1595 Beach Ave re-roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,Fl,32233
INSPECTION PHONE LINE 247-5814
REIROOF SHINGLE -
MUST CALL BY 4PIM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0041
Description: shingle re-roof-FL10124.R19& FL17401.1
Estimated Value: 16750
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 1595 BEACH AVE
RE Number: 1703130000
PROPERTYOWNER:
Name: BLACKARD WILLIAM R JR
Address: 3531 HEDRICK ST
JACKSONVILLE, FL 32205-9406
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SCHULTZ ROOFING COMPANY INC
Address: 216 N 20TH ST 216 N. 20TH STREET
JACKSONVILLE BEACH, FL 32250
Phone:
PERMIT INFORMATION:
Please see aftached 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 Reack FL 32233
Office(904)247-5826 Fax (904)247-5945
JobAddress: /3ea-CA ;qVe' #f/'f-" P ..iitNanober: 9-4-F14-604 I
('01 09 3 )4
7_T
Leks] Deicnp on D
vioor�or Sq.rL /tn 5-7--9-7 'q
Valuation of Work SZ25Z579 Proposed Work heated/Zoled=6 bnoinVtheatedl`cmiled
Class of Work(eircle one): Nm Addition Alteration iava--- �� Movv-�olition window/door
Use of existing/pro structure(s)(circle one): Commercial aidenti.]
If an existing struc Vre.,. fi
Isa ores er 9 ,miinstslled?(Circleone):�� N/A
Florida Product proval# -
For multiple panels use product approvaliform
Describe in detail the type of work to be performed:
Praperty Owner Information:
Nme:,)j 11'ain )1 - 0cardTv`- ildress: 3S�31 t7kot '-"C/< -S-7-
btate Lip
01 Phone
E-Mail orFax#(Opti
Contractor information:
Company Name: cia TI) .QuailLfying Agent; :1�0� It 5 R - Sc�,L�t
Citxjad�sowmg I:SgNute Fl. Zip :522 �,
�one'ACP,4 -QkAkp 3L31 Job Sim/Contact Number = Fax#
State Certification/Registration# cc� e- 9 00_(Q M�
Atchitect 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 apermut to do the work andmiallatkon att indicated f certify that no work or fastallation har commencedprior to the
is,mance�aperozft and that all work will bepe de,meet the vandards,ofoll lawt qulameg comtruclion in thirjurisdiction. Aisperoutbecoomantoll
andwid -mk&�acoemedwUhinsa(6,il�ma=nda.�ifco�cdonwwmkiys�rrndedorabandonedforr
warl To does eiriod qfsak
Tank=W 'I )mamths at any tmt:4.fier
.Zde=d oftat ,P-ove peona nout be eecuredjor Eledd Wonk�Plumbing.Signe; e1b;PuA ,,,Bullet,H
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 T I OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTO Y IBEF901RE RECORDING VOUk NOTICE OF
CEMENT.
I hely,cer*that 4 and.mmithi, ic a t e to be ave and correct All provbx�of
===' b le ft the, I t. i of a onit does net memne to gc�e a mf, g the
Illot toal.a lee. tract pe or e ofcanutruction. e
I�Sijmamm of Signatme of Cormactor
'AP,ntN., PrintName Abpdq,14� saaffe- ,
Swornto d ub77'rbe(meme to and subscrAmd before m
Sworn
f
this mlys Utl ...........20J -L Day of .2o n
"08�*CMOORE�'
Notmy Public I.-T An Notary Public I FF"
- 7?-='FFU3r7
My Z;M;S 7 �; Was"
Dft=
RE�Pl
EMRESJim,30,2019
NOTICE OF COMMENCEMENT
LPREPARENDUPLICAM�
Permit No Tax Folio No.
State of County of
TO Whom It May concern:
-The undiarsIgned hereby Informs you that improvements will be made to certain met property,and In
accordance with Section 713 of the Floinda Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal de cription ofprope enginninoved:
C"Ir
K 40�)' eT ('1-0 L/ 1 -7 r c6E—?a-41�9K-&5 t Z E�4�2 -,f
Address oftimperty iiing,Improved:
General description of mpm"hftMft. R e - goof'
Ow. —i C Ica rd
Address Ile P/ 7210,:�-
Owner's moterest in site of the improvement t- (:,v
Fes Simple Titleholder(if what Men owner)
Name
Address
Connector 6r.A LL I f z
Address a I ig A) . r1q, fie
Phone No. 71 V �f oe L/lxg -tJ.3 1 c7- Fax No. �LO Y V7-,--?l00P
Surety(if any)
Address ount of bond S
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Nam of person within the State Of Florida.otherthan himself,designated by owner upon whom notims or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition W himself,owner designates the following person to receive a copy of the Litema's Notice as provided in
Secion 713.06(2)(b),Fiords Staluft-.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration daft of Notice ofCormunicenum(Me expiration a I ne(I)yeartromth act unless a
different date is specified):
HIS SPACE FOR RECORDER'S USE ONLY
at
5 U
ce in
Doc#2017l2TJ`l9,ORBKIiNy]2 PageW, J,
Number Pages:I hi,n-111 r., I WS M1
RecordedOWI/2017at11:51 AM, raw
1. ExpimAprH24,2018
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
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