767 VECUNA RD - ROOF (---
, ,,,,,,„
,,
'� CITY OF ATLANTIC BEACH
td
4 lis.- - 'f
.' ' ,? 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-.\<:!___,011,_ INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0020
Description: SHINGLES 3/12 SLOPE
Estimated Value: 6781
Issue Date: 6/16/2017
Expiration Date: 12/13/2017
PROPERTY ADDRESS:
Address: 767 VECUNA RD
RE Number: 171326 0000
PROPERTY OWNER:
Name: KING MARCIA M
Address: 767 VECUNA RD
ATLANTIC BEACH, FL 32233-3929
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: J & M ROOFING SERVICES INC
Address: 2021 ART MUSEUM DR STE 115 MICHAEL ANTHONY
LOEHLER
JACKSONVILLE, FL 32207
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.
11
li
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address:7 Yep . 4U4 'cit3 F"L!9433 t Number: R R.F ( 7-00 ZO
Legal Description LgegiLfiRcirte u`�• 1- 2 - Parcel#3.1-o91 p —23-2 .—
�y oor rea of "'Sq.ht. Sq.Ft
Valuation of Work S WV.' / � Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair ove Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial esident.
If an existing structure,is afires rink er system installed?(Circle one):. s No N /A
Florida Product Approval#FLi01 - 8'
For multiple products use product approval orm
Describe in detail the type of work to be performe 16 ,f t'_/l / S re lit- 4(
...lia pk ) C chi +taProperty Owner Information:
rhea l V� ul `te
Name:. ti./ � a � Address: �( d�,, Kot,_
City :P.. i . . ►_�r
. MM State -, I' 2..3 Phone gin XX.5710 -
E-Mail or fax#(Optional a. 1' '. 7.Goon
Contractor Information: I 41
Company ►ame34 ..r/,. _ (�/�L•P-S Quail :in' Agent: ' ,,�►
Address: . �JAIA. I ,- +t'_ A. City SamaWE_ stale,��, ,�Zip.2) .1
Office Phone' ..' .. ' a ' Job Site/Contact Number Fax# 9vtr._st9 D20
State Certification/Registration # 24'51a _ __.___. --
Architect Name& Phone#
Lngineer'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. /certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes Trull
and void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six(6)months at any tion:after
work is commenced. I understand that separate permits must be secured for Electrical-Work, Plumping,Signs, Wells, Pools, Furnaces, Boilers,Heaters,
Tanks and Air Conditioners,etc.
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.
I hereby certify that I have read and examined this application and know the same to he true and correct. All provisions of laws and ordinances governing tri.
inn.igf work will he complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal.slate, or local Ian ulatin constructioperformance of construction.
/ / 1.4
Signature of Owner 1, __ A _. 'ignature of Contractor `y:
Print Name } ' Int Name �iOe��(T
[ I.�.�.lGt� . l.I •>
Sworn to and subscribed before me Sworn to and subscribed before me �� 1..,
this l� Day of ZI)r�� ,20 Il this lc Da of -aV.Jt . .
-- .O V P (� I.II.nV V V JAY�f11.GnJ
Notary Public`' 1 e•r ,�, Notary Public•State of Florida I Notary Pu IC MARCUS JAY AHLERS
1 ,2 .�� Commission $ GG 0?6302 I :Paine `� Jtrtti(XP1114��_'tMaot of Florida
''f''�''''' My Comm E.puu'c ecu 11.2020 s ' �� • Commission M GG 026302
" ...-• '• ..,r My Comm Expires Aug 31.2020