom to and subacpypd before me Sworn to and subscribed before me
this 1L Da of !-Lbi/G w, .207 this f,0—Day of j= di'0l7 _20
°t"y SHERFt J.CARUaa NO 6.CMUia
Notary P % Slats of FloridaN'. Nonny P'Sa SIMe of Fbtlrla
•F Commis .n M FF 227615 Lt�,
. - Commrs:-..�i s FF 227fit5ReVtsed 01.26.10
My Comm.txpiies MaV 5.'P'1
•,�" My Comm.tapires May 5,20'
9on0eElhouph NRlMa xaa•v M•n sped., pupa Natlolal Nda•s r.....