47 11th St re-roof permit CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
rJ �� 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-3429
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $22,500.00
Issue Date: 3/7/2017
Expiration Date: 9/3/2017
PROPERTY ADDRESS:
Address: 47 11TH ST
RE Number: 170271-0000
PROPERTY OWNER:
Name: HIONIDES, CHRIS & NADIA,
Address: P 0 BOX 330108
GENERAL CONTRACTOR INFORMATION:
Name: BELL ROOFING &WATERPOOFING LLC
,CCC 1330850
Address: 1126 Copper Creek DR
Phone: -
FEES:
BUILDING PERMIT FEE $162.50
STATE DCA SURCHARGE $2.44
STATE DBPR SURCHARGE $2.44
Total Payments: $167.38
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Building Permit Application
0 City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
'I p�Phone:(9-04)247-5826 Fax:(904)247-5845 I '�
Job Address: 4� W' St'- / II IO.rl.1iC arh 21�3 Permit Number:
Legal Description lij-1 Ila-�S'Ai At-&h Lots 1121 Pt Lot3 RE# 17n�971 -0000
Valuation of Work(Replacement Cost)$ r1aa 50 0 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
is Use of existing/proposed structure(s)(Circle one): Commercial 1esidentia
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 0
• 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 performed:
RCYYJO Ve R- Re place Sh ingle R0aP w/ CaR Fflr�hi tecfura/ S 1E51PS
Florida Product Approval It FL IO/d - JIRO for multiple products use product approval form
Property Owner Information
Name: r 0/7 Address: 47 off, street
city State-E( --Zip Phone
E-Mail
Owner or Agent(if Agent,Power of Attorney or Agency Letter Required) nLk)r)les r
Contractor Informationc. l I f
Name of Company:)%� (DOh"I alifying Agent I/I LtOrl61 Peel(
Address Ciry I nn Statelip .:?aoln3
office Phone - Job Site/Contact Number 90 r-a 2t4— 23R
State Certification/Registration# E-mail hrll ronfin Ga=i'1 ./n/Y7
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Extemp
Exempt/Insurer/Lease Empbyees/Expiration Doh
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 the laws regulationg
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDIJIONERS,etc.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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
RECUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent including Contractor) (Sign of Contnc[On
Signed and sworn to(or affirmed)before me this day of igned and worn to(or a trm d)before n e this / day of
Ma" 'Lo0 by C6,:5 k4F on', <a eSZ01 Z ' r
MARY ANNE :YFF
(Signat re of Notary) - y)
# 3 ;, .i MY CDMMIssICNrFF92a%t
'Ne Janua3a EKPIRES'.October6,2919
wramu.Arr� xann `:$.'r,'..y4: soMeAThrvNo'sry PueklMtlmnlen
[ ]Personally Know
I J Produced Identification [ ]Produced Identification A^O_$7/ a7,. / it/
Type of Identification: Type of Identification: ` 0 rO S—eA4
NOTICE OF COMMENCEMENT
iflc'PAQe ly JJPLICA�i
Permit No. Tax F.I.No.
Seta a Mame County of arvu
To whom h may concern:
The undanigned hereby Informs you that improvements MR M made to eamaln real Property,and In
accordance whh Section 713 of Ne Florida Statutes,the following information Is stated in this NOTICE OF
COMMENCEMENT.
Legal dasnlpden apaopero xis imprazd:Single Family Residence;Legal Desc. 6-1
16-2S-29E ATLAMIC BEACH IDIS 1.2,PT LOT 3 RECD O/R BOOK 6727-1735 BLK 42
A.Udresaaproperty bang improved: 4711TH STREET,ATLANTIC BEACH,FL 32233
Generei tlesaiption a'vnProvemenis:ROOF REPLACEMENT
owner CHRIS HIONIDES
Address
O.mers interest in sire utme improvement FEE SIMPLE
Fee Simple Titleholder tiff mar elan owar)
Name
-- Address
1:
C,,,= ]IOOFINC&WATSIURD)FING
Address 1126 COFFEE CRtZ DOVE MACxILNC
,p1.OR0)A 32063
Phxe No.Roe� Fax No.
Surety(tary)
Address Amount of bond 5
Phone No. Fax No.
Name and address ofany geison making a exam for the,oonstruedbn of the improvemems.
Name
Address
Phone N. Fax No.
Name apemon with.tie Sete or F a,other then harass.despnared by owner upon%Aom emices or other
documents may be served:
Nerve
Md.
Phone No. Fax No.
in addition to herself.owner desgnetes the fello,nng person to receive a copy stele Donors Notice as provMed'm
Sector,713.0E(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiraton aide ofNobee a Commencement(the expsadon date is one(11Yeer from the tlMe amccrdin,unless a
dykremdaorssPeafladl:
Dce#2017!15316:,OR BK 179)1 Page 1170, LY
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