567 AQUATIC DR - ROOF �A/,./
(--
i CITY OF ATLANTIC BEACH
11' 800 SEMINOLE ROAD
\,v ATLANTIC BEACH, FL 32233
` .0111rr INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0078
Description: SHINGLE ROOF
Estimated Value: 5300
Issue Date: 4/2/2018
Expiration Date: 9/29/2018
PROPERTY ADDRESS:
Address: 567 AQUATIC DR
RE Number: 171818 5334
PROPERTY OWNER:
Name: DOEMLING EUGENE
Address: 5143 CEDAR HILLS BLVD
BELLE VERNON, PA 15012
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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$7,500.
r ° BUILDING PERMIT APPLICATION
(.7.....T.:: -.
'i.
f-_,� CITY OF ATLANTIC BEACH
j 800 Seminole Road,Atlantic Beach FL 32233 '
"- —f- Office:(904)247-5826 a Fax:(904)247-5845
Job Address: a . , i- I - L " t! . 3 Permit Number:
Legal Description 32-71 I7-aS a5 6 Abse t'n,.,,de.,s Loo at- C RE# j 7/118 -.c 7.3`I
Valuation of Work(Replacement Cost)$ K,� °° Heated/Cooled SF Non-Heated/Cooled
o Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial (Resieniial
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No IMP
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed:
ke - zoop
Florida Product Approval T P/0/, `1 -2 ‘)/IL-/ �b for multiple products use produce approval fors
tri Vel. t art.e.4
Property Owner Information
Name: �u.e,to necenl.• r Address: SI y3 Ceric.r. //;Ih $J"e
City , t elCr.t.0 Statecix Zip l coj k_ Phone 7,4 N - t1!? - 31'41
E-Mail q eelit,. (ice,.I,..,((to 0.0.-..1.0,fa_014
Owner or Agent (If Agent,Porter of Attorney or Agency Letter Required)
=rte �^ T r _ _
Contractor Information:
Name of Company: 11..„,,,e, 7,07,.. K ck.,c Qualifying Agent: a 4-L, &��nc 3.(1
Address: /?h165 .30/e4Ld Ct I City jot ,,/,,11e Stat Gip 32 a ay
Office Phone(Tab 7/6- ?Pi i_ Job Site/Contact Number (90,f) a YQ- a c J t 1
State Certification/Registration# CCG I3 a7183 E-Mail h/two.,er-ii rtei-e ofr @ q : (.co.',.
Architect Name&Phone
Engineer's Name&Phone
Worker's Compensation
tempt / usurer 1 Lease •loyees / Expiration Date
Application is hereby made to obtain a permit to do the nark and installations as indicated. 1 certify that no work or installation has commenced
Thnor to the issuance of a permit and that all ttaork will be per formed to meet the standards of all laws regulating construction in tF.is jurisdiction.
is permit becomes mill and void if work is not commenced within sir(6)months, or if construction or work ns nded or aband ned for a
period ojsix(6)months at any time after work is commenced. I. nderstand that separate permits must be secu t •ride« '- Wor- 'lambing,
Signs,Wells,Pools,Furnaces,Boilers,Healers,Tanks and i r ndition ,Gtr
Signature of Property Owner: �� -L / O TSismature of Contractor: /,..� ,.
Before
�p � o�
this `Dav of /Pa fit-/( ,/,c_) Before me this ADI
I••y of L` l
li
:N
Notary Public k /1%' cry g Notary Publi a• !l1� a ,
-- - r e t'ilr
AM
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r.c _:.; :r.- ..u: lite 1.17UYi::?hr_ Of am'r_ e _%en,7! iii:_:; •lored12 ._� ..,:'` .. -.
: - t"onimofrweaIth of Pen nsy vania-Notary Seal . .°n TONI GINDLESPE�ESR 1 16
Amy L.Arison,Nctary Public rymil ;;: MY COMMISSION#X3295 `
Westmoreland County :a EXPIRES:October 6,2019
My commission expires May 31,2020 '' ;o''''' Bonded Thru Notary Public Underwriters
Commission number 1003732 -
NOTICE aC,Jr Sl ot g 7 C�� cyj Tb.:.b
Fe-r siii Tax Folio NoL7 18 18 - j 334
State of F/Or i�_ CO.sli;of Du 1l•s`
To whom it may concern;
The undersigned hereby informs you that improvements will be made to certain real property,end in
accordance with Section :3 of the Florida Statutes,the following information is s t_d in this NOTICE OF
COMMENCE.7iiNT.
Legal desc-..Lan o;prop'-a t beim,improved: 3R-71 1 7 ' S - e-
H u t.�r_R c- r-�I�.b s
C i a r
Address o Dari being -71provw- 56 / u 1-u D r
11.## r 8.,r 4. -1-L 3 aa-3
General descriptionof i..proremert=_ Pe - nR
fee,e.. n r �C / /n� _
Add rest.-- �I i3 CecLr- • 1J f 131ij I�e tier ,-i f 1 1J o a
Owner's interest:n site of the H:prre.,.=.i': n:
Fee Simo e Titleholder i i`other Than o::•>✓=i
Name
dOrt
i.o'zFtraa'ct:7, lf+�/Lr 1.1'+ae�)/ /47/'s { J
^.C3r85= l r 4s- Sl)le[�G� l 4' .3C,r tier-ssr.Ii e Y/ 3 a a a 1
, PtInsie M. togs) 7/‘- f/e/1 Fax No.
Surety(if an;
Adam
?mount of bond S
Phone No. FaxNo.
Name and address of B , person fie-ktnc ban for the c7:is-'.7uCdon of the improvements.
Name
Address
PlNii--as. Fax
No_
des--ionated :r r t.�on-.th -i no =or othe
i'cf7e b1 person�::�.Ts the State of Florida.itis5:ef�n tti.Tt=�,ii:=""s_s� by CT
t ccuments may he served:
Name
=terse
Phone No_ Fax`id.
in addition to himself.owner desione?tes the foi:o in-person to receive a copy of the iienor's Notice as?roei.^s r:
Section
713.08(2)(b),Florida Statutes_t iii in at e:•:ne s option;-
Name
Picone No. Ft1.1 No.
expiration date of Notice of Commencement(tie expiration date is one(1)year from the date of reo^ tlnc unless a W
) O
different date is specifiedr. <N,
THIS SPACE FOR RECORDER'S US=ONLY i •
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Doc#2018071027,OR BK 18328 Page 1305, a ° o c o
Number Pages:1 1 ,fir ''��, ° ` E ° 2
Recorded 03/27/2018 01:53 PM, 1. ✓ • �' '" �'^ -C a `� 2 0
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL =c_I7�
s.X11_:4' IOW* y T m E E
r c.- ;:n r r�-.3 tact c' 3 E E E
COUNTY -� .ti3;lr :t� � -
RECORDING $10.00 - c=� , '�,fl 1 is o a c�U
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