1249 Beach Ave re-roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF NON SHINGLE -
MUST CALL BY 4PMI FOR NE)IT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROOF17-0012
Description: 18"CEDAR SHINGLES AND 3 PLY MOD ROOF SYSTEM
Estimated Value: 37250
Issue Date: 7/1Zt2017
Expiration Date: 1/8/2018
PROPERTY ADDRESS:
Address: 1249 BEACH AVE
RE Number: 1702920000
PROPERTYOWNER:
Name: BOENEKE DEMORY
Address: 7093 OX BOW RD
TALLAHASSEE, FL 32312
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: GRASTON ROOFING CO ING
Address: 2680 FOX HUNT TR QA DANIEL R. GRASTON
JACKSONVILLE, FIL 32259
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.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road ROOF 12- 0p i _z-
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@wab.us Date routed:
City web-site: http:/Avww.coalo.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review requi d -Ye—s —N-01
-building_D
Applicant: C-, R IN STOND R0 I&DC, -Plarming&Zoning
Tree Administrator
Project: Public Works
Public Utilities
N
3P � Ll ublc Safety
Fire Semi as
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
_�rmy Corps of Engineers
Division of Hotels and Restaurants
Diviision of Alcoholic Beverages and Tobacco
Other: — I
APPLICATION STATUS
Reviewing Department First Review: MApproved. ElDenied. [-]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREEADMIN. Second Review: ElApproved as revised. E]Denled. [-]Not applicable
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: DApproved as revised. []Denied. [:]Not applicable
Comments:
Reviewed by: Date:—
Revised 0&1912017
T, Phi HP PFAR117�
Building Permit Application
City of Atlantic Beach
M Seminole Road,Atlantic Beach,FIL 32233
Phone:(904)247-5826 Fee (504)247-SUS
Job Addrins: J�VI I'L Permit likkel 0 (D
Legal thescrodish Li 14�J f. &&&5 1 AA4O7,Ri a&W -REA
Vabratkon Of Work(Restatement cost) LQ_ SIP—likes-H�/�CW—
• oneliffWark(clecki New Addition Aftimittian Firm, Move Damn PORI Window/Don CRW7__It�
• the struclunds)tarche one); Commembi-1.1
• fars existing,ansicture,is a fire Reinder abon Installed?(Order werf! Vio, NO N/A
it IE a
0 ? pis laoss"5SIS-4"
Florida Product MRsusal 0 SEE 17WORsind f,o on.1fiPle Pholost,OR PhOdast appirseall form
Pm�Owers,Inficamainks,
Name FIRMOied E.Em� —Md.: '7091 SIX 8-01RA
City TA"NA�� sm. Ity DR 111-AIJL ft..
E-Mail
Owner or Agent Iff Agent,Powers,of Moroi or fieverict,Isetin Requirson
connector InforanselE,
Nam of compi r�Awasl gdho,�ma, 0 Nc_ "ChalifyingAgni 011efrIE4 R GRA520i
"red. A&RE) �- MUPXI hKAeL cm, FL ap sea�
OffivilPh.he (11o� A?7-0,15e —into Site/Onater I%T -�4
StateCeraicalknil/Renstrivill Q�0542401 E-Ailiall nNqa,I A.OZZ7,
Assrhilasct Name&Phone 9
Engrober',Nimse&Phone If
Is
ownrill.—IL—OrnewhIciensinnes
",ficificen Oberst,mad,W hinstri-Permit to do the work and Installations as indioned,I certify met no work Or Installation has
isommenced Pro,to the Issuance of a Raising and that.11 work will be nefismardl to meet the mandisid,di the irwenarshe'rong
construction In this KrIefiction.I understand be,a ke,nale Fisher...be secured For E LECTRICAL WORK,PLO MRING,SIG NS,
WELLS,PIREJ FURNACES.BOILERS,HEATERS,TANG.and AIR CONDITIONERS,OL
OWNEWS AFFIDAVIT:I coon,that all the foregoing information is accurate and the all were wil be done in orophance with all
appliesole laws negotiate commotion and mining.
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,CONS WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDI YOUR Oh)CE Ok C MENCEMENT. a. �
Rd I�_ �
Nionersoltballoo,evener lice (�— col
Signed Rod..to I.,affirishol earth 9".rd.t.(ona Rese of
by
(%greewederrom)
n'okc,sci
V�.'_-R,Known OR Inn-11,Known OR
[ I".dereffloton 9"d—d demillessfiess
T,,of onniftlecon O-11"ishor, Gr,73-06-49 -iDS e
BAMFtA CARROLL STRAIII]
- MY COMNOSSIONIFFF963686
EXPIRES lr.bh�.,23.2111
si 11 Fk
Doc # 2016186493, OR BK 17670 Page 1823, Number Pages: 1, Recorded
08/12/2016 at 08:53 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
Saw of F lo,-;hil, Tat,Foli.No
cmantya Diu,do
To Whom It May Concent:
The dusigned hereby infirmins you that improvements will be made to certain real property,and in accordance with Section 713 of
the F71orida Stattles,the following indboultim is acted
legal Description of property being improved:Lk+%
Address of proptay being improved; 1211 - 1 (AA Ago-
Gencroldescriptionofimproveneents, Kamm &"#- AW4W
Addresse aA
O%`n4W's interest in site of the improvement:
Fee Simple Titleholder(if other dism owstev)
Name:
tor:— �c
Address: 201�:j VJU Cj MtL
Tcleplume No.: Fn No:
Surety(if my)
Address, Amount of BoW
Telephone,Nw. In No:
Name and address of my person malsing a loan for the construction of the imPmv�
Name:
Address:
Phone Nw Fie,No:
Name of person within die Sam of Rorida,other than kinesuelf,designated by owner upon wheat notices or other dDeasn"may be
served: Name: N14
Aukheasa:
Telephones No: Fax,Nor
In addition to himself, owner designates the following person to receive a copy of the Litanies Notice is provided in Section
713.06(2)(b),Floridat Statues. (Fill in a er's option)
Nmc..
Address,
Telephone No: F.No:
Exparation date of Notice of Comaftmomaut(the exporatim dam is use(1)year from the date of recording unicas a different date is
specified):
OWNER
THIS SPACE FOR RECORDER'S USE ONLY G�E�
a, 7
JA4a �� LIU)
B fine 'his-day of
e is
SAWRA CARROLL STRASEN Of Florida,has Ah .,Pad
t MY Cosi%tISsjMxFFq ,,, Notary Public at Larritc,State I F fDood.
EXPiRE5FeWu&,,23.M0 My commission expires
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