277 15th St roof permit CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
13 O.
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ROOF-3369
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $8,980.00
Issue Date: 3/7/2017
Expiration Date: 9/3/2017
PROPERTY ADDRESS:
Address: 277 15TH ST
RE Number: 170382-0000
PROPERTY OWNER:
Name: Lucca, Joseph A
Address: 277 15TH ST
GENERAL CONTRACTOR INFORMATION:
Name: TOWNSEND ROOFING & CONSTRUCTIONS SERVICES,
INC.
Randy C.Townsend,CCC1326289
Address: 10418 NEW BERLIN RD APT 115 QA RANDY CRISS
TOWNSEND
Phone: 904-472-4479
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $94.90
Total Payments: $98.90
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: Z77 15'-'4' S7` Permit Number-
61
_
Number
61 k7
Legal Description �/' r�W 00-/10 Z la(Z .
Parcel Ifo38Z-OdUO
Ioo�eaot i SgTt Sq.Ft
Valuation of Work S l0Proposed Work heated/cooled non-heated/cooled
Claes of Work(circle one): New Addition Attention Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial eutiaf�
If an existing structure,is a fire sprinlrler system installed?(Circle one): Yes NIA
Florida Product Approval # 10 1 z4
For multiple products use productapproval form 1
Describe in detail the type of work to bepey�t'otmed: Oo'F' �E' (Acewet 64F ,wlpr/�,1,e HP
Mo%s,vlre Un rlay/,2!t t FL- g--3z2,
Property`Owner Info/rmation: l
Name: Jo5t LNLCA Address: 7.77 1st S7
City x i t. State Zip 3zz33 Phone_ 3ot- '7n-17,55.
E-Mail or Fax#(Optional)
Contractor Information: I O n -� /
Company Name: IOW Wend f�eo1in94&.S�Ixc�iM grN(1>AT4" alify�mg Agent: 9AkjV lown5ejt0
Address: ID4lA Na+ tr :.. IIS City Ackraa•oVle State EL Zip '3zzz
OfficePhone 1104-05-5V7 Job Sitat Contact Number C(,n-s 47Z-4479 Fax# °log-Ars-sYy2
State Certification/Registration# L.LC1-4767,81
Amhitect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
App/icatian is hereby made to obmin apermit to do the work and imtaUatima as i ubeded lcmttfy that an work or lmmllafim has eoarmenced prior to the
metancceofapermitandthatallworkwillbep¢r(ormedto meet the standards ofdllaws regalatingconrnoction in dusjuniah,tion This permit becomes null
and void(work is not commenced within a&r6J monde,or ifcomtructian or work is sur nded w abmdonedjor a permd ojsic//6J mombs at arty time after
work&cammerxed !urdena nd that separate permits must be mitred for EledAra WonF,PattnMng,Sign; tda,Pools,Famaeee, Boilers,Hearers,
Tanks ondAlr Comditlonera,etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IWROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
lherebp cemfhm!have readaMeramiried this untionaM know Me same to be true and correct A/Iproviaiora oft ordiriarnra goserdrg dtu
type q work will b¢complied with whetl er spec'ied herein or rmt The granting of a perms dcea not presume to o violate w eaxel IM
provlsfom ofarry adierjederd,st te,al allow regulating rnmowetion wtheperformame ojcomnvction.
Signature of Owner Sigaamrc of Contracto
Print Name _ Print Name _ 0.n StKtF -
Swom to end subscribed before me Swom to +d subs 1
this "Day of cep* or' .201b this y t @01
rrr+amr
Notary Public ap�.^�••;ufaa e CM
TOMD 54 N tc
MY CCMMISSIC +FF09
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EXPIRES March 25,2018 Items e s
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Doc f 2016294617, OR BE 17824 Page 664, Number Pages: 1, Recorded 12/28/2016
at 11:11 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
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pemNNo. Tu Fow No. 1703824=0
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