2233 FAIRWAY VILLAS ROOF 2017 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0026
Description: re-roof FL10124-R19& FL15487-R5
Estimated value: 5800
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 2233 N FAIRWAY VILLAS LN
RE Number. 169398 1078
PROPERTY OWNER:
Name: MANN LCHARLES
Address: 165 ARLINGTON RD N
JACKSONVILLE, FL 32211-7863
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: GREAT WHITE CONSTRUCTION INC- ROOFING
Address: 4320 DEERWOOD TRAVIS SLAUGHTER
JACKSONVILLE, FL 32216
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work,a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach,FL 32233
Office (904)247-5826 Fax(904)247-5845
Job Address: 2233 Fairway Villa LnN Permit Number: �6�F1�-bOa(o
Legal Description: Fairwa Villas LOT 39 Parcel#
oor rea ot Sq.rL. q.
Valuation of Work$ 5800.00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration (R12MD Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial R I I
If an existing structure,is a fire sprinkler systel Installed?(Circle one): es No (LfnnD
Florida Product Approval # - I tel'
For multiple products use product approval form � ,,,�
Describe in detail the type of work to be performed: (�tw
_ yF?
Property Owner Information:
Name: L.Charles Man Address: 165 Arlington Rd N
City Jacksonville State FL Zip 32211 Phone(904)721-1546 x 122
E-Mail or Fax#(Optional) 721-1582
Contractor Information:
Company Name: Qualifying Agent:
Address: OO Irls1/Y (f fQ City i%*. State Zips _
Office Pnone 1� .-Y1'L Job Site/ Number Rik 110 - Fax# A Siff- Ut%AA
State Certificatton/Registmtion#_(m Yt/ A^41
Architect Name& Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance ofa permit and that all work will be performed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null
.and void[f work is not commenced within sai(6)months,or ifconstruction or work is suspended or abandoned for a period ofsix/6J months at any time alter
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells,Pools, Furnaces,Bollers, He ers,
Tanks and Air Conditioners,eta
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.
l hereby cw ity that I have read and examined this a plication and know the same to be true and correct All provisions of laws and ordinances governing this
type o/work will be complied with whether speci red herein or not The granting of a permit does not presume to give authority to violate s cancel the
Provisions ofany otherfederal,state,or local law regulatin�Jca�mtraction or the performance ofcomtruction.
Signature of Ownev�. ,�-�/-�'�� Signature of Contractor
Print Name L c��hw-rt-[-5........................`..6�Y1........... Print Name
............................................................... ... ............ .. ........-..- ...
Sworn to and subscribed before Swom to and subscribed �or�� aIppee
this�Day of Jl IJ( e _ ,.20 1� this ' Day of �/.M�,( . .20 1,
Notary Public W t SNISTINE SNaT03 1e xaISTINE SANTOS
t Nanr Palk $IPie of FlariBa Noluy PUGS•ShIP 01 F1MM
Commission a GG 031300 COMMISSap i GO 031300 vtsed 01.26.10
MY Comm.Expires SPP 1B.2020 Mov,
MY P p Comm.Ex Ins Sop 18.2020
at 8:031AM4RonnieFussell933, EK CIRCUIT COURT DUVAL COUNTY RECORDING027 Page 498, Number Pages: 1, Recorded $10.00
NOTICE OF COMMENCEMENT
tPPwARE tN DLPLI WiEI
Permit No.�� Tax Fain NO
$t01G 01_P \ CWMy Of f.J_ -it
To whom It may concern:
The underslmind hanby Informs you that Improvements will le made to certain real property.and In
accordance with Section 113 of the Florida Statutes,the following bran lion le stated In this NOTICE OF
COMMENCEMENT. GJ
Lepai desalption of pmpeM being impoved: 2�n �r�.nt A✓1 \I n�\�1��`1 11/.
Address of property toeing improved:
General descdp6an of eraavemanh: I �� �•ltbe t,�,�+C Y2Wn f^`n^In` T`
Uvner',e 'AMt'1-
Add zZ33yW01 n
tesimeneef NelmorOvement Ill 7,
Fee Simple Titleholder(if other Nan Owner)
Name
Address
Corn::A' `�Q�„fix ATA
Adores !Y{�I, J JY1P}1XVl �.QA�Q 1UyA A0\ �gLt& �ZAb
Phone'a �',�ZS Fax No. _ K)df014V'1
Surety if any)
Address Amount of boad S
Phone No Fax No.
Name and address M any person making a loan for Ne construction Of the Improvements.
Name
Address
PMne No. Fax N0.
Name of person within Ne State Of Florida.Whet Nen himself,designated by comer upon whom hoboes or other
documents may be served:
Nerve
Address
Phone No, Fax N0.
In addition In herselfowner designates the fdrawing person to¢cabs a copy of Ne Liawf9 Notice as provided In
Section 71306(2)Ib).France Slattery.JPIH in at Owner's option).
Nem.
Address
Phone No, Fax No. j
Expiration data or None of Commencement(the exgration dale h one(1)year from the date or recording unless a J6{
Written ate is IPodded): N b tll
THIS SPACE FOR RECORDER'S USE ONLY OWNER d
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