Permit Folder 1441 Begonia StCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 09-00002066 Date 12/30/09
Property Address 1441 BEGONIA ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation 5750
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Application desc
REROOF FL1956
Owner Contractor
OCCUPANT THE FIDUS GROUP LLC
1441 BEGONIA STREET 301 KINGSLEY LAKE DR
ATLANTIC BEACH FL 32233 UNIT 501
ST AUGUSTINE FL 32092
(904) 874-1010
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Permit ---------------
ROOF PERMIT ----------------- ---------------------
Additional desc .
Permit Fee 78.00 Plan Check Fee .00
Issue Date Valuation 5750
Expiration Date 6/28/10
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-
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Fee summary
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- ---------------
Charged
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Paid Credited Due
-------- ---------- ----------
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-
Permit Fee Total 78.00 78.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 78.00 78.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
09 -
lob Address: I y y it ~ C(Dl1 i Q S'77' P~'~' ~}'~Gr1 ~ • Ch ~ ~Z Z3 3
Owner of Property: ~1~}L.I~ 8l.~rG{~ is
Address: v?93q~1hi ~I QWGU.r ~ ~ ~ ~Z.. Telephone: g0~" ~o~' 7~•,13~
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Roof Contractor. =~~__I%/~US C~107.~- ~-~..C State License Number: CCC %3 Z ~7D~
Contractor's Address: 3C~1 ~I flcslez_,t C.U. I~~ ~~~ S~- ~~~ ~ J=i! 3 ~ ~! Z
Telephone: ~~-Z3y •~~s~~ Fax: ~i O~-Z30-S~~f "~ Email: rQ/>'~St~ btu ~Fi~o°v5~'-~P "C't"i+'~'!
Scope of Work: ~t ~~ ~ Roofing Material C/5o~'Y?l ~- ~/~~~G~~.-S
FL Product Approval # ~ ~~ / 9S-Co Valuation of Work: ~ 37~d • ~
Required Inspections: Sheathing Jln Progress-Dry In /Final
If re-roof: Assessed Value of Structure: _ < $300,000/_>$300,000; Roof-to-wall improvements required?
( Applies to single family structures only)
"WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT /N YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED
ON THE JOB S/TE BEfORE THE FIRST INSPECTION. lF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY O E REC DING YOUR NOTICE OF COMMENCEMENT"
SIGNATURE OF OWNER: r~~ Date: ~Z ' Z g ~~
AS TO OWNER:
Sworn to and subscribed before me this Z°f day of ~ . 20_~.
`~~4'pv P ~~~~ LORt L. TORZSA "
r ~'-; Notary Public -State of Fotldii
• ? My Comm. Expires t,Aaar 22, 2013
"•, ` ~ Commissbn #r DO 872898
~`~F °;,,,~~• ~ Bonded Through t~tiglel vy b
SIGNATURE OF CONTRACTOR:
Notary's Signature: o ..- ~~~~G-_
ersonally known -~
^ Produced identification
Type of identification produced
/2"Z9-D9
AS TO CONTRACTOR: ~~
Sworn to and subscribed before me this 2°i day of '~c_L- , 20 0 1.
State of Florida, County of-•Bt~al- 5~ Gab'Y~-r~S yp
Notary's Signature: ~C'u ~ CJ` 4.''6~-~.) C,
personally known
„~~~~~~., LORI L. TORZSA ^ Produced identification
~. r r ~.,,
dip` ~,=; Notary Pubtic -State of hlorida Type of identification produced
Mar 22 2013
_ • My Comm. Expires
;~. Q~: Commission N DO 872896
~~'%`.°,` `; ~`'•~ Bonded Through National Notary Assn. 800 Seminole Road • Atlantic Beach, Florida 32233-5445
~~ Telephone: (904) 247-5800 • Fax: (904) 247-5845
F:\roof permit applicaton.docx 7/28/09
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s~; 1-j . CITY OF ATLANTIC BEACH
.r ~4 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
?' / ~' fl OFFICE: (904)247-5826 ~ FAX NO.:(904)2475845
BUILDING-DEPT~COAB. US
- ~'~ BUILDING PERMIT APPLICATION
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^ ADDITION ^ CONVERTING USE ^ COMMERCIAL
^ ALTERATION ^ ACCESSORY BLDG.
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~ /~ ^ REPAIR ^ POOL /SPA ^ YES ^ N/A
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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 -aws 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. I understand that separate permits must be secured for
Electrical Work, Plumbing, Si ns, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law.
*** WARNING TO OWNER: ***
YOUR FAILURE TO RECORD A NOTICE OF CO MMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOU R PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTA IN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECOR DING YOUR NOTICE OF COMMENCEMENT.
Signed: ~ Date: /Z' Z~ ~ Signed: Date:
Belo me this day of 4~l , 2009 in the county of Before me this day of , 2009 in the county of
Duval, State of~Flor~itda, has personally appeared Duval, State of Florida, has personally appeared
herin by himself !herself and affirm at all statements and declarations are herin by himself /herself and arms that all statements and decarations are
true and accurate. true and accurate.
