442 SNAPPING TURTLE CT W - ROOF j-'.,- .
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CITY OF ATLANTIC BEACH
s, 800 SEMINOLE ROAD
J ;" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
0.H19
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ROOF-3404
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $10,600.00
Issue Date: 3/2/2017
Expiration Date: 8/29/2017
PROPERTY ADDRESS:
Address: 442 W SNAPPING TURTLE CT
RE Number: 169463-1084
PROPERTY OWNER:
Name: NAUGLE, CLAUDIA L
Address: 442 W SNAPPING TURTLE CT
GENERAL CONTRACTOR INFORMATION:
Name: D R Roofing Inc
, CCC1330709
Address: 10737 New Kings RD #104
Phone: - -
FEES:
BUILDING PERMIT FEE $103.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $107.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
III I I.1)ING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 (7 --Roop _ 34 01-
Job Address: 4` te Z -Sotlikflflc' 7'"'t fc. C-I° 1i'/ Permit Number:
Legal Description YZ- .7K 77 -43 - 4't C ouwwa •flc t,�.dlr 3 Parcel # 1 ``t `�G? --/o �`(
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ I d)( C '30 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration (epair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial 'esidenti.
If an existing structure,is a fire sprinkler system installed? (Circle one). fie N /A
Florida Product Approval # 10 fe 1`( - R 7 i 5 Z1 s- -- X -.Jo
For multiple products use product approval form
Describe in detail the type of work to be performed: 1< - Icd f
Property Owner Information:
Name: (Au,di--, Nh.KS Address: Y Y 2 S'Alotei' S .71.4 r era_ Cy 1."1
City Ai 1w41c Joa..C, State LZip 3L273 Phone fog?- 2N 7-'9 ?8'l
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: f) A Rt'f . � e4r.t "65•"i
p y Qualifying Agent:
Address: l ti.t 5).4-A 5.4 S'r. 1 City /144ft«(e Atm?. State r-1.- Zip 3 214 7
Office Phone 10'1- 05-T 64 1 Job Site/Contact Number Fax#
State Certification/Registration# C ( 7 78 709
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 a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void tf 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 commenced. I understand that separate permits must be secured for ElectricalWork,Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters,
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 herebycertify that I have read and examined this a plication and know the same lobe true and correct. All provisions of laws and ordinances governing this
type of ork will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,slate, or local law regulating construction or the performance of construction.
Signature of Owner6Signature of Contractor ,A-
Print Name C.1 i h tJC Ay<<- Print Name :1)-e-bOCR.L 3 cdsc`^
Sworn to and subscribed_before me Sworn to and subs ribed before me
JN,,k
this Z7 Day of '. Y7 , 20 /7 this Day of )etr Li-e. al ,20 fl
ci_e;voi
LINDA ALVAREZ
_ ti ' ,•7 DA ALVAREZ II
PURI IC
Notary Public _.o •? NOTARY PUBLIC Notary Public , �; SSTTATAER FLORIDA
_: `��=STATE OF FLORIDA ;�1•;+�'� ff874867
Comm#EE874867
• Expires 2/14/2017 Expires 2/14/2017
NOTICE OF COMMENCEMENT
PREPARE IN DUPLICATE)
Permit No. Tax Folio No. /
State of � ,, a[ County of P t, r/c
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:
tei' 7( J 7_ 5' Z9 E
O cear.i art( tk t/tftT J
Lot' 4,$
Address of property being improved: L(i•(Z SNtyP, �`tit"l� C-{ (AJ
.��,
`Z7 Z73
General description of improvements:
Owner Ct iq ��f(et_
Address qe( L S'arry ft1ry f ��,�r-rfe C t Aiii.'itt LA/ 7z2-77
Owner's interest in site of the improvement (°V 7.
Fee Simple Titleholder(if other than owner)
Name
Address [1
Contractor J k �•a.4
?..4f Address 4 /v i'c< C ,(y .fKr'7e �.f c-f(-T• Ai°i1� �/
(� 1 22 Y /
/�� Phone No. ?Wig- Y3s-^ (' Fax No.
1 Surety(if any)
Address Amount of bond S
Phone No. Fax No.
Name and address of any personermaking a loan for the construction of the improvements.
'v
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 N A.
Address
Phone 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),Fl ride Statutes.(Fill in at Owner's option).
Name
Address
Phone 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 ER Vief
Signed: .R�� • DATE /A Before ethis /1 day of Q,� ( in
County of Duval.State of Florida.has,oersonglly ppeared
Doc#2017049604,OR BK 17896 Page 1888, �t'a...a(i 9 ov v�-J t t_ herein by
Number Pages: 1 himself'herself and affirms that al state e� clarations herein
are true and acc ; LINA /Q V �)
Recorded 03x02!2017 at 02:42 PM. NOTARY PUBLIC ,Y1 p�C
Ronnie Fussell CLERK CIRCUIT COURT DUVAL STATE OF FLORIDA v_
COUNTY �'co;killi
:RECORDING$10.00 ••�• Comm#EE874867
•
Notary Public a ':"._ ate btXQirefrrr14 KV.of
My commission expires:_ f 7
Personally Known n or
Produced Identification
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