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19 Forrestal CIR 07-00000100 Re-roof .1' '�j r r � j• JJi SS1 CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD J 57 +, ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 07-00000100 Date 2/08/07 Property Address . . . . . . 19 FORRESTAL CIR Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4600 ------------------ ------------- -- ----- -------------------------------------- Application desc reroof -------------- --- ------------------ - -- -------------------------------------- Owner Contractor ------------------------ --------- --------------- FRITSCH DUBO ROOFING 19 FORRESTAL CIRCLE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 -------------- ----------- --------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4600 Expiration Date . . 8/07/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. s CITY OF ATLANTIC BEACH - t+ r � �r ROOFING PERMIT APPLICATION Date: Job Address: 19 Fo r•t'2 ni i(a 1 LY• K). Owner of Property: ah V) Fr I Address: tip On k. W obd 12d Telephone: 1Q Z 9- Li Contractor: i n State License Number: rre_t k, 82_1 (p Contractor's Address: 00 Mix E]_ 32.-?-m Telephone: �9 0 Ld 1p ! e)�b C� Fax: (90q) 1f e Scope of Work: ge-- mp Q- Deck Slope: D i Z Greater than 2:12 Less than 2:12 Valuation of work: $q/0 X • — Florida Product Approval#(or NOA#from Miami-Dade) FL. q D Product Name(Example: Timberline): ftCj j41 ed ,T M Y+OQ e,,L( '-/-S I-C4­<'�1 Manufacturer(Example: GAF): fo,i r T--e t°d ASTM Designation(s): d t'(J !7 J L/-7 Required Inspections: Sheathing and Final Signature of Owner: Date: 7 U? AS TO OWNER: Sworn to and subscribed before me this day of j 20 _. State of Florida,County of Duval Notary's Signature: �,raY ft" Notary Public State of Florida Andres R McCullough Of Personally known My Commission DD613426 ❑ Produced identification Expires 07/02/2010 Type of identification produced Signature of Contractor: Date: 7 Q-7 AS TO CONTRACTOR: Sworn to and subscribed before me this day ofd,joru (fir ,20__0 State of Florida,County of Duval /y ' �n Notary's Signature: `�M Ap� --mo l.(.(,rxsy7,C�,�n - OAr►o Notary Public State of Florida `61 ;1' N; Andres R McCullough Personally known y My Commission lough 26 ❑ Produced identification 'sof fv° Ex ires 07/02/2010 Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 1 Revised 11/06 DH ` NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of 11�17County of V Hi— 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: tin / Address of property being improved: I`I r©r rf 6� Q f-• A) General description of Improvements. -f - 9.6 FL -101 Owner sc Addre.. 2�0 (4 U–)(Q–j 2A Owner's Interest in site of the improvement Keel-t-121 1 42"-)0i0✓ Fee Simple Titleholder(if other then owner) Name Address Contractor Popp rywfyla Address 6 `A Phone No, Fax No. 36-1 to- `ry Surety(If any) r/ Address Amount of bond S 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 Lienors Notice as provided in Section 713.08(2)(b),Florida Statutes.(FIN 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 OWNER or AGENT M Aeerd,Power Aaorney or Age n r Required) Slpned: Dna:.2-4-4`7 940rs—thre,.,F,day or in m. County dDyraI IS f n h ppeared herr)try him l not awl � e/r)terp�n��rue srd soau s. 41d V Notary Pudic at Large.State of I— County of L.CQ \\\......\\\ My commlaebn supine: Doc#2007042753,OR BK 13797 Page 1752, Personally Known 'or Produced IderdYlollon Number Pages.1 Filed&Recorded 02/06/2007 at 11:49 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 :°fir p� Notary AndrePublic State f F� My Commission DD613426 ��or f%-0 Expires 0712010