1085 Atlantic Blvd Bldg 1 and 6 roof 2013 CITY OF ATLANTIC BEACH
'y 800 SEMINOLE ROAD
J
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
t JA
Application Number . . . . . 13-00002259 Date 3/05/13
Property Address . . . . . . 1085 ATLANTIC BLVD
Tenant nbr, name . . . . . . BLDG 1 AND 6
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 33000
----------------------------------------------------------------------------
Application desc
reroof
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
1085 ATLANTIC LLC STONEBRIDGE CONSTRUCTION
5118 N 56TH ST 12550 AGATITE RD
TAMPA FL 33610 JACKSONVILLE FL 32258
(904) 545-6458
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 215 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 33000
Expiration Date . . 9/01/13
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 3 . 23
STATE DBPR SURCHARGE 3 . 23
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 215 . 00 215 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 6 . 46 6 .46 . 00 . 00
Grand Total 221 . 46 221 . 46 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: x Pk W / ; 'k C/ Permit Number:
Legal Description 39 -Z S-2 Qf- Parcel#
Floor Area ot Sq.Ft. Sq 1,t
Valuation of Work$ 331000 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration epa' Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): omme Residential
If an existing structure,is afire sprinkler system insta a ircle one): Yes No N/A
Florida Product Approval#
For multiple products use product approvaFforin
Describe in detail the type of work to be performed: � � Q`�P�aC£�'►�iy+ !�Z
pp
C�-
Property Owner Information: C
Name: AV WA 5 Address: J (I � N 6674 ST
City T,Aw►Q A State Zip 3 & D Phone
E-Mail or Fax#(Optional)
Contractor Information:
C
Company Name: l ►g �L Q�,cTsou 5WU5�LQuali in Agent:
Address: n373 PkIllT 5 W94otj # !I- City - AA� I � State r I Zi 2
Office Phone b Job ite/Con act Number Z -3 Fax# Z 62'Z2L1
State Certification/Registration# C CC I IS 2� 1
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 t0o'ta'n a permit to do the work and inas indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed 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(6)months, or if construction or work is suspended or abandoned for a period of six 16)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical 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 here b certify that I have read an exami d this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ).work will be complied w whet - speci eed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,s te, or ocal law regulating construction or the performance of construction.
Signature of Own Signature of Contractor /rJ
Print Name1J.. ...�K! !:..Z...................................... Print Name (/IST*A...G�....11. i. ..r14�
Beforkuie 3
this y 0 20
rry c or�r,
+,• ia;' EXPIRES F i
RAH Rf, Raided Thni Nola.
My COMMISSION#DD .Q , u
EXPIRES February 14,2014
` Bonded Thru Notary Public Underwriters Revi s d 10.24.12
Doc # 2013055132, OR BK 16275 Page 1145, Number Pages: 1, Recorded
03/04/2013 at 02:35 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of FLORIDA County of DUVAL
To whom it may concern:
The undersigned hereby informs you that Improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 38-2S-29E 6.374
B DE CASTRO Y FERRER GRANT
Address of property being improved: 1085 ATLANTIC BLVD.,BLDG'S 1 AND 6
ATLANTIC BEACH,FL 32233
General description of improvements: RER00F
Owner 1085 ATLANTIC,LLC
Address 5118 N 56TH ST,TAMPA,FL 33610
Owner's interest in site of the improvement BEAUTIFICATION
Fee Simple Titleholder(it other than owner)
Name
Address
Contractor STONEBRIDGE CONSTRUCTION SERVICES.LLC
Address 11323 PHILLIPS PARKWAY DR E#7,JACKSONVILLE,FL 32256
Phone No.904.262-6636 Fax No. 904-262-2247
Surety(if any)
Address Amount of bond$
Phone 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
Phone 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 Statutes.(Pili in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY PAINER
Sig ned:me DATE
Before th clay of (n
County of D I, to of Fbrfda, personally appeared
MUTAGIC MI '1'/PR(PFHIY MANA(:at herein by
s... himself!herself and atfirrns that all statements and decfaratlons herein
JEFF MCCARTHY am true and accurate
Commission N EE 833942
5 My Commission Expires 09-10-2016
I,FBonded Through Western Surety
Company•southeast ream /
Notary Public at Large,Stele o/rlslRmn Corm,of UNA'-
My comrNsslon exptres.e9-io-2ors -
Personally Known Or
P-1,rim I.iw+f rafim ONVERS L(G[NQ