70 W 8TH ST - ROOF ri1 411'7: . 1 CITY OF ATLANTIC BEACH
0r1r ' • 800 SEMINOLE ROAD
041 �r ATLANTIC BEACH, FL 32233
'''.-!0s3 > INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0060
Description: RE ROOF SHINGLES 5/12
Estimated Value: 5094
Issue Date: 7/27/2017
Expiration Date: 1/23/2018
PROPERTY ADDRESS:
Address: 70 W 8TH ST
RE Number: 170815 0030
PROPERTY OWNER:
Name: GANEY WILLIAM W
Address: PO BOX 331526
ATLANTIC BEACH, FL 32233-1526
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: QUALITY DISCOUNT ROOFING LLC
Address: 1794 ROGERO RD 1794 ROGERO ROAD
JACKSONVILLE, FL 32211
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$7,500.
I
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904) 247-5826 Fax (904) 247-5845
Cg r 1 7- 0 06
Job Address: 1O UUesf 4+IQ,vtfie 'act+. F.- -a�33
Permit Number:
Legal Description( 3'I'ii'a5'"? & -i IL i h fzrlt( - g( � Parcel#t1U �- 3C7
C Floor Area o Sq.Ft. q t
Valuation of Work$ > Og4.00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one)- Addition Alterati n Repair Move Demolition pool/spa window/door
Use of existing/proposed structures) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? Circle one): Yes No N/A
Florida Product Approval# ' (( ()(� . ( k2- .
For multiple products use promo uct approve orm�',��"
Describe in detail the type of work to be performed: k -vl't-0' 4 i S 1Y } f s_t_i3t'yyL. e -JA-JANA (
cJe cL -b code- h1 s-li?, i vtt-it) 1 e, .Dl ov:dC1 2 .f th FUT
Property Owner Information: 9-1(?
Name: Address: 1 V 1 1106-5+-r
City le1tZ4L e State Zip ?x'33`.7 Phone 104-1- S(P (2
E-Mail or Fax#(Optional)
Contractor Information: &
�;� pry p n
Company,�N,,�me: �•iat � i WI Il "� f t, t Qualifyi g A_ent:
Address: - 'a Y G Cit . * I (�(..- State - Zip 3a-a-I-7
Office Phone 0 q- - 47P° Job Site/Contact Numbe a l,111.611 r j5' Fax# etL� S3 i4
State Certification/Registration# f
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
issu»•:��'ofu perm:and th,:t all,ror•I:will he performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void ry work is not commenced within six(6)months, or if construction or work is suspended or abanduned for i.period✓:,Lr 65) :oa:ks_:: ,,.:y i'i' :;f
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,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 thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofwork will be complied with w er 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,state, r lo a!law regulating construction or the performance of construction.
Signature of Owner Y
f Signature of Contractor
Print Name V V I U. "`14,, x,tivj Print Name Q 50C D. f 31.�,O�2er-
Swo�. t and subscrib d bore me (� Swo t S and subscribed pef e me
thisDay of ,,20 I thi . lay�f c ,20niL•alp
N i ANA CRISTINA QUINUNhS Not /: t
. i,' 'NA CRISTINA QUINONES
'c MY COMMISSION#GG085339 : • :'e MY COMMISSION#GG085339
" ��t", EXPIRES January 24,2021 ','i , EXPIRES J>�jiy H�2Q6.l0
., Doc # 2017173073, OR BK 18063 Page 1918, Number Pages: 1, Recorded
07/25/2017 at 08:40 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE) �/y
Permit No. Tax Folio No. 1051/�f — 0D000
State of Florida County of DUVAL
To whom it may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following Information is stated In this NOTICE OF
COMMENCEMENT.
Leg I description of property being improved: Pa-, S- , , t! . , •
Address of property being improved j 2\ 'i i A .
(,ju.loAL,Go h, f
i--1../ 5 g
General description of improvements:Re-Roof
Owner IA t
' Address C'D 0tA pcde i 1/Cl- J1 (•-'1,- 2
J Da 1 1
O•.ner's interest in site of the improvement y(144?P j h'r� F,� -lir
Fee Simple TiUehoider(if other than owner)
Name
Address
Contractor Quality Discount Roofing LLC.
Address 3481 St.Augustine Rd.Jacksonville.FL.32207
Phone No.904.396'5000 Fax No.904.485-8288
Surety(if any) t
Address It(( Amount of bond S
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
qa_
Phone No. Fax No.
Name of person within the State of Florida.other than himself,designated by owner upon:'.hom notices or other
documents may be served: •
Name /
Address 1
11 Phone No. \ Fax No.
In addition to himself,owner des. ales the following rtq person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name _
Address Fax No. ,Y�,��f•';+oX
Phone No. �'
1,1
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
II different dale is specified): m
'Xn >
THIS SPACE FOR RECORDER'S USE ONLY OWNER 11 m 3 x
Sgned:�(' t' r � OAIE ��2�i 1 14 ` es CO
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hhueir,•hese ani aKrms t et E statements and declarations herein N 61 C
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