1085 Atlantic Blvd Bldg #4,8 Roof 2014 CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 14-00000612 Date 4/21/14
Property Address . . . . . . 1085 ATLANTIC BLVD BDG 8
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 32120
-----------------------------------------
Application desc
REROOF
-----------------------------------------
Owner Contractor
------------------------
------------------------
1085 ATLANTIC LLC ROZAFA BUILDING ENT. (ROOF)
5118 N 56TH ST 9313 WESLEY COVE CT
TAMPA FL 33610 JACKSONVILLE FL 32257
-- -------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . . 00
Permit Fee . . . . 215 . 00 Plan Check Fee
Issue Date . . . . 4/18/14 Valuation . . . . 32120
Expiration Date . . 10/15/14
_____ _ _ ---------
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: 1085 ATT.ANTTC RT.V1) ATT.ANTTC'. RF.AC'H FL 32233 Permit Number:
Legal Description 38-2S-29E 6.374 B DE CASTRO Y FERRER GRA000
Floor Area of Sq
Valuation of Work$ 32,120 Proposed Work heated/cooled 10,200 non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed
structure(s)(circle one): Commercial Residential
i
If an existing structure, s a fire sprinkler system installed? (Circle one):—Ye—s---No N/A
Florida Product Approval#FL 101.24 Ld
For multiple products use product approval form
Describe in detail the type of work to be performed: Re-roof
Property Owner Information:
Name:-1085 ATLANTIC LLC _Address: 5118 N 56`h Street
City Tampa State: FL_Zip: 33610 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Rozafa Building Enterprises,Inc. Qualifying Agent: Oriola Lukaj
Address: 9313 Wesley cove Court City Jacksonville State FL Zip 32257
Office Phone 904-674-2253 Job Site/Contact Number_904-377-0866 Fax# 904-674-2312
State Certification/Registration# CCC 1327776
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 to obtain a permit to do the work and installations as 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 f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,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.
1 here, certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type
,lb will be complied with whether speci red herein or not. The granting of a permit does not presume to gyve authority to 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 Names m......_I...X.!.V..........�Q..�`. ............................ Print Name ...o(L� .1.��....... .1`-��.....................
Swow to and sub sc 'bed fore me Swo d subscribed a 20
this Day of 20 th' y f
FMILiA RAM' EZ
Notary Public \`� , Notary Public-State of Florid tory ' Notary P is urs of Florida QO
;'l J am
= My Comm.Expires Aug 1,2017 +�
Shirley
FF o�t�gsed 1.26.10 (/
'•Eofv. �°•• Commission N FF 041837 �Dj�� ' E piroao2rtxnote
CITY OF ATLANTIC BEACH
Is) 800 SEMINOLE ROAD
j ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000613 Date 4/21/14
Property Address . . . . . . 1085 ATLANTIC BLVD BDG 4
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10800
----------------------------------------------
Application desc
PARTIAL REROOF
--------------------------------------------
Owner Contractor
_ ------------------------
1085 ATLANTIC LLC ROZAFA BUILDING ENT. (ROOF)
5118 N 56TH ST 9313 WESLEY COVE CT
TAMPA FL 33610 JACKSONVILLE FL 32257
--------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 105 . 00 Plan Check Fee
Issue Date . . . . 4/18/14 Valuation . . . . 10800
Expiration Date . . 10/15/14
---------------------
------
Other Fees STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----- ---------- ----------
Permit Fee Total 105 . 00 105 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 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: 1085 ATLANTIC BLVD ATLANTIC BEACH FL 32233 Permit Number:
Legal Description 38-2S-29E 6.374 B DoE CAS RO Y ERRER GRANT Parcell#t 177391-000
Valuation of Work $ 10,800 Proposed Work heated/cooled_ non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed`.' (Circle one): Yes No N/A /
For multiple products use p pp
Florida Product Approval#FL101.24 1 �J
product approval form � / ---]]]
Describe in detail the type of work to be performed: Partial Re-roof of building 4. 1/3 of building 4 left side
Property Owner Information:
Name: 1085 ATLANTIC LLC _Address: 5118 N 56t' Street
City Tampa State: FL_Zip: 33610 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Rozafa Building Enterprises, Inc. Qualifying Agent: Oriola Lukaj
Address: 9313 Wesley cove CourtCity Jacksonville State FL Zip 32257
Office Phone 904-674-2253 Job Site/Contact Number_904-377-0866 Fax#_904-674-2312
State Certification/Registration#CCC 1327776
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 to obtain a permit to do the work and installations as indicated. I 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(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical-Work, Plumbing,Signs, Wells,Pools, urnaces,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 YATTORNEY BEFFORE RECORD NG YOUR NOTICE F N FINANCING CONSULT H
YOUR LENDER OR AN COMMENCEMENT.
1 hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type o7work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state,or local law regulating construction or the performance of construction.
Signature of Owner 1111 h rr rh} Signature of Contractor ` 1 ,
Print Name f, ,......olu, ow e✓ Print Name Qyt.l` ..�4 ..............► .1... . .......................................................
............
... ........................................................................
Sworn and subsc ' ed bef e me Swo o d subscribed me 20
this , ay of 20 thi D y of
No Public ary Pu 11c
Revised 01.26.10
NEE
State of Florida
PAULA SHORES FLOWERS hamn FF 086990
MY COMMISSION tt EE0101762018
EXPIRES July 19,2014
(407)398 0153 FlorldsNotaryservice.com
NOTICE OF COMMENCEMENT
State of FLORIDA County of_DUVAL Tax Folio No._ 177391-0000
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 ATLANTIC BEACH,FL 32233
General description of improvements: RE-ROOF
Owner: 1085 ATLANTIC LLC Address: 5118 N 56TH ST TAMPA,FL 33610
Owner's interest in site of the improvement: Simple Fee Ownership
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Rozafa Building Enterprises,Inc.
Address: 9313 Wesley Cove Court Jacksonville,FL 32257
Telephone No.:_904-674-2253 Fax No:_904-674-2312
Surety(if any)
Address: Amount of Bond$
Telephone 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:
Telephone 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 Statues. (Fill in at Owner's option)
Name:
Address:
Fax No:
Doc#2014081073,OR BK 16748 Page 1111, iration date is one (1)year from the date of recording unless a different date is
Number Pages:1
Recorded 041142014 at 11:29 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY )WNER
RECORDING$10.00y
ligned: 2 „^,K er I�rq Date: 3 ` z 9'1 Lk
Before me thisIllay of 111 in the County of Duval,State
Of Florida,has personally appeared 1 \l\ 1[atv�l7iLk'�
EMILIA RAMIREZ Personally Known: ✓ or
Notary Puolic State of Florida Produced Identification:
My Comm.Expires Aug 1,2017 Notary Public: ?
e.
P` Commission#t FF 041837 My commission expires: