1801 SEVILLA BLVD - ROOF .�S '. �� CITY OF ATLANTIC BEACH
;P'r4 "'''` s) 800 SEMINOLE ROAD
,� V ATLANTIC BEACH, FL 32233
�,1>> INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0079
Description: RE ROOF SINGLES
Estimated Value: 13406
Issue Date: 8/15/2017
Expiration Date: 2/11/2018
PROPERTY ADDRESS:
Address: 1801 SEVILLA BLVD
RE Number: 169462 0465
PROPERTY OWNER:
Name: HUTCHINSON CHRISTINE W
Address: 1801 SEVILLA BLVD
ATLANTIC BEACH, FL 32233-5621
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Carroll Bradford, Inc.
Address: 4776 New Broad ST#201
ORLANDO, FL 32814
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$7,500.
�r 4k°' - Building Permit Application
;v.'s ." ,r, City of Atlantic Beach
�� � 800 Seminole Road,Atlantic Beach,FL 32233
Phone: (904)247-5826 Fax:(904)247-5845 r r�
Job Address: ( E3 0 1 S C VI 1 1 A S I v of Permit Number: F g_ `Pi 7- 0 7
Legal Description 5 - 7 O S,— 2-3 -2./ 6 RE# it./R4(a 2- o'♦(o S
Valuation of Work(Replacement Cost)$ 13,f-0(0• 612- Heated/Cooled SF 1 9-15 Non-Heated/Cooled
• Class of Work(Circle one): New Addition Iteration epair Move • 'col Window/Door
• Use of existing/proposed structure(s)(Circle Commercial Residential
• If an existing structure,Is a fire sprinkler system installed?(Circle one . es No
• Submit a Tree Removal Permit Application If any trees are to be removed or Affidavit of No Tree Removal
Describe In detail the type of work to be performed: P
Ti
t' S o(cH n\h,-,- II.1 rof7.4-, (
r -{--t at,l r C - Y O o•P
Florida Product Approval 0 1 CI 2-4. I lLS('(D.I _ for multiple products use product approval form
Property Owner Information
Name: CInv t5h ✓te i-VIA"VC htlel Sovn Address: I "aol Sevill0! 6(vQt -
City ft•FlAvt-t-c I.CG1G1n State FI- Zip 32.7-33 Phone `loaf •1e31• 2qgre
E-Mall tv/P.
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)_
Contractor Information
Name of Company: CGirro I i 13r c- ry vo( Qualifying Agent: J o V1 el-1.—toe. vi MC tit le C.�
Address_ttllsa NC ‘,/J 13voatG4 St• $K '2o I City Ovia auto State E- • _ zlp 3243/'/
Office Phone t.(0-1 IP 91 q t-{'2 o Job Site/Contact Number 5.I vvi e,....
State Certification/Registration H CCG 13'30 (v S Co E-mail (c v tvt i t Se C./iv-yr,(( ( vg¢( et.,af e r,Yvt
Architect Name&Phone q - _
Engineer's Name&Phone if
Workers Compensation w C_3 t a 7 4 --21)7/(
Exempt/Insurer/Lease Employees/ExatIon Date
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 of a permit and that all work will be performed to meet the standards of all the laws reguiationg
construction In this Jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SiGNS,
WELLS,POOLS,FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT:I certify that all the foregoing information Is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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
REC 7:NG YOUR NOTICE OF COMMENCEMENT.
i,
r
f�..,�t �>� K v►;t-�
(Signature of Owner or Agent Including Contractor) (S:nature of . ntractor)
S�ned and sworn to(or affirmed)before me this 4ay of Signed and sworn to(or. •d)before me this I O day of
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a >' 3o.20�I L•, (ARAN ROBINSON
lc = '. • son MO,.State ed Florida
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Personally Known OR ?* ' � t? <; c sonally Known OR { Augy `.,•goComm.Expires Au 31.2020
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Doc 1! 2017180709, OR BK 18074 Page 1874, Number Pages: 1, Recorded
08/03/2017 at 08:02 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
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OWAI COUNTY
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RONNIE SSELL
Cray.OnedI gad County Courts
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