1022 main st - permit rerf18-0127 0 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0127
Description: Reroof Shingle
Estimated Value: 4000
Issue Date: 6/1/2018
Expiration Date:
PROPERTY ADDRESS:
Address: 1022 MAIN ST
RE Number. 170996 0000
PROPERTY OWNER:
Name: DUFFY JOHN
Address: 1022 MAIN ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HAMMER TIME ROOFING
Addrew: 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$7,500.
BUILDING PERMIT APPLICATION
J J CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 • Fax:(904)247-5845
Job Address inaa ,(A„• e,4 WIajLg,_eI It q al T 3 Permit Number:W(r__a2,
Legal Description lX-4y �p_d _,a.q SAF( p,({ RE# /7A 99( - ('ic•7Yf
��Ii t7
Valuation of Work(Replacement Cost)$_12!—Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structures)(Circle one): Commercial 1ZMQt@>
• If an existing structure,is a fire spriakter system installed?(Circle one): Yes No (:52a7• 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:
Florida Product Approval# f (1�7 -,¢ for multiple'AIR
un product approval form
ro
Poerty Owner Informati n / N�0
Name: {,� x Address: /Oda1 .U. C�
city Lg state"_ z.
UR
E-Matt „�;, 1 _ L- _-( P12a]i_Phone l9ea) auo- acro
Owner or Agent Orasmt.rowQ oratmmermaa�y.Isom aegarred)
RESULT iN YO R PAYING TW1 E Jok IVP OVIEMOENTDS TO YOUR ROPSRTY. Ir OU INTEND
TO OBTAIN FINANCMG. CONSULT WITH YOUR LENDER Ott AN ATTORNEI' BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
Contractor Information:
Name of Company:�/y,.,,,,.� T ��_e uali
Address: /3NLC t—LJ_r( P1 - Q "yin A rat:
Office Phone l9e 7iG. s/Y9 T-�—City �:ll State'Zp F[ yaas
'U lob Site/Contact Numher 9 4
State Certificanon/Registration# /3 a 99, t�_E-Mail /,,,,.,, .k• � F e�, ,
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation fl �
xempt navrer mp oyeea xpvana to
Applimaon 4 hereby made to obmin a permit so do the rvork and instaflariou as i rnmd. I cern that no wrork or imtaRarion has mrenced
prior to rhe issuanre ofa permit and that ai!work wilt be pnfmmed m rimer the svndards ojaU laws regulating c nm+ion in th' rlsdi tion
This permit becomes nvl!and wid if work is not commenced within six/61 months,ori comtnrMion or twsk
�enol ofsix(6)months at arty Hme njer work it commenced Irmdersm xharse f ^dad or radon fora
Igns.WWelt,PPoMq Furnaeer,Ballerz Isbran yConditio^erg eta�rnte permiu must besen for a ork bmg,
Signature aFProperty Owner
Before @@e Signatuz of Con �7
this�"Day of �o[s! I �(p Before nethis I 1 Day �O18
r
Notary Public: t, sit m. pd(�.C� _,u, Notary Publ'
/Ger'ebp cm'1lfy tlm?I hm'a read and van+uined rids applicoeio»and knmr ffie smite?a he nvm rind mr '
ordinances gorernfn ?his type o mark mill he comyfied with vherher'specifies{ - o rrud
presume to gine authority to wolf e o e I ! simss of arra'other"edam s focalrAP a p ni?does not
prr(or'nrnrce of siA4 - ° MVWAIM @aRrire: rctiurr w'the
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- EXPIPEa perober 6.2019
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NOTICE OF COMMENCEMENT
:PT,0A,Rz W oUM Ic1-1
Farmlt NO Tax Folio No /7A 99
Season County of [ u
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 descrlpeen of property being improved 2 - d
C C H "--kcQ
- /- / N n1K /9H
.Address of prcpeTy bei ng Improved: /n7a AA_ •„ f�
�y/ L._ n 1 F( 3?a33
General description of imm'inovsnmaM.,: le. —f
G^ncr 7nwn LILL t{v
dd /ea a AA c/ Ni B.-,1
�L ia�33
efs intem a,In she of the Inprow ment
Pee Simple 7itlehdd,tP other then o:vrep
elan. a
Address
/ hscr'x
;11-nAddl
Phone nlo. 604 1„z(,(-9/N 4 Fax No.
rely of any;
gmount of bond 5
Phone No. Fax No.
Name and a(dress of any Perspo making a loan For me mns:rucdcm ofIe improvements.
Name
Address
Phone No. Fax No.
Nam&of Parecn vMbin the State of Florida.other than himself,denigrated by alms,upon whom notices a other
documents may be served'
Naar_
address
Phone No. Fax Nc.
In addition to himself:ov:nar designates the foll0::•ini,person to receive a copy Of the Lemor.NOfite es provided,l
Section 755.0E(21(bl,Fland.Statute..(Fill in It O:rneri Opt,.n,
Name
Address
Phone No. fax NO.
Expiration date Of Notice Of COmmancamem(the expiration data is one(1)year from the date Of,eoerding unless a
different date Is speGfled):
THIS SPACE FOR.RECORDER'.USE ONLY ( OWN
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Retarded 06001 18 0938 AM, Very Pubac State sn Fen
RONNIE FUSSELL CLERK CIRCUIT COURT OUVAL My GO 011
COUNTY +a J
RECORDING E10.00 W.A y.Or z�gl 1 ap EI�Iraa 112]/aolo
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