344 4TH ST - GARAGE ROOF Wii
CITY OF ATLANTIC BEACH
. ;? 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
WI INSPECTION PHONE LINE 247-5814
ROOF NON SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ROOF17-0052
Description: garage re-roof- FL5444.1
Estimated Value: 3847
Issue Date: 12/15/2017
Expiration Date: 6/13/2018
PROPERTY ADDRESS:
Address: 344 4TH ST
RE Number: 169819 0000
PROPERTY OWNER:
Name: TAYLOR RONALD E
Address: 6278 CREEKSTONE PATH
CUMMING, GA 30041-6000
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: HOWARD CONSTRUCTION LLC (ROOF)
Address: 580 WELLS RD STE 3 QA DONALD TOWERY
ORANGE PARK, FL 32073
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.
t),APp;it, City of Atlantic Beach APPLICATION NUMBER
!-9 � Building Department (To be assigned by the Building Department.)
800 Seminole Road
Will- -Ca-Ca
ill- _Oaf \
-0 Atlantic Beach, Florida 32233-5445 CJ
Phone(904)247-5826 Fax(904)247-5845 (
P.,011 J;3 �' E-mail: building-dept@coab.us Date routed: 1(7)- (C4
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: . •kk-k ' S De ent review required Yes No
�( Building
Applicant: " C Ck C( Sk{'l L\ )/' Planning & Zoning
(` G 1 Tree Administrator
Project: 5141 U.- ( DS I LS�44 . 1 Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: proved. ❑Denied. ['Not applicable
(Circle one.) Comments:
UILDING
PLANNING &ZONING Reviewed by: h'1 Date: i?•/ 3'/,
TREE ADMIN. Second Review: Approved as revised. []Denied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied. ['Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
MIT
OFFICE C O P Y BUILDING
C TY OF ATLANTIC BEACH ON
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845 pp�
Job Address: 3444TH STREET Permit Number: vO F l4-' O .5 1 2017
F-
Legal Description 5-69 16-2S-29E ATLANTIC BEACH LOT 15 BLK 5 Parcel# 169819-0000
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 4ss+ae'— Proposed Work heated/cooled 2409 non-heated/cooled
—aria--
S47 5e x
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 fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval# 5444-1
For multiple products use product approval form
Describe in detail the type of work to be performed: GARAGE RE-ROOF
Property Owner Information:
Name: RONALD&LYNDA TAYLOR Address: 6278 CREEKSTONE PATH
City CUMMING State GA Zip 30041 Phone 678-488-9929
E-Mail or Fax#(Optional) ynda9240°onic st net
Contractor Information:
Company Name: HOWARD CONSTRUCTION LLC Qualifying Agent: nr1N TOWFRY
Address: 580-3 WELLS ROAD City ORANGE PARK State FLORIDA Zip 32073
Office Phone 904-541-1112 Job Site/Contact Number 904-333-5245 Fax# 904-541-1103
State Certification/Registration# CCC1327900
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated I certifi,that no work or installation has commenced prior to the
issuance 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
and void if work is not commenced within six(61 months,or if construction or work is suspended or abandoned for apenrod of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrics Work,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 certift that/have read and examined thisplication and know the same to be true and correct. All provisions of 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 give authority to violate or cancel the
provisions of any other federal,state,or local law regulating construction or the performance of construction.
ZSignature of Owner Signature of Contract
Print Name /-11114--'`
,/ f Print Name eill -67
Sworno and subscribed •ef+re - Sworn to and subscribed before m;
this /C' Day of - - - �c/1/ l'/? 20 /? this /0 Day o ,,te �,e___ .20/?
Notary Public Notary Pu i is
Revised 01.26.10.
q „.,0,; ANTHONY REED ' ANTHONY REED
:° B` •: Notary Public-State of Florida "N�'PUB•!• Public-State of Florida
`�; FF 990413
( ti Commission #FF 990413 l r.• z NoC mmission# y 2020
. My Comm.Expires May 9,2020
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OFFICE FICE COPY
NOTICE OF COMMENCEMENT
State of FLORIDA Tax Folio No.
County of DUVAL
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: 5-69 16-2S-29E ATLANTIC BEACH LOT 15 BLK 5
Address of property being improved: 344 4TH STREET ATLANTIC BEACH FLORIDA 32233
General description of improvements: GARAGE RE-ROOF&INTERIOR DAMAGE REPAIRS
Owner: RONALD E&LYNDA B TAYLOR Address:_ 8278 CRE•KS`� ` � �`ir,
/ / / Coopers' d4 i, L- 2,9044
, &iii Ac
Owner's interest in site of the improvement: CIA
Fee Simple Titleholder(if other than owner):
Name:
Contractor: HOWARD CONSTUCTION LLC
Address: 580-3 WELLS ROAD ORANGE PARK FLORIDA 32073
Telephone No.: g04-541-1112 Fax No: 904-541-1103
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
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:
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 Statues. (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 differentt
1 N N N
specified): 1 •o " N
W q Off. is
THIS SPACE FOR RECORDER'S USE ONLY OWNER '4,a a LL a
f.
Signed: Date: ///61A;^e� a x z
Before me this JV day of /�l/1/ ,..i it s 1 •e City of Duval,'" B a W o,
Doc#2017272768,OR BK 18201 Page 837, r��/�!���T�/ _. I e o o
Of Florida,has personally appeared a E E F2
Number Pages: 1 a E —
Recorded 11/29/2017 09:06 AM, Notary Public at Large,State of Flo 'da,County of Duva. I E E m
My commission expires: s/9/Z d?) , Q" >
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL or= m
COUNTY Personally Known: t��,,,,,,,,
RECORDING $10 00 Produced Identification: ANTHONY REED sO • 'l••.
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• Notary Public-State ai Florida Damf lq"._
4 Commission#FF 990413 1'sV i t �,
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' My Comm.Expires May 9,.20201 •••�" s:,'
• '•n.n!nrough National Notary Assn.I- _
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