Notary Public at Large, State of _~, County of .SS Notary Public at Large, State of ,County of
L9'~rsonally Known ~ ^ Personally Known
^ Produced Identification - ^ Produced Identification -
Notary Signature: Notary Signature:
~~•••~Y~N•y~~ I„CRt L. TORZ8A
Notary Pubitc - 81Mt of Fbrlda
• • ti MyqC~~omCcmn.. 1E~x1p~ir~/yta77ppM,~ar 22, 2013
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THE CITY OF ATLANTIC BEACH
BUILDING INSPECTION DEPARTMENT
ROOFING INSPECTION AFFIDAVIT
Re: Permit #
I, ~QrY~S ~l1{~~ ~'~, ,licensed as a Contr~ Engineer/Architect, or Building Inspector*
(print name) (print type
License #: C,CG l3 Z"70 y 3
On or about
did personally inspect the roof-to-wall connections as required
by Rule 9B-3.0475 at 1 yy 1 ~~ i a See -~-
(Job Site Address)
Based upon that examination I have determined: (circle one)
The roof- to wall connections were installed according to the Hurricane Mitigation Retrofit Manual
(Based on 553.844 F.S. )
the necessary corrections to comply with the Hurricane Mitigation Retrofit Manual.
ur
STATE OF FLORIpA
COUNTY OF
Sworn to and subscribed before me this day of , 20
By C~ ~- ~ ,
Notary Public, Stat of Florida
Lar-` C.- TorZS~
(Print, type or stamp ~~+~~
.•~~y' •. LORI L. TOR2SA
Commission No.: miry ~~' $~eo1 ~i
Personal) Known /or Lfi- • ~~ Mu 22, 2013
y Commi°°ion r 00 972asa
Produced identification .,,.,.A ' aonesdtnrou~htgaonslNaupAa°.
Type of identification produced
*General, Building, or Residential Contractor or any individual certified under 468 F.S. to make such an inspection. This form must
be on file at the Buildins Department prior to calline for a Hurricane Clip Inspection..
F:\roof permit applicaton.docx 7/28/09
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NOTICE OF COA'Il-'~NCEMENT -
State of Ra(-I o~c~. Tax Folio No. ~7 J 08a - n SDO
County of VG}
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 -a $ 'a 9E _
fl=1-l~n-h ~ ~tarh Sic ~
Address of property being improved: / ~~{ / f~rci'Dn / A Sf ~f3Dn 3 7 C' ~iraCh ~G -~~33
General description of improvements: P ~ ~-~
Owner: J d~ll1 ~ rQ ~ Address: _._03939 CGS? i'/ /C3 LUl_LL~J C~ c'.e11 CbV-t ~!~'n~$
Owner's interest in site of the improvement: ~- ,3rd p y3
Fee Simple Titleholder (if other than owner):
Name: -
ctor: `1~h~ F,-r1. ~--~tsyp (_j,C
Address: ~D 1 ~C i !1G ~ ~ 1 a ~ q IC.P ~( '~`Jr0 ~ ,~- ~ i~5}i 2+0 ~ 30"2 Q ~~.
Telephone No.: °)(71-1 ~a3t~- 55~$ Fax No: ~'(~- 3~Z~ - :55'7
Surety (if any)
Address:
Telephone No:
Fax No:
Name and address of any person making a loan for the construction of the imprc
Name:
Address:
Phone No:
Fax No:
Amount of Bond $
U~ # 200931 i 4i 8, Ut< 1310 '15'1 13 Page 551,
Number pages: 1
Recorded 1'J30i2009 at 01:27 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDWG $10.00
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)(6), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No:
Fax No:
Expiration date of Notice of Commencement (the expiration date is one (I) year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY
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OWNER s!~J~~Q~~
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Before is of
Signed: Date: ~~~~-~/
~_ y in the County of Duval, State
Of Florida, has personally appeared ~r ~ u
Notary Public at Large, State of Florida, County of-Bctre!• S'}- . ~
My commission expires: 3~2T , L3
_ _ _ or
`,per ~!
13P5UZI03 CITY OF ATLANTIC BEACH
Inspection Inquiry Inspection Selection
Property address 1441 BEGONIA ST
RE number 171082-0500- -
Application number 09 00002066
Application type ROOF PERMIT
Type options, press Enter.
1=Select
Opt Str/Seq Pmt/Seq Inspection Type
_ 000 000 ROOF 00 BD ROOF FINAL
000 000 ROOF 00 BD ROOF IN PROGRESS/DRY-IN
F3=Exit F11 View 2 F12=Cancel
Seq Insp
0001 MJ
0001 MJ
1/15/10
08:41:27
Result/Date
AP 1/14/10
AP 1/11/10
Bottom
HP ~iicejet 7410
Personal PrinteriFax/Copier/Scanner
Log for
infionnation Sys#emsCiTY O
904-247-5845
Jan 15 2010 8:59AM
Last Transaction
Date Time 7ype identification
Duration Paaes Result
Jan 15 8:58AM Fax Sent 92305547 0:24 1 OK