780 SABALO DR - ROOF J ,fr_ ` � CITY OF ATLANTIC BEACH
;—' > 800 SEMINOLE ROAD
1511!.. ZATLANTIC BEACH, FL 32233
! �3 >%' INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0158
Description: re-roof FL10674.1-R4 & FL15216.1-RO
Estimated Value: 7900
Issue Date: 10/30/2017
Expiration Date: 4/28/2018
PROPERTY ADDRESS:
Address: 780 SABALO DR
RE Number: 171482 0000
PROPERTY OWNER:
Name: GLOVER MARY S
Address: 780 SABALO DR
ATLANTIC BEACH, FL 32233-3944
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HAMMER TIME ROOFING
Address: 13465 SOLEDAD CT DR
JACKSONVILLE, FL 32204
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
£T . CITY OF ATLANTIC BEACH
„.„..)
800 Seminole Road,Atlantic Beach FL 32233
`' "" 'Y Office:(904)247-5826 • Fax:(904)247-5845
Job Address: 76'D ,br, i , Di. 0,,,.tL g /, , 174 ?:12 3) Permit Number: ?-LC-F11----0(Sir
Legal Descriptio 31 - i? -aS .-tacr -6_;j J/poi: 1 ,� `re,-.1.;1 f�1 E#
Valuation of Work(Replacement nt Cast) I UO Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial esrdential ''
If an existingstructure, is a fire sprinkler system installed? �'
' P � y (Circle one): Yes No N/A.
• Submit a Tree Removal Pet-mit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
1e - etrne
Florida Product Approval# 314/ 4/06-14 t--Q L.� for multiple products use product approval form
el Property Owner Information�/ (�'04 to'1
Name: 1 c,r. -i/r�v�p Address: Ye) , e-1-1, /0 r .
City , .-1 c..,,.l c- 3t,,,,c Z, State 1,,Zip 3 tar13.3 Phone
E-Mail
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS "1"0 YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
Contractor Information:
Name of Company: t/et,,,,..,e._ j;,,,„ iCo),6-.-1,- e C--C. Qualifying Agent: f r,�c.-, Rc tCt t e t,r p
Address: 13 a/ -
sr b/e,c. C,4 City (lac L0.1.,:lie State Zip F-t 3 ,)a a Li
Office PhoneacM) 7/4;- i 41 1 Job Site,-Contact Number Vot-t) @ YO- a 1`31..1
State Certification/Registration# C( :I a`7 '8 i E-Mail ho..y,,,.r-4'4.+ ,
Architect Name&Phone# 1.1 �. t r i o t i i,il
Engineer's Name&Phone# _ ‘."s \ UA ti, '"",
Worker's Compensation l�i._ �'��►, ' oT '
w _ — -- xempt nsurer� ens: mp oyees xptration ate •'
Agplie,gp ei is by made to obtain a permit to do the work and installations as indicated. I certify that no work or in.cilla•oMy Comm.Expires•
or tg e ' •`, ce of a permit and that all work will be performed to meet the standards of all laws regulating. onstr �' ' `cam
71 f ruit.e-,, es//rich and void if work is not commenced within six(b}months, or if eeonstncetion or worksppe -dr, ,. ahanclnne `o k.
141,1Q 2.u'.";.ionat'any time after work is commenced. r understandd that separate permrits must be secrtr .r Elec�� ""� ',•,� 1-111P • •. _.
cr ii tO _rs,Furnaces,Boilers,Heaters,Tar and Air Conditioners,etc
dlit c ir4Moo,4iii,
LY
Gent tforropertyOwner: A6Signature of Contractor: ,� ',mow
Yla` 7 of 7)C� t �Z — Before me this 313 Day of 0f�
, g T
Z /
Notarglub _ __. __ r°otaryPubii.
aio 1-',-,„
o,. , �escoL e - (aa4Gii� - ,A
l'r r !dw1$ T.that 1lrave read and esamtnett this applit;arion and know the sante to be true d correct. All provisions of laws and
o , , - s- rning this type o work will be egmpltntl wird-. hen4-r specified herein or not. The granting of a permit does not
�slituc;,l � n l attthoriuY 10 violate or cancel the(, t�siOrrs 0/rt C"otter federal, start?, or local law regulating construction or the
r 'k,4,rn.u,.c -. 11tonstruction.
Rev.3/14/16
Doc # 2017246907, OR BK 18166 Page 535, Number Pages: 1 ,
Recorded 10/30/2017 10 : 23 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
NOTICE OF COMMENCEMENT �,
iPFFEPARE IN DUPLICATE)
Permit No. Tax Folio No. /7/0 13. - v =C)
State of fi a t t ei i-__ County of PiAt,r.,
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.
Legal description of property being improved: 31 -/K 1 -a 3 "a 9i .
1?/15' enc pi r Ro.r1'Pc "AA S U,-I . 4- AA
Lc34 i7 81k 1 ? ,
Address of property being improved: 7 'O &1111r- JD!!:Pe
plie•en.k % pcen‘r1L, , f--73aA33
(�General description of Improvements: 'e (--
Owner Mc.,r S 710::>e' !
Address 7TS . t"-
O le JcJ0 jvP Cllr--kr frcrL j Ft... a a??
Owners Interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
,^�rr Contractor n f P n n. /�j
e.te , ,..4- (H.,-, .,r1' /.et,e /'�r4 '.- LLC)
k)W Address 13Yt �` 0/ d ri- ta.,-'/!e ili, 2,
Phone No.roc 117/i 9/'T Fax No.
Surety(if any)
Address Amount of bond S
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name r77 _
Address .
Phone No. Fax No.
Name of person Vithln the State of Florida.other then himself.designated by owner upon whom notices or other
documents may be served:
Name
Address
/7-
Phone No. Fax No.
In addition to himself,owner designates the following parson to receive a copy of the Lienor's Notice as provided in
Section 713.05(2)(b),Florida Statutes.(Fill in et Owner's option).
Name '
Address .a
Phone No. Fax No. o N A
Q E N N
Expiration data of Notice of Commencement(the Ixplradon date is one(1)year from the date of recording unless a 7 v d
different data is specifed): h`_
THIS SPACE FOR RECORDER'S USE ONLY -s. "" I ER a u.X• o
d: !' /A4d ' • , / ' DATE L0 I
leave ms ctiia . �''F.. of •�lrfr rai-ear . •1 .in the "''a E E
co'n of Ou vol.S of Icri5a u psnpo&ty apps rad r o E
Cx f I( A A/1 S r�✓'c herein by •
o-c�i
h1.r,seiU he,•a and affirm that z'il a emEus a 8 tiackra:ions h�•t:ks =
aro taut anBzr_urate „„unu,,
r'” :�m� r+db:
V.
Notary Pudic at Loma,Sts=o •
r ntv ' ,;,,,.•`Is
�,
tlyccmrnesianetprres: Se�: r i3Qi �- o w
Par.crsay Known Q
P:oeucad IdenNncat on L. - s `-)s---s 0