500 Cruiser Ln re-roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-3249
Job Type: ROOF PERMIT
Description: re-roof FL10674.1-R4 & FL9777-R2
Estimated Value: $8,600.00
Issue Date: 2/13/2017
Expiration Date: 8/12/2017
PROPERTY ADDRESS:
Address: 500 CRUISER LN
RE Number: 170703-0316
PROPERTY OWNER:
Name: MASON, WALKER
Address: 500 CRUISER LN
GENERAL CONTRACTOR INFORMATION:
Name: HAMMER TIME ROOFING
CCC1329983
Address: 13465 SOLEDAD CT DR ANTHONY BETANCOURT
Phone: - -
FEES:
BUILDING PERMIT FEE $93.00
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $97.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLOMA
BOLDING CODES.
ERmrr—APPucATiow - -- -_
CFTY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
p
Office:(904)247-5826 a Fax:(904)247-5845
Job Address: JPOo &wSer L/1/ Permit Number: 11- WOF 3aL{cj
Legal Description36�641 RE# /'70703 - 03 6
Valuation of Work(Replacement Cost)$ UQz Heate&Cooled SF Non-Fleated/Cooled
• Class of Work(Circle one) Ne Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercialesi tia
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes 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 performed:
Florida Product Approval# F110(-7,4.I-Ry •h�av� for multiple products use product approval form
Property Owner Information -777 2 un .t oya.c7 —
Name: I s Address: �� Al
City t c L StateCCZip as Phone L90t4) 291- 9649
E-Mail
OwnermAgent (u Agm4Powiu fAtum,.eaene LetusR uiredl
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 NOTIC7E OF COMMENCEMENT.
Contractor Information:
Name of Company: Marnreei I n,ol ane LLG QualifyingAgent: /7m'nen,i lleltn /-�
Address: 134b S City�Tr;,lr<,,.t.��l(i Stat ip
Office Phone U -9/4/cl Job SitdContact Number
State Certification/Registration# CCC 13 Aq 4 tz3 E-Mail
Architect Name &Phone#
Engineer's Name&Phone#
Worker's Compensation
emptInsurer Employees xpuahon Dah,
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
pp or he the nutenure ofa permit and that all work will be performed to meet the standards ofall laws regulating construction in this jurisdiction.
This permit becomes null and void if work is not crommenced within sic(6)months, or ifcoestruction or work is suspended or abandoned/or a
periodo(six(6,months many time afterworkiscommenced, lundsman, that separate permits meet besewre or Elecvkal Wor Plumbing,
Signs,Wells,Pools,Furnace,Boilers,Heaters,Tanks and Air Conditioners,etc y/
�Signatrtre of Property Owner:`; ZTOAOC� Signature of Con L/
Bef me ,�� }Y1
this Day of Ie AW AA n- Before me this l 3 Day of
Notary Public: Notary Public:
Conpnyyog M FF 207918
I hereby cert that I haveNvi.
f ��a kation sd know the some to be true on •o 11 proi�WlfbR�T.P({,[�(!
ordinances governing this YnsiW Whether specified herein or rat. in�p 66F.VV••/r79r
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resume to give authority te or Cance ny other fe ero/,stale, or lora 1 hngpWBa'0.1rkMRT 7984r
Performance afconstruction. i^;' .(Y,f gsxys�vxwnp�d�cUM•r ut•
NOTICE OF COMMENCEMENT
IPREFMa IN DUPLICATE)
Permit No. Tax Folio No.
State of 11,,.' d , County of Ty-
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: 35 —b N 17
S'nr_ S�a f
Address of property being improved:
Ail ht, /' IA133
General description of Improvements: Rc — )erre
Owner Wr_ l k1k er /ua So n
Add &Q C tr / ,44I - r_ A-j F/ Sad23
Owners Interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Connector / G
Address
Phone No. 17� ` �l/�1�/ Fax No.
l2) Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a lean for the construction of the improvements.
Name
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
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration deft of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specl9ed):
THIS SPACE FOR RECORDER'S USE ONLY OWNER 0
Sldned: J MTE�1/
Nfon me Cry or In Ne
pacA 2]170346dg,OR BK 17878 Paga 679. CouNyMpu'relahet Pbdd�au peso a appea a henln e2)
Number Pages'1 IamWWalr4411naKKreenem e�enM mm ell eexmenna
Recorded 02)1312017 at 01:45 PM, en true ane accunle H�Pr"' SHERRIE W.SALEN
Ronnie Fussed CLERK CIRCUIT COURT DUVAL A• CanmWhnq FF 207928
COUNTY Explfee May 4,2019
RECORDING$10.00
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