1303 Ocean Blvd 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-3258
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $7,500.00
Issue Date: 2/14/2017
Expiration Date: 8/13/2017
PROPERTY ADDRESS:
Address: 1303 OCEAN BLVD
RE Number: 171835-0000
PROPERTY OWNER:
Name: FordPhillips Properties LLC C/O Ford Miller &Wainer PA
Address: 1835 Third ST
GENERAL CONTRACTOR INFORMATION:
Name: HAMMER TIME ROOFING
,0001329983
Address: 13465 SOLEDAD CT DR ANTHONY BETANCOURT
Phone: -
FEES:
BUILDING PERMIT FEE $87.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $91.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMif APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
"'ortly^
Office:(904)247-5826 a Fax:(904)247-5845 �r7
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Job Address: ' aFQn LNV d Permit Number:
Legal Description Jo- ) 4- aS-a9��•r••�..��/y•y��nd'Lw 171 &-gs-0000
Valuation of Work(Replacement Cost)S�9 fedlCooled SF Non-Heate&Cookd
• Class of Work(Circle one): New Addition`/Atte n Repair Move .� Pool Window/Door
• Use of existing/proposed structure(s)(Circle one.——commercial Residential,
• If an existing structure,is a fire sprinkler system installed?(Circle one): ea No NIA
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Descri in detailthe type of work to be Perfo ed:
C46 h0f) )767f
Florida Product Approval# for multiple pmdw(s use product approval faro
Property Owner Informal 1-71—IK p
Name:Fr P ( Address: ( p.� �C� 9 161el
City State_Zip 3 233_Phone 3 2— f
E-mail
Owneror Agent (rnsem,PoaaorAuom mAjmcyl.aa Raquiadt
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.
Contractor Information:
Name of Company: iA. I�eJ f L L Qualit ¢rg gent: art.
Address: City G State Ztp
Office Phone 0 / ' Job Sit Contact Number
State Certification/Registration# 4 E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workees Compensation
zempt I Inm= I tsnasa Employ= Expiration Date
Ap licalion is hereby made to obtain a permit m wo
do the rk and installations as indicated. I esn�that an and or installation has commenced
vrPr so she issuance ofa perms and that all work will beperf rmed to meet rhe standards efoll lana regidafing cen lsoes on in this urisdiclion.
Thu perm: bemmas null and vold tf Cork u not commemed wlth/n ru(d)months, or ifcovtrucdon or work u aded or coned lar a
pedalo rx(b)months at any lime after work is commenced. I undersom that separate permio must be se< hd FBtetlrinI Plane cog,
es d/s,pools,Furnaces,Boden,Beaten,Tanks and Air a rdulonam de.
J
Signature of Properly Owner I Sigmtum of Contra
Before in -7
this 14, of II'' .. 2oi7 Before me this Day
Notary Public: tt. G�Jr1J.on,�_ Notary Public:
I hereby certify that I hate read na p r: the.some to be true and correct All p a sions o • and
orAinances governing 2 this Opt of s kyttss�rll be IAMW W n hrrl r spca//f'ed herein or not Thr Krnnting oJ'a perm'doe,not
Pre ome to give nut hori a to rio (q '6veeBY UONltak T/611n Inv_Irde l t....—.+= = r snuction ar the
performance of construction. :q� f EMPInES.August].AI9TeM aINI ESPERGER
;S' mama rnn ro�•rwevcuraa.u,. .fie' ti*. My COMMISSION YFF924RbV. 14/16
EXPIRES:Ooteber 5.2019
—_
i
NOTICE OF COMMENCEMENT
State of (I ('a County of
To Whom It May Coacom: ✓a I Tax Folio No. LLty.2J ()(k)1
The underaig ted hereby informs you that tnprovemsets will be made m certain real Property,
the Florida Skktee,the following iofamatioU is P PertY.and i¢accordance with Swtim 713 of
Legal Description ofpropetty b stated in this NQTJ HOF COM C
being improved: / •, I bb�/ S' '
Address ofPrOPmIY being improved: 130 n
General description of improvements; ,
t Dom_ l?G�0.7c-P
P Ir
OAnnvia
wner: Y R C Address ) ?() 3 x
CTCn A( o=�aS
Owner s interest in site ofthe unprovement.
Fee Simple Titleholder(ifother than owner):- �$ e
c�
Name:
matter.
tractor
� J C I/ ' 8 A0." O x A
Address: lilc msCmt _/ D'In v
TelephoneN
a
---- Far No: 0 3
Surety(ifmy) o a
Address: p
Telephone No: Amount ofBond$ o
----__ Fax 140:
Name and address ofmy person making a loan for the wnstiuction of the improvements
Name:
Address:
Phone No:
Fac No:
Name mfperaon within the Santa of Florida,Other than himself,'desigmkd by ovmer upon whom notior other documents maybe
served: Name: ces
Address:
. Telephone No:
Fax No:
In addition to himself, owner designates'the toile
913.06(2)(6),Florida Statues. (Fill in at Owmer•s opti� Person to receive a copy of the Lienm's Notice m provided in Seetion
Name:
Address:
Telepbome No: Fax No:
Bapimtion dam of Notice of Commencement(the expiration data is one(1)year from the data of recd
SP-4cd): king unless a different date is
TRIS SPACE FORRECORDER'S USE ONL WNER
Sigaspgj!t�
Be ( 1�of r F� 1`f o�Dl7
Y I(nownermmaOY It
aPPumd 'o tact, h'II'PC�tyofDuvd,
State
F o cedl
NotaryNbhc: W..U•o...a J i l lMS
My wmmiavm expirts: ?P' s MY GOMMISSIgJYFF 21]941
ir., !a E%PIKES: s ,2019
R„i'P't I1.' Bany4i�n WayPWk UMVMen
Page I of I
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t )� Print Date:
' 2/14/2017 3:41:23 PM
Transaction#: 3197616 •�`°"'"'�
Receipt#: 3105509
Cashier Date:2/14/2017 Ronnie Fussell
3:41:18 PM Clerk Circuit Court
(KJEWELL) Duval County
501 West Adams St RM 1051
Jacksonville, FL 32202
(904)255-2000
Customer Information Transaction Information Payment Summary
DateReceived: 02/14/2017
Source Code: BEACH
Q
HAMMER TIME ROOFING LLC Q Code: BEACH
Return Code: Over the Total Fees $10.00
Counter Total Payments $10.00
Trans Type: Recording
Agent Ref
Num:
1 Pavinents
IPI'-1 CASK $10.00
1 Recorded Items
BKPG: 1787712497 CFK-2017035938
(N/C)NOTICE COMMENCEMENT Date:2114120173:41:17PM
From: FORD PHILLIPS PROPERTIES
LLC To: HAMMER TIME ROOFING LLC
INDEXING 2 $0.00
RECORDING I $10.00
0 Search Items
11 Miscellaneous Items
file:///C:/Program%20Files/RewrdingModule/default.httn 2/14/2017