1565 Francis Ave re-roof permit '14T
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0138
Description: 17 squares
Estimated Value: 4845
Issue Date: 10/16/2017
Expiration Date: 4/14/2018
PROPERTY ADDRESS:
Address: 1565 FRANCIS AVE
RE Number: 1722850020
PROPERTY OWNER:
Name: MCINTYRE TWALITA
Address: 1565 FRANCIS AVE
ATLANTIC BEACH, FL 32233-4307
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: DR Roof Inc
Address: 10737 New Kings RD #104
JACKSONVILLE, FL 32219
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.
Building Permit Application
:2 City af Aflantic Beach
8W Seminole Road.,Atlantic Beach, FL 322-33
Phone: (904) 247-5826 Fax:(904) 247-5845
�ob Address. 15 r-r.,wc,�'j A!�e , /-?< 4 Pern'Wt NuMbd-_r
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Legal Descnptbon 46 -54 L0'r
Valluabon of Work(Reptacement Cost) Healted/Coolled SF N-on-Heated/Cooled
• Class ofWork(Circle one): New Addition Alteratlor<g�Move Demo Pool Window/Door
• Use of exWng/proposed structurels)(CJrde one). commercial lci;idential
• if an existling structure,is a fire sprinklier system installed?ICIrcle.7 119%0 (:N:g)
• Submd a Tree Remoeval Permit Applicatbon if any trees are to be removed or Affidavit of No Tree Removal
Descrit-e In detail the type of work to tw performedi
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Florida Product Approval X PL_ for multiple products use product approval fcwm
Prooertv Owner Information
Narne-Z TW CA I t -V-a K Xf__�-K\M Addre L05
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Owner or Agent(if Agent,Power of kt&ney or Agency Letter Required)
Contractor Information
Name of Compan Qualifying
"".iri -72
Address Slk-4 57P- Z fs �'C 7t- e--- State Zip -c
Office Phone 910 q- L(,75 - 7C. 5 Job Ske/Contact Number
State Certification/Registration iv CM 0'7011- E-MaN
Architect Name&Phone 0
Erigmeer's Name& Phone it
Workers GompensatoDn
Eampt/Wurer/LMN Env.Dkr�t Expiration Dais
Application is hereby made to obtain a permit to do the work and Installatbons as Indicated-I certify that no work or instalkation has
commenced prior to the issuance of a pern-dt and that all work will be performed to meet the standards of all the larws regullationg
construction In this jurisdbr-tion. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUM BING,SIGNS,
WELLS,POOLS,FURNACES.WILERS, HEATEM,TANKS.and AIR CONOITIONERS,etc.
OWNEIVS AFFIDAVIT:I certlify 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
RECORDING YOUR NOTICE OF COMMENCEMENT.
J)'_� Yv--�4 -A j — ��a:
JSignature of Owner or Agent inckicling Contlactorl' (Signature of Contracor)
Signed and sworn to(or affirmed)before me this a6% of 5igned and swom to lor affirmed)bef me thk day of
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State of Florida-Notary Public ALVAREZ
LINDA R
9 y Public
Commission#GG 71592 State of.Florida-Notar 'c
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592
N4y Commission Expirjes 1� s Commission # GG 71
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My C iss n E 'as
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Pebruary 14, 2021 1 0 1
ry
ry 14 2021
Permnaltv Kro7wn OR 'tPersonally Known OR
14"Licea Identifim3rikiri I Produced Identification
Type of Wentification: Tvpe of Identification:
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of �Pw V,
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 COMMENCEM NIT.
Legal Description of property being improved:- 2 L- .5,0 117 - Z - 7 //
S 5-vC-f 3 131k, 1
A-efk^jr�c 92
Address of property being improved: ErkAtt-ir Pvc- 011-'AcX AL 7 Z-2 7
General description of improvements:
Owner:.T�)a �15 ODC
LO76A Address: A5 L's y 5
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: C X-F
Address: I zt 7 s ,"'y C-C C- lej nj"
Telephone No.: C�o L/- L?3r Fax No:
Surety(if any). /U/4-
Address: Amount of Bond
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: /�j 4
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be
served: Name: Af
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statue Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Doc#2017236815,OR BK 18153 Page 82o, n D. /Zr 7-
Number Pages:1 d S'c -eco-
Sig in the ountXyf Duval,State
.efore me tffihi., a,
— ay of
Recorded 10/16/2017 01:55 PM, Of Florida,has personally appeared
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Public at Large,State of Florida,Cq 7ty of Duval.
COUNTY My commission expires: z-- 2!
RECORDING $10.00 Personally Known:--- Or
Produced Identification:
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Public
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