Beach Ave 1085-87 NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of
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 sWed to this NOTICE OF CONMENCENIENT.
Legal
Description of roperty being improved:
Address of property being improved:-
General
mproved:General description of improvements:_—L—ore ,Cw
t-.i Y V a e=,
Owner's interest in site of the improvement: AL — -- —
Fee Simple Titleholderif other than owner):
Name: W ^
Contractor: }C' 1 " yy wtw co+^Yn is
Address: 267'4- A-rt. Qk—J-TW, EIrm !C„ 3ZZ33 _
Telephone No.: ZU) ZZ-Z,1q e Fax No: 'Z 14`Z --9' —U l
i" X (if any) O,�Lfrsrl�J i 'G�aN _
Address: 4 Ci GoVyWS14O:- Amount of Bond$ 'Sr.5� —
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements (�
Name: tj, A
Address: L!�!
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: Nij-A
Address: q -A
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)bt Florida Statues. (Fill� ption)
Name: Kit t1 ;j. z
Address: 4.072. yV'1,4 j fXXXr -JZ42� AyL A`eJt1C- EM-'Ac 31 L 3 Z�
Telephone No: Fax No:_ 214-7-q M441
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
Doc tl 2007268501,OR BK 14145
paW 2442, igned: � Date: l/ 2W7
Number pages:1 efore me isday i in the County of Duval,State
Filed&Recorded OWW"7 at 12:11 PM, f Florida,has personally appeared %�_____�
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY otary Public at Large,State of Florid,Gann of w
RECORDING$10.00 ly commission expires: �':'i': r
:rsonally Known: * * or
,oduced-Identifica3ion:
y r BUILDING PERMIT APPLICATION
' CITY OF ATLANTIC BEACH
�1,19r 800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 • Fax: (904)247-5845
ob Address: 60O)A Permit Number:
�egal Description�LZ � �/ ,�/D e�G ( �� J�/�'�-rp�
Valuation of Work (Replacement Cost) $ 6D
Class of Work(Circle one): NewaAdditi Alteration Repair
Use of existing/proposed structure(s) ( e a one)l: Commercial idential
® If an existing structure, is a fire sprinkler system mstalled? (Circle one): Yes o
Is approval of homeowner's association or other private entity required? (Circle one): Yes 1L V V
)escribe in detail the type of work to be performed:
'ronerty Owner Information
tame: -Mp9C ? €At P W I Q4-V" Address: 831
'ity A-tAr-Wtc_' R:C cc1 Statel::L Zip 3Z'Z3�_Phone 35Z - '7
'ontractor Information:
fame of Company:111�CN>iCAL- �*JC�Sura_ S -' tee=Qual.itying Agent: k!LV1 s J W. 4E VV So>v-C.
ddress: Zn7z rrira,4Aar _ City4T'Loqeam_ 6State V4 Zip 223�
iffice Phone Z 4I ZZ.Q-C _Job Site/Contact Number_ __
tate Certification/Registration# ,r�C'1 ,.3s� Office Fax# 2t}�q'Z�fr)
rchitect Naive &Phone #
ngineer's Naive & Phone#_
plicatlon is'hereby made to obtain a permit to do the work and installations as indicated 1 certify that no work or installation has corninenced prior to the
uance of a permit and that all tivork will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and
Id
if tivork is not comrrzeneed within six(6)months, or if construction or^tva!c is suspended or abandoned for a period of six(6)months at any time after work is
mmenced I understand that separate permits must be secured for Electrieal Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,Tanks mulAir
mrlitioners,etc.
YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
ESULT IN YOUR PAYING TWICE FOR .IMPROVEMENTS TO YOUR PROPERTY. IF YOU
JTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
EFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
erebyy certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this pe
tivo,kc vilt be corrrplied with whether•specified herein or not. The granting ofa permit does notpresuine to give authority to violate or cancel the provisions of any
ier federal, state, or local law regulating construction or the performance of construction.
;nature of Property Owner:">C — — Signature of Contractor:
turn t and subscribebefore n� Sworn t and subscribed efore me
s Day of this Day of zl /jru
ARY p 6
ROY ROCKHOLD ? •'"'' ROY ROCKHOLp
* MY COMMISSION#DD 511610 * * MY COMMISSION#DD 511610
Maty Public: _ — EXPIRES:May27.2010 Notary Public: - 9 0, EXPIRES:May 27,2010
'rEop F oe- Bonded Thru Budget Notary Services Notqry Ser ift