775 Sailfish RERF18-0159 .0 . T
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NE)rr DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF18-0159
Description: 2112 PITCH SHINGLE ROOF
Estimated Value: 5991
Issue Date: 7/6/2018
Expiration Date: 1/2/2019
PROPERTY ADDRESS:
Address: 775 SAILFISH DR
RE Number: 1712380000
PROPERTY OWNER:
Name: HOLLAND PAULA ET AL
Address: 775 SAILFISH DR
ATLANTIC BEACH. FL 32233-4214
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: PREFERRED ROOFING LLC
Address: 2332 DUNN AVE QA ROLAND KEVIN GREEN
JACKSONVILLE, FL 32218
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 ffVAC work
exceeds and estimated value of$7,500.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5945
Job Address: _1_16 SalffiGIO Permit Number: - RC_Rr_
i't t uc+
Legal Description Form # �-112 3�)- 0000
22�11_tv&rr LIS Lk"L. to
Valuation of Work$ F�C161 5t.P Proposed Work '�ea* tedtcwie'd 0115 'n'o'n'-'heated/cooled 1116
Class of Work(circle one): 6) Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pr osed structu I circle one): Conimercial esidenti
p n system installed? (Circle one): 0
0 64-illt)
If an existing structure,is a fire a N/A
Florida Product Approval# rL101
For multiple products use product approval form
Describe in detail the type of work to bb r6 rfortned: I U M CiA IF AVC41
— S K (-) P ,
Property Owner Information:
Name: PlLkICL 11", Address:-1-16 SaiV65l') by-
City- M101141C marvi- —State V:A-Zip_�5�3 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name- Voc*i V1 L Quati%yia&Ageal: lak,
YL - --t__ city !�lstt
KLL L
Address,j2&1 nurin rVVV "�yl I—Z�p
OfficePhone tact Number 61qq-A LAjjjdfZ Fax# CW_q_�F %ajjL)Q
State Certification/Registration#_CCC31tSMILIC�
Archit=t Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Addres
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 certify that no work or installation has commenced prior to A
is nqo e
mZa.,d.ja penal,and that all work will bep_rformed to meet the standards of all laws regulating construction to thajarisdiction. This permit becomes nul
, rk is nor commenced within sbc(6)months,or if construction or work is sufended or abandonedfor a4riod of sup)months at any time a
we 'Se
work is commenced. I understand that separate permits must be secured for Electrica Work,PlumUng,signs, ens,pools, armaces,Boilert,Hen n
T,,k,and A ir 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 Y61jR NOTICE OF
COMMENCEMENT.
thi
,%1Cu,V.rcroa`gl ah
.SignmureofOvmer ,q"0- Signature of Contracto,*&2�--
Print Name )( IP �� �Optt, A4 PrintName
S 0 o and s.bscribed before me S,orn to and subsc e before me
1�1 Day of 20 0 thisRJB_Day of 20
this
t P fic "'C
Revised 01.26.10
L
.�p.Ml
g. V a
I F OIZ�
,J�FF W
Expices 0211M�O
Doc # 2018157173, OR BK 18444 Page 1945, Number Pages: 1,
Recorded 07/05/2018 03:26 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
P.,N.
st.val C.q.,
To whorn It nn,,con�nz
Th.—d.,,Jg.O,j hOl-�l IM-1—W�VW fthP...nlO�h be d.�.0.1..1 pr*..l,. hd in
ac�mOc.�th�tlon 713 M the Fl.dda Salutes.OF hOlmiM inwhWhn , ,000,in Mh NOVCE OF
( of 14) RLY io,
slifgrtl rw -
iii�hanilC E�Cacr)
GOhOnO d.�an&MhhhCFtS -Y*l
Ad*.. 2-IPS 'Safl-Filh Dv - ftoj*r,
F.�nFh THW,Ft,, -1 wnct inan
'WnO
ma.�
cw= DvPffWeZ[ R6M)6I L(V
1, '.IL5-JIZ -Zlw
f)l rl W`(" . I a y �H �;M
phnn.NO -K I - O'd Lf V —F..N.
��'..nyl
F..Na.
R-On'-6 OOF.W Ony .nWM.lhh� Of
NWhh
�rwss
Fine..W FF.M
H..w herwih��..MF SM,0 Flood..One,1.hohO." W."Unt N Wcn
�n,Fhts nOy W�d
hWnO
PW.N. F.W.-
10 Addlim 10 hinOOK.�r desonalas"�a phnion 10�a mft 0 Im�enhr s Mine F,PfOndhi
ShOon7t3%Q101,Fland.$WOO,
AlOhO
A,;O,O
P...� F.W
EV.....a fth�of�..,vne O.W.d. (1) ..On.On ft..Of seconl.�l unlF.
WWOnn OW,.spnnufiedl
THM Wkeg FM RECORDER-5 ME OW.y
eel 04 11 to� 8
F, IM.
019
r