15 Forrestal 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
306 INFORMATION:
Job ID: 17-ROOF-3593
Job Type: ROOF PERMIT
Description: RE ROOF - SHINGLES 2.5/ 12
Estimated Value: $5,496.00
Issue Date; 3/27/2017
Expiration Date: 9/23/2017
PROPERTY ADDRESS:
Address: 15 FORRESTAL CIR
RE Number: 171747-0000
PROPERTY OWNER:
Name: PARKER. RICHARD & IDA,
Address: 15 FORRESTAL CIR
GENERAL CONTRACTOR INFORMA17ON:
Name: QUALITY DISCOUNT ROOFING LLC
Roger D.Zeigler,CCC1329885
Address: 1794 ROGERO RD
Phone: 904-396-5000
FEES:
BUILDING PERMIT FEE $77.48
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $81.48
PERAUT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND WE FLORIDA
BUILDING CODES.
BUILDMG PEHafn APPLICATION
Cm ov ATI-Awic BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fu(904)247-5945 1 -7- Roo4'- 3S9.3
JobAddress: Fn��al Or - Permit Number:
Legal Desscriptiou ';K)-yz) (v Parcel# tA -i
Floar Am of Sq.FL Sq]t
V.lmAionofWork$ v;1LAq(P P.p..dWork heated/csoled o.-hea(rd/rooled GI-1
W, Ref-Aacp�
N. Addition tT!L4 Repear Mow Demselition poot/spa cmdow/dror
Use oferisting/propossal structure(s)(circle one): Commercial 4�
Y. No J50
Florida ProductApproval 1(Dq-1C)
For multiple products use product approval form
Describe in detail the type of�ork to be performed: 'V
Ismoem,aer ib.-32, Sol 2- rL eA+ %bll
N
C7��� -A�
S
St
im�
ef
fL
LZ
_Z,,P_
pt
E-Mail or Fax#(Optional)
Contractor l.foruHj,,:
yNarac 9 t: r
C=�N..— g
A Ci stf ZiP'A2:L.0
to/ 93D�-
Job S W�Xmb� 'it ax
am 4�
"ifienti egistration#
...I N.&Phone
Engineer's Narat,&Phone#
Fee Simple Title Holder N...and Addncss
Heading Company Name and Add.
Mortgage Under Narne and Addass
12"a
R;
6.,��,�vc-fin �f� wont M."s, Sipes, Ross ft==
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 Y61jR NOTICE OF
COMMENCEMENT.
Qt
Signatmoffy-4 SignatorcofContruchar "I - ij
o_ E E �
E -
PH.,Name
S,com to and subscribed bcf," S.to and sabsbd before,me
this yet A 20 thi Day of cs
Not, Notary Pmo]Z��/ ' Revised 01.26.10
Doc # 2017061048, OR BE 17911 Page 2336, Number Pages: 1, Recorded
03/16/2017 at 09:45 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(MRAREIRMPLMIE)
permit No Tax F0.No.13-0-4-1--
Slalom
To whom It mm,concern;
The Undersigned Inneby felonies mu Mat Improymonts will In,made to tannin real properly,and In
wOmdahol with Whal 713 of Me Florida Inalutem,me following lodkommlon It stated In Oda NOTICE OF
COMMIENCENENT�
Lego dexedelim,Of PrOPWY being improved'
I ZAV
Games deserinflon Of
Owner-
Addro' '5 Clf �L
Ownes Interest in site of the esmonamed
Fee Simple THI.mld.(If other mwa�amv)
Nam.
Address--
C,,no,ne OLALITY DISCOLINTROCIFING LILO,
Add,ft,MI ST�AVGLXrTINE RD.JAC00WILLE,FL.3W
Fla.Ne.�4000 F11 No 8�9.6692
sandy(H any)
Address Amoomalbonelli
Ph..No. F�No.
Nam*and afte.s of any poreme hades,a low for the wNOd.a,the
Name
Add.
phor.N._. F.X.Np.__
Name 0 hereon WIN-IM Swf*of Florida.-Slal th-ft Wo,114r.d.slort.led by upon whom aroma
doOteramls May be Served:
Adc'.
PhOM,No ----Feet
10 addition to isnaelf the,followirg paixon to moaho a oapy of IN,Ltmor's Nolloo ax provided in
Seekal 713.03(2)ft Florida;SIMON,.(FBI in W OwaW.option).
Nam
mdra�
Ph."No. Fax No
Maned data 1.'.oihedy ;UR t-�
THIS SPACE FOR R�C—QR—GWs—A)SEONLY If
6
r al
--hoahby
,we 0 U