1651 FRANCIS AVE - ROOF J3 ! v:Y
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
���.. c .
�JRI� 'INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0213
Description: SHINGLE ROOF
Estimated Value: 5860
Issue Date: 12/11/2017
Expiration Date: 6/9/2018
PROPERTY ADDRESS:
Address: 1651 FRANCIS AVE
RE Number: 172285 0060
PROPERTY OWNER:
Name: MCNEIL ALBERTA
Address: 1651 FRANCIS AVE
ATLANTIC BEACH, FL 32233-4309
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: EXCEL ROOFING CONTRACTING
Address: 5722 DUNN AVE HENRY SCOTT SORENSEN
MIDDLEBURG, FL 32068
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$7,500.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 -
Office (904) 247-5826 Fax (904) 247-5845
Job Address: /6` / fig G iS f Ye , i14 l)i .&4 /L-3 Permit Number: R g.(2,(`(7_ CD Z (3
Legal Description Z-50 /2.9S-4E., 3,n;J,5/ 19 •vAY—Lv,1� Parcel#
Floor Area of Sq.Ft. sas4'- 2.0-1-6-4A./. Sq.Ft
Valuation of Work$ ,SjP1.�a Proposed Work heated/cooled non-heated/cooled
•
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door ,
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fires rmkler/ss stm installed? (Circle one "es 10 N/A •
Florida Product Approval# ITZ l _.e",>-73--- /Mil"LM e) rke t., ,,,,4
For multiple products use product approvaform '/ .
l
Describe in detail the type of work to be performed: e-f`L�L2? J546a(J Ix:/?
Property Owner Information:
\Jame: / i e• o- 1 G4• Address: 6± A2.'11 'i• • 'A
;ity ;rr Ai 511. 'r . StateZ � X3'3 Phone _ �' 00 / ' 72c7 77'717 `r
Mail or Fax#(Optional) -/7 /h')C,/O7/ayindriJ ' dem gO# £O--(a5` 1-1,9
Contractor Information: /3ompanyName: Ll30e/Roe,A • //(JI //"'G 4.-^s QualifyingApent: //H. SO0//
/'e.,-76se9'J
4ddress: 6---;74g i4.4 }ipl2- City Jy fri%irlit He. State FL- Zip ':5 /
Dffice Phone fel-/-k9% 2/�/`-g Job Site/Contact Numberp6/yer-j7, Lj 8-- Fax# /l'GrV-G///-CE /
state Certification/Registration# Ore )3:-,7k,9;06
' rchitect Name&Phone# ;4/.4-
3ngineer's Name&Phone# 4/4-
lee Simple Title Holder Name and Address /!/0-
3onding Company Name and Address 4//9- •
Vlortgage Lender Name and Address 44'
Ipplication 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 tothe
ssuance of a permit and that all work will be petformed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
rid void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period of six(6)months at any time after
vork is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters,
ranks 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.
'hereby certify that I have read and examined thisplication and know the same to be true and correct. All provisions of la 's an or'inances governing this
ype o/work will be complied with whether specified herein or not. The granting of a permit does not presume to give out .•Sty o violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance ofconslruction.
Signature of Owner /'r�`'' Signature of Contractor !! t'/
?ri Name hi/4erfa/ ilk 4 / Print Name $ 7,7r�,64(.-,, -
Swo i to , d subscribed before me Sworn to and subscribed before me .
is f3 Via,;' if l`1G✓�-wIr 2 20 this.'h Day of ,/, anibe,' 20)`7
R � '/ '.'- -4-�''' 'Tf8s R-G' r. s l /.4!E_ %filAlrf.!,
` �IJ//1"�.A►T/Iri�i%'�i ii
ry < :?� 1°0- Notary Public-State of Florida
'01,a Public � �Pa+POe-,, ACBERT MORENO NOta Pub r� • .o
=° j `�s_ Notary Public-State of Florida '' s- �r�i�sl� �F980169
0 love:' Commission#FF 239295 ay " t ' g
;an 1n 4 Q ��+ +� �O, omm.Expires Jul 27,2020 '
-7,, dp, My Comm.Expires Jun 9,2019 %.�ovv`d`•�
",,,,,,,,` Bonded through National Notary Assn.$
Bonded through National Notary Assn.
Doc # 2017272364, OR BK 18200 Page 2068, Number Pages : 1,
Recorded 11/28/2017 03:30 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
NOTICE OF COMMENCEMENT
(PREPARE lcQ UIJPLLCATE)
Pemiit No.__- lax Folio No. •
State of FLORIDA County of Crvat
To whofn It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accurdrince with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF •
C OM ME NCEMENT.
Legel description of property being improved:26-10 17.25 2917-12 ED SMITH S/D
N 3I FT LOT 5,S 25F T LOT 6 BLK I
Address of property being Improved: 1 U!1 2,1:ANCIS AVE Atlantic Beach L 32233 •
Certerxl description of improvements: Re-roof5hing •
le
��
Owner MCNEIL,ALBERTA _....__.
Address 1651 FRANCIS AVE Atlantic:Bnar:li Ft.32233 ~T�
Owner`s Interest in site of the h epiuvefnera OWNER •, R`
Fee Simple Titleholder(if other than owner) -_ , •
Name-......
Adcltne, r__ --,
Contr etor;SCOTT SORENSEN EXCEL ROOFING CONTRACTORS INC
Address 5722 DUNN AVE.ACKSONVI1.I h FI :127111
Phone No.504'631-7653_..__ Fax No,004.214-0004
Surety(if any)NIA
Address Amount of bond$
Phone No. Fax flu.
Name and address of any person making a loan fon lire wnarurllnn of the improvements,
Name N/A
Address
Phone.ido_ Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents!nay tic served:
Name NIA
Address
Phone No _ Fax No.
•
to addition to himsef,,owner designates the following person to receive a copy of the Lienods Notice as provided in
Section 713.t:G(2)(h),flui`dn:Statutes.(flit In et Owner's option)_
Name N/A
Address . ��, . •
• Phone No. Fax No. --- -
Expiration date of Notice of Commencement(the expiration date is one 11)year from the date of recording unless a
different date is specified); :Y' .s•
• THIS SPACE FOR RECORDER'S USE ONLY ONINER
sign /its l4GGK� pAiE f//-��, �J .w.�� ,.�
Refers rile NIS any or b feT d 6 re nni y
Count of Duval,Stale of 1 l°rlda_has pe Lronally appeamd 'S"•-e o •
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