1978 Brista De Mar Cir 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-3230
Job Type: ROOF PERMIT
Description: re-roof FI-10124.1 & FL17188
Estimated Value: $26,000.00
Issue Date: 2113/2017
Expiration Date: 8/12/2017
PROPERTY ADDRESS:
Address: 1978 BRISTA DE MAR CIR
RE Number: '169506-1688
PROPERTY OWNER:
Name: PURCELL,KENNETH & STANTON JILL,
Address: 1978 BRISTA DE MAR CIR
GENERAL CONTRACTOR INFORMATION:
Name: Brink Roofing LLC
Caleb Michael Bruce Cross,CCC1330236
Address: 9951 Atlantic BLVD#303
Phone
FEES:
BUILDING PERMIT FEE $180.00
STATE DBPR SURCHARGE $2.70
STATE DCA SURCHARGE $2.70
Total Payments: $185.40
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)247-5945
Job Address: kc%_,� 'De V�� C�rc\* PermitNumber:
I LOT
Legal Description Yo-37 0-29-27E 1-1yi, A,4t 1442 4p,mi# 105016
Floor Area or Sti.m. Sq.Pt
Valuation of Work S 21,,600 Proposed Work heated/cooled non-beated/cooled
Class of Work(eircle one):
New Addition Alteration Repair Move Demolition pooUspa window/door
Use of existing/profond structure(s)�ircle one): Commercial (I�Sid�ti.
If an existing struc lure,is a firesprin er System,installed?(Circle one): -YEs--No
Florida Product Approval# �L
^1 FL 17 1 TT- txnArlsrmt�
For multiple products use "t Is �
Describe in detail the type of work to �e performed: Uml` wA',- Nr,%-Agulna�\ ,l,';vw
36 S-a ri�cl,
Property Owner Information:
Name: � ?Urc.,\\ _—Address, '4' cil�
City StateFl_Ziplita
�Phone 7DY-93S-C621f
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Qualif�rirtgAgern: G" cro.,jr
Address: �ukS'i ho�klr- ity _%'�AIL 16mov. —State P, Zip SzzS.
Office Phone (469 -10\ ALkSA Job Site/Cowart VnenberSo� ^ In# ai[t� r4-i LkIlLkt�
State Certification/Registratim#_(4C %33 0 7'&4 j F1V"_
Architect Name&Phone# gl �
Engineer's Name&Phone
Fee Simple Title Holder Name and Address—
Bonding Company Name and Address FE9
Mortgage Lender Name and Address
Application is hereby made to obtain a pemait to do the work andinsiallanions=indicated lcurtify that no ark or Installation,has commenoulpria,to the
usua a it and that all work will bepgrformed to meet the standlard-4--41am.1.9dalL e
and,7,d If.Zkrm. a commenced within six(6)months, or i(mustruction or work in thisjurudi,ti.m. Thorinermilbauntesmill
dn or aband,onedfor ne
aarku,nnamews I understand that separate Permits most be smaordfor Elminfea nork, Plumbing,Signe, eriod oftak)months at amu im;;II�ftar
Tanks and A Ir Codidavere,a. ills,Pools, macm,Rolleri,H ms,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU MTEND TO OBTAIN FINANCING CONSULT WYM
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y61jkNOTICE OF
COMMENCEMENT.
I hem,�'mH6 that I have mad and examined thbrication and know the same to be me and correct Allproolsons oflaws and oralmances governing this
be mmalifed with whether% d
==otherfide I to, I dwdhem rat due a ty to violate or cancel the
gloa, c . angr
tCfia�tof a��oj...��rursumw to gme authwi
r pe orma
Signature of Owroc. Signature of Contractor
PrintName Print Name C;
'_I�
Swo and subscr' before me Swo =it subscri
Mbeftle me
this Way of this mYDy &4 �20 4
EXPIRES OCtuber 31
M20
No c KITE q
ES AUN
My COMMISSION It OC41,13921 KIRE
OM=
"S'O"o
a
......��- EXPIRES Ochme,31,2�20 y 'dL ised0l.26.10
uoc W zul/vzol 'o' Ux � I/bt,41 Page 2441, Number Pages: 1, Recorded
02/02/2017 at 11:29 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTTCE OF COMMENCEMENT
Stateof rj-.t,.A Tax Polio No.
Cbuntyof D".�
To Whm It May ron;cm:
The undersigned ficreby imimms you that improvements will be made to cartain real property,end In accordance with Section 713 of
the Florida Statmes,the following information is stated in thin NOTICE OF COMMENCEMENT.
Legal Descriptionolproperty being improved:
Addressol'propertyl,cingimpravcd: 11*72 PYk,
Genotaldenoripbonofir,provements: i�cm+-
Owner. K� �Lrcsik Addrew: toll I &4k Zkv�-r
Owner's interest in site ofthe improvement A, Jiff)�
Fee Simple Titleholder(ifother than ownw):
Name:
Conotacna;
Addr.: -3 c" +,
Telephone No.: '701 R'k3'�t
Siurety(ifany)
Address: Amman ofBond S
Telephone No: Fas,N.:
Name and address ofany person mahng a loan for the construction,ofthe imIsruvemasts
Name:
Addntssi
PhoneNo:— I"No:
Name of'person within the Sure of Florida,other thm himself,designated by owner upon whom notices or other documenin may be
Im'A. Name:
Address;
Teleplunns No. Fan No.
In addition to hinnedt owner designates the following person to receive a copy of the I.Aenor's Nofize as provided in Section
713.06(2)(b),Florida Staturs. (Fill in at Owner's option)
Name:
Address:
Telcphone No: Fax No:
Expiration dam OfNotim of (fito cxpuldim date is om:(1)year from the date of rocording unless a diffiennut dane in
specifed):
THIS SPACE FOR 0 Y 0 RR'�
Date:
7tid, 7 t lthe
wore this yof CzuwyofDuvAI,S1&1xs
"bas
OfMands,lespersonaRy.ppeared
10 LESLEY ANN KIYE
WQ0W1S6*N#QG043Q21 Nosey PoW.t Lse.Swe of ofDuVaL
Pmd..d Identification:
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Inspection Type: BID ROOF FINAL
Address: 1978 BRISTA DE MAR CIR
Inspector:Jones,Mike
Inspection Date: Wednesday, February 22,2017
Result:APPROVED
Comment:
PERMIT IS APPROVED ONLY IN ACCORDANCE WETH ALL CITY OF ATLANUC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.