925 Amberjack Ln re-roof permit .S�t1PJ j.
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
J INSPECTION PHONE LINE 247-5814
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ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ROOF-3317
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $4,895.00
Issue Date: 2/23/2017
Expiration Date: 8/22/2017
PROPERTY ADDRESS:
Address: 925 AMBERJACK LN
RE Number: 171176-0000
PROPERTY OWNER:
Name: EASTERBROOKS, WILLIAM
Address: 925 AMBERJACK LN
GENERAL CONTRACTOR INFORMATION:
Name: SUPERIOR BUILDING INC, SUPERIOR ROOFING AND
RESTORATION, INC
Michael Robert Beard,CCC1330262
Address: 3143 Waller ST
Phone: -
FEES:
BUILDING PERMIT FEE $74.48
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $78.48
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 Roe-, Beach, 32233
Office(904)247-5826826 Fast(904 2124 7-5845
Job Acidness: 925 Amberjack Way Atlantic Beach, FL 32233 Permit Number.
Legal Description 30-60 17-2S-29E Rotel Plams Unit 1 Lot 22 Parcel# 171176-0000
4695.00 Foo'1�rlrea of�A�t 1300 mon-heated/eoof� led Z6
Valuation of Work S Proposed Work heated/eookd
Coss of Work let.[.oma): New Addition immmn Repair Move Demolition pool/spa window/door
Use of exieang/pronyosed strumure(,(circle one):, Commercial Resldentie
If am existing stru. re,is a Bre sp nWWer system installed?(Clock one): c N/A
Fforida Produm Approval# FL163051 FLt266L
For multiple products we pro uM approve orm
Describe in detail the type of work to be performed:Re-oof 17 squares Atlas Pristine 30 year shingles 9%2/12 Ditch.
. __t acnroyal#FL163051
Prooem Owner Information:
Nome: William Easterbrooks Address: 925 Ambedack Way
City Atlantic Beach Sore f&Lz p 32233 Phone 904-773J9a5
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:Superior Roofing and Restoration Inc Qualifying Agent Michael Beard
Address: 3143 Waller Street City Jacks Ajq& State mak_Zip 32254
Office Ph. 901-570.9626 Job Site/Contact Nmnber 904-731.8651 Fax# 904713-2T/3
Stele Conification(Registration# CCC1330262
Architect Nome&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR LEEROPERTY IF YOU INTEND TO OBTAIN NDER OR AN ATTORNEY BEFORE RECORDING VO—M NOTICE WITH
F H
COMMENCEMENT.
fhereAy xenN sail have madaM exw�lxadlM`�JolovoQl" uon ordbrow Ne.wmeln Ae nueaM rorvear. Allprvrvlxlnnx�IawxaNa govern4g this
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Sigrmlure of U`w`reI{11 Signature ofContraar' ,rs( p
Pont Name Y�f yl- .11-.-1.. lA�J-S:1-.(J-t-1/.1/-4w Pnm Nemok�L,\V.�L_
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Nu Day of f, this 33 Day of
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JERIKA A,VAZOUEZ JERIKA AR6a0CkAW6.10
NOTARY PUBLIC NOTARY PUBLIC
STATE OF FLORIDA STATE OF FLORIDA
Comml FF0445M Expjps FFOIASae
E1gJkes&11/2017 E>Qlhes&11/2017
Doc R 2017042568, OR BK 17886 Page 2345, Number Pages: 1, Recorded
02/22/2017 at 03:47 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
PRWAREIN WPUGTE;
Parma No. Tm Folb No 171176-0000
staleo, orida count., (TV
To whom it MY wncem:
The undaolgned hereby Informs you Mat improvements will be mads to certain real propony,and M
accordance with ax0on 713 of Me Flanda sea,ss, ,as foliming intamMlan E stared in this NOTICE OF
COMMENCEMENT.
Ledel desonpuon orpm.erh'eamg mewed: 30-60 17-2S-29E Royal Palms Unk 1 Lot 22
i Block 4
Aad,eaadgopedy be,rp improved: 925 Ambedack Way Atlantic Beach, FL 32233
G neraidesdiptarr of im myemenm Re-roof
o rer Wiliam Easterbrooks
Addr.925 Amba ask Way Atlantic Beach FI 32233
D'Anefa iht mt in sae of tM improvement Re-roof
Fee Simple TNeh.ldx lit dhe'Men owns')
Name
AdAe55
comractor Michael Beard
AdYess 3143 Waller Street JaCkSonude EI 19054
Pine No. 904-570-9428 Fax No. 904713-2773
Ssnoy(ifany)
Address AmWM dbontl$
Phone N.. Fax No.
Name end address of enyperson meMng a ban forlhe constnanion d9w impvrenwntc.
Name
Address
Phone No. Fax Na.
Name of poison-,thin the erste of FWida,other than hbnself.EeNy,Meel by center upon whom robots or dither
downientS maY be aeNW:
Name
mdreee
Phone No. Fax No.
In addition M himself,owner deslgnefes Me roman,,person to rauwe a copy of the Limors Notice as pno kad,n
Secden 713.M(2)(o),Flonda Shaun,(FYI In M Owner's option).
Name
Address
Ptwne No. Fax No.
Expiration data of Ndho o,Cdnrrwncemem Ithe expireJ.n data u we(I l tear from the deb d recording mim e
tlittarenl tlMe o speufiW):
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