472 ROYAL PALMS DR - ROOF j l.,:v.r,,,
`�s ' � CITY OF ATLANTIC BEACH
�''r-- ? 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
'"!WI s%' INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0190
Description: shingle re-roof FL10124 & FL15216-R2
Estimated Value: 5896
Issue Date: 11/22/2017
Expiration Date: 5/21/2018
PROPERTY ADDRESS:
Address: 472 ROYAL PALMS DR
RE Number: 171511 0000
PROPERTY OWNER:
Name: LOVE WILLIAM J
Address: 351 1ST ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: LEWIS WALKER ROOFING
Address: P 0 BOX 554 QA LEWIS WALKER
LAKE BUTLER, FL 32054
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$7,500.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: L/12- Quo j a I POl!mS UC Permit Number: � -C3let 6
Legal Description 31-/(p I1 -2S- Zq E PSP 66 PT of P,01 al Parcel# /71 S/I - 0000
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 55 'kp.DO Proposed Work heated/cooled /USG, 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 4; - identia
If an existing structure,is a fire sprinkler y tem installed?(Circle one): 'es No N/A
Florida Product Approval# Z. 1 I G
For multiple products use pro uct ap rova orm
Describe in detail the type of work to be performed: ikeamOV'L €X1 S 1*'i ry �h til y/PS 4'h o/ f 04 e.2.
1\0o St 2.S/L.
Property Owner Information:
Name: /1!I I G,(r) 4 �'v1Oir j Love, Address: Li 7 Z 19,0,_-td 'Pe,I ins Of.
City Ak let,-i t, State FLZip 32.233 Phone CIb4- Z' (Ng`7
E-Mail or Fax#(Optional)
Contractor Information: I,
Company Name: Lewis WaI&c G,00�inq� )L Qualifying Agent: 1..?u)1i /�)J (
Address: Q. 8p9C `LJN1 �1 City Lake CAla State }-L Zip 3Z&(p
Office Phone ''(.o(g- R SQ- 1(1(,3 Job Site/Contact Number Fax#
State Certification/Registration# RCOo toll 4N 2
Architett Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
gri d5 icld Env loye eS =nSufancc Polite 33(i 3(0 1361 exeic $•g' Zoll
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 laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical 'York, 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 this plication and know the same to be true and correct. All provisions ' laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to ; ve authority? c iol r cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction. �iiRoARA A.JOHNSTON
n j MY COMMISSION A FF 211259
EXPIRES:May 6,2019
Bonded Thru Budget Notary Services
Signature of Owner
f�� Signature of Contract.
Print Name M Ci, r cf LC) („) Print Name L.Q,u)1 V V c W`21(
Sworn to and subscribed before me Sworn to and subscribed s efore me
this *7 ri Day of 0c..L: 2, 0\�°t this ( Day of A d LI , 201 ?
��. . :• : • Q
Notary Public 1.0„ Notary Public-State of Florida Notary Public
s. Ts Commission#FF 205690
•.','1��,d `' MyComm.Expires Mar 15,2019 O'evised 01.26.10
.,,,o P I
Doc # 2017268191 , OR BK 18195 Page 217, Number Pages: 1,
Recorded 11/21/2017 10 :02 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
NOTICE OF COMMENCEMENT
State of 06(t61a_ Tax Folio No. 17!x11 -00(.20
County of IUVG.
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 infornuation is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 3)- /to /1 -2,3-Z.' Alp ac . PT t7.r -1104l
9Gl�,s vv—4-..j. 10 go 6Lk- �J
Address of property being improved: 912_ Fy)3c,1 Palms Di., Rfl Gn/7L B(464,M, FL ...3 Z 2 3Z
General description of improvements: 171(1 I(-)p
Owner: Wl I 1.4 C is --. - Address:92Z. 4
t7L bv7 S
Owner's interest in site of the improvement: AJ LO..{
Fee Simple Titleholder(if other than owner):_op
Name:
Contractor: Lt(,t,IS '1(f )kmar
Address: P.o. eDox Z?y�t LQif-4 C1 3205(0
Telephone No.: S(4(/- 9S9-7Lp(,3 *ex o:
Surety(if any) Jr/fiq
Address: Amount of Bond S
Telephone No: _— Fax No: _
Ntnne and address of any person making a loan for the construction of the improvements
Name: vie _..
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: PA _
Address: — —
Telephone No: Fax No:_
In addition to himself. owner designates the following person to receive a copy of the Licnor's Notice as provided in Section
713.06(2)(h).Florida ;isles. (Fill in at Owner's option)
Name: A
Address:
Telephone No:_ _ Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording sinless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signet Gv
Before ma tltis 7-34'�� of 1.. , m lltc Crnuth• fllut•a :l:tl
„ Of Honda,has personally appeared_ meta
.
=eatyS
*""5", THERON GIBSON Notary Public at Large.State of Florida.Coun.-of lluvaL
, Notary Public•Slate 01 Florida M}'commission expires: -
Commission#FF 205690 Pemaonnlly Known
2 M Fd�:.' My Comm.Expires Mar 15.2019 Produced Identification: I _ or