Permit Roof 1085 Atlantic Bldg 5 2012 V'5
"i CITY OF ATLANTIC BEACH
r) 800 SEMINOLE ROAD
'=> = ATLANTIC BEACH, FL 32233
�a. INSPECTION PHONE LINE 247-5814
tit >.`r
Application Number . . . . . 12-00000869 Date 7/11/12
Property Address . . . . . . 1085 ATLANTIC BLVD
Tenant nbr, name . . . . . . BLDG 5
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 20000
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Application desc
REROOF
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Owner Contractor
------------------------ ------------------------
ATLANTIC ARMS APTS LTD INTEX BUILDERS LLC
4000B ST. JOHNS AVE #22 P O BOX 272140
JACKSONVILLE FL 32205 TAMPA FL 33680
(813) 293-0732
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Permit . . . . . . W/W/O BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 300 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 20000
Expiration Date . . 1/07/13
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 4 . 50
STATE DBPR SURCHARGE 4 . 50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 300 . 00 300 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 9 . 00 9 . 00 . 00 . 00
Grand Total 309 . 00 309 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 1O 8 flT1,6r0l c L permit Number:
Legal Description-39- ke . �aLA Parcel#
Flo—or Area o
Valuation of Work$.2o ,DO O. �`' Proposed Work heated/ cooled_ 0� non-heated/cooled
Class of Work(circle one): ( Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one):. ommercia Residential
If an existipg structure,is a fire sprinkler system installe one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: ektrui-a r-t S
Proper�t�O4ne Inf rdlation: A ��
Name: � d- Addr ss: C� k
City rerA. pR- State_Zip
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: � N TEk �u�1.REL..S ll.L Qualifying Agent: �NTkI�� �ti-�.1���
Address:�ID ( 27 31� City_ � PR— State Zip 3A?
Office Phorie Job Site/Contact Number ('�3�2y 3-�7�2 Fax#
State Certif�cation/Registration# CCC 13�$b��f
Architect Name&Phone#
Engineer's dame&Phone#
Fee Simple Title Holder Name and Address
Bonding Coanpany Name and Address
Mortgage Liender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I cert that no work or installation has commenced prior to the
issuance of a permit and that all work well be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work es not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod ofsiz r6)months at any time after
work is commenced. I understand that separate permits must be secured for ElectricaC Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,et_
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 hereb cert that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofYwork will be complied with whether spect ted herein or not. The granting of a permit does not presume to give authori violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner / Signature of Contractor
..... ........... ..................... . / .. Print Name -�- U'�-
............................. ....................�
Print Name .........�.. ..........................................................
Sworn to ansu of
worpo and subs '
this Day of 20
Notary Public Nota
+�,,,�" d ➢iRevise 1.26.1
Tmti 1}a d
. COMMISS N#DD870390
R.11,2013
NNOTARY.com
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7-9-12
City of Atlantic Beach
800 Seminole Road
Atlantic Beach,Florida 32233
I(Anthony Pergola,MGRM)hereby authorize Jason Nicholas as an agent to request and obtain permitting for Intex
Builders LLC In the City of Atlantic Beach.
Antlfony Pergola,MGRM Date
"Intex Builders LLC
s
CCC 035041
i
Anthony Pergola is personally known to notary,Juli Rae Papka.
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„Stamp:
_� � caraMu�si�#�D870:
E7(i'JRES.APR.11,2013
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P.O. BOX 272379 • Tampa, Florida 33688 • P (813) 960-8090 • F(813)448-1746
State Building License CBC# 1258273 State Roofing License CCC#1329674
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White, Deb ie
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From: Jones, Mike
Sent: Tuesday, July 10, 2012 9:03 AM
To: White, Debbie; Graham Shirley
Subject: Un-permitted roof work at Atlantic Arms Apts.
Hopefully soon there will be a man named Jason from Intex Builders, a licensed roofing company out of Tampa,to bring
in all information needed to get registered in our city. Please double fee him for the roof already completed and set up a
dry-in inspection as soon as possible. Let him know he will have to supply access to the roof.Jason should have
paperwork stating that he is an agent for the company or something stating he has the authority to act on their behalf.
Thanks; Mike J.
10
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JUL-11-2012 09:15 FROM: TO:92475845 P:1/1
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permlt No. — Tax Folio No. 15950-02209
State of FLORIDA county of DUVAL
TO whom It may concern:
The undersigned hereby Informs you that Improvements will bo made to cortain real property,and In
accordance with Section 713 of the Florida Statutos,the following information Is stated In this NOTICE OF
COMMF-NCEMENT.
Legal description of property being improved: 38-25-29E 6.374
Address of property being improved: 1085 ATLANTIC BLVD Atlantic Beach FL 32233
General descripEbon of improvements: Re-Roof
Owner 1085 Atlantic LLC
Address 5118 N 56TH ST TAMPA,FL 33610
Owner's Interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name '
Address
Contractor Intex Builders LLC
Address PO BOX 272379 TAMPA FL 336$8
` Phone No,813-9864WO Fax No. 813-448-1746
` Surety(f any)
Address _Amount of bond$
Phone No_ Fax No.
Nome 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 ar other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the UenDr's Notice as provided in
Section 713,06(2)(b),Florida Statutes.(Fill in at Owner's option).
Nome
Address
Phone Na. Fax No.
Expiration date of Notice of Commencement(the expiration date is oris(1)year from the date of recording unless a
differentdate Is specified):
THIS SPACE FOR RECORDER'S USE ONLY
Sip DATE � ��
of t m he this day ofl Z. In the
C ary of D of F areae,has porion ity eppeZ;z
herein by
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