1040 Little Cypress Key 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-3436
Job Type: ROOF PERMIT
Description: re-roofFL10674-R12 & FL15216
Estimated Value: $12,249.22
Issue Date: 3/8/2017
Expiration Date: 9/4/2017
PROPERTY ADDRESS:
Address: 1040 LITTLE CYPRESS KEY
RE Number: 172027-5814
PROPERTY OWNER:
Name: Hood, Kay
Address:
GENERAL CONTRACTOR INFORMATION:
Name: ROGERO &WILLIAMS ROOFING CONTRACTORS INC
Jeremey S. Rogero,CCC1330387
Address: 883 Lawhon Dr ST
Phone: 904-518-5463
FEES:
BUILDING PERMIT FEE $111.25
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $115.25
PERMIT IS APPROVED ONLY M ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORWA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach,FL 32233
Office (904)247-5826 Fax(904)247-5845 u�/
.lob Address: 1�.4�_� �.�1 _ / Permit Number::/«.-�-0OF=3 IC
Legal Description -�L{0 { - �Up.�A�- Parcel# >7a Sof'&RR59
tin reap Sq.tt. -COI•I'-t`^Sq.FI ,�pp
Valuation of Work$ �a,a Proposed Work heated/cooled 12— non-heated/cooled M31
Claw. of Work(circle one): New Addition Alteration '-�a Move Demolition plod/spa window/dour
Useofexisting/proposed structure(s)(circle one): Commercial tial
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes NoN/AN/A
Florida Product Approvalti A:25/D(o7Y-Q/2 14Px6tC44 /
For multiple products use product approval termn��
Describe in detail the type of work t be performed: (J7"T b'' _f`� CUX
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T,v0On1 ,L)wng1:-11ann`atioo:
enc 1"f�L ----Address: YlJ`CV (,,1 TI YC,
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Contractor Information: n
Company ame: �fD d-t,Ult�Iwr.'j ebJICi Quali ing Agent: (.YD
Address: l5 City V 1r ate [.- Zip ZZ
Oftice Phone - -.S Job Site/Contact Number �n w La07-�8 • x#
State Certification/Registration el 011 l3BD 3S�
Architect Name & Phone#
Lrgineer s Namc & Phone
I'ce Simple Title Holder Name and Address_
fondmg Company Name and Address____ _
Yi engage tender Name and Address
Anal....non is hereby made to obtain a permit to do the work and installations as indicated /certify that an work or installation has commencedprior to
issuance ofa permit'and that all work will be performed to meet the standards ofal/laws regulating construction in this jurisdiction. This permit becomes
and raid i/ivork is nor commenced within ,ix(6)months, or if construction or work ars
pended or abandoned for a period ofsix/6J months at any time c
work Is commented I understand that separate permits most be secured for Own? l Work, MumbAg,S7gns, Wells, Poofa, fumaees, "Iers, Heat
TnnksandAir Condidenem etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
I'O YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
rnJ l u I I hnvl rood nod esundned
this'pin, mel Wur same to be true and,,oral(. III provnions'y la l f n g
yliel (h /eAror ,pr i red lerem or rat! Re .ling 'it pvrmir does not presume to gItI "odor ie m 11111111 . .-u. ,.
n,. ill d..rol ,vimell w egulunng canvtn tion art aper/ramamvaJ unnrruesion.
Signature of Own Signature of Contractor
Print Name tl0.t� _ -/.ap_a Print Name E.
..............
*�J yCc�ne
Sworn to rid subscribed before me Sworn to and subscribed bef re me
this_(� ay of_ .20 1� this 4�Da of 20��
_Tie, Noties
NOTARY PUBLIC Notary Pu NOTARY PUBLIC
STATE OF FLORIDA STATE OF FLQRI,DAcr1 01.26.10
Commit FF235532 Cmnmt FF2365'32 „
Expires 5/28/2019 Expires 5/2812019
Doc k 2017067200, OR RK 17893 Page 278, Number Pages: 1, Recorded 02/28/2017
at 02:53 M, Ronnie Heaeell CLERK CIRCUIT COURT DWP.L CCUNTI RECORDING $10.00
NOTICE OF COMMENCEMENT
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