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1021 ATL BLVD ROOF r s `S, CITY OF ATLANTIC BEACH 11 j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ROOF PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-ROOF-620 Job Type: ROOF PERMIT Description: ROOF Estimated Value: $186,794.00 Issue Date: 12/22/2014 Expiration Date: 6/20/2015 PROPERTY ADDRESS: Address: 1021 ATLANTIC BLVD RE Number: 177602-0040 PROPERTY OWNER: Name: EQUITY ONE ATLANTIC VILLAGE, Address: 16 NE MIAMI GARDENS DR ATTN: TREASURY DEPT GENERAL CONTRACTOR INFORMATION: Name: BEST ROOFING SERVICES LLC Address: 1600 NE 12 TER Phone: 954-941-9111 FEES: STATE DCA SURCHARGE $11.11 PLAN CHECK FEES $370.19 BUILDING PERMIT FEE $740.38 STATE DBPR SURCHARGE $11.11 Total Payments: $1,132.79 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION """" CITY OF ATLANTIC BEACH U 800 Seminole Road, Atlantic Beach, FL 32233 DEC, 10 2014 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 1021 Atlantic Blvd 953-975 Permit Number: — Legal Description 38-2S-29E 14.040 Parcel# 177602-0040 Floor Area of Sq.Ft. 33,073 Sq Ft Valuation of Work$ 186,794.00 Proposed Work heated/cooled X non-heated/cooled oc�`I r1 Class of Work(circle one): New Addition (Aleraticid> -'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 msta a one): Yes No N/A Florida Product Approval# I[)AQ E C.OV&i 1�/ NQ For multiple products use product approval form Describe in detail the type of work to be performed: Recover existing roof material with new roof material on flat deck Property Owner Information: Name: Equity One(Florida Portfolio)Inc. Address: 1600 NE Miami Gardens Dr attn.: Treasury Dept City North Miami Beach State FL Zip 33179 Phone 954-258-1821 E-Mail or Fax#(Optional) Contractor Information: �T-�✓!.S a `� Company Name: Best Roofing_Services LLC dba: Best Roofing Qualifying Agent: Zachary Wallick Address: 1600 NE 12 Terrace City Fort Lauderdale State FL Zip 33305 Office Phone 954-941-9111 Job Site/Contact Number 954-914-6326 _Fax# 954-941-744 State Certification/Registration# CC C 1329779 Architect Name&Phone# ' Engineer's Name&Phone# • Fee Simple Title Holder Name and Address 4 V1 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 YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER 09 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereb certify that I have read and mi d t s a pl ation and know the same to be true and correct. All provisions of laws and ordinances governing this type ofYwork will be complied w' et r s eci I rein or not. The granting of a permit does not presume to give authority to or cancel the provisions of any other federal or 1 cal a ating construction or the performance of construction. Signature of Owner Signature of Contractor Print Name ( ` .................................... Print Name WAi ................ ...... ... ... ....... ..... ....... ........ .......................... ... ...... ..` ..,i.0 f............................ Sworn to and subscribed before meSwo to and subscri e before ive this n J�OfOCS:;h6tc, / 201(_ this ay of 20 Notary Pu is Notary Public Revised 01.26.10 ,�" THERESA SPEZIALE Notary Public-State of Florida LISSETMa.BAM ;'� «or My Comm. Expires Aug 1,2016 h1YCOMMISSION#EE157762 'ahovc�oP�'� Commission#EE 221460 EXPIRES:February 2016 ` 24, Pf Bonded Thru Nolary Public Underwriters City of Aflantic Beach APPLICATION NUMBER Building ( epartmeb-i;j"'If 0 be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 322:33-5445 Phone(904)247-5826 - Fax(904)247-5845 City web-site: httP://www-coab.us Date routed: hv APPLICATION REVIEW, AND TRACMG FORM Property Address: 12 / , r? 91 VO Pqjg_ar�lfment review required Yes No Buil 9_ r B Idn "9_n1 rej e1quiredNo Ui iAdministrator c Applicant: Planning '3.. Zoning I e jstrat Tree A6 -1'n Lol Tre�e jAdirnioistrator Project: L '4 /P 6 6 Public Works Public Utilities Public �Qa'fety Fire Review fee $ Dept Signature CONTRACTOR EMAIL ADDRESS CONTRACTOR CONTACT # APPMAT0j STATUS Reviewing Departrnent First Review: UKIP�_Proved. []Denier (Circle one.) Comments: BUILDING N 0 PLANNING & ZONING Reviewed by:_ Date M TREE ADMIN. Second Review: []Approved as revised. []Deni PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: FIRE SERVICES Third RevieIRC. [-]Approved as revised. OlDeniec-1. Comments: Reviewed by:_ VISED 09252014t NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 177602-0040 State of 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: 38-25-29E 14.040 Address of property being improved: 1021 Atlantic Blvd 953-975, Atlantic Beach, FL 32233 General description of improvements: Cover existing roof material with new material on flat deck Owner Equity One (Florida Portfolio) Inc., Address 1600 NE Miami Gardens Drive,North Miami Beach,FL 33179 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name n Address t Contractor Best Roofing Services,LLC dba:Best Roofing 1 M Address 1600 NE 12 Terrace,Fort Lauderdale,FL 33305 \' Phone No. 954-941-9111 Fax No. 954-941-7447 urety(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.(Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date iso 1)/ya)rrom t ate of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY I`. Slgne r� � DATE I© n l I q Befor his day off in the Co o Duval, ate of Flo personally appeared herein by himself/ rself nd&r—ms that all st a bg ein Doc#'2014276941,OR BK 1 7 are true n accurate �/� v'I,, � 000 Page 1769, (../. `VLISSETTE G.BAJpp Number Pages: 'I �,^ \ MY COMMISSION#EE 157102 Recorded 1'210,,20'14 at 10:08 AM, `-ter ` £, , k ,oc EXPIRES:February24,2016 Ronnie Fussell CLERK CIRCUIT COURT DUVAL yf,,,k Bonded 7hruN0I P IicUnderwriters COUNTY Nota u lic at Larq&rState of 11 ounty o RECORDING$10.00 My commission expires: Personally Known or Produced Identification