Permit Folder 365 1st Street CITY OF ATLANTIC BEACH
s f 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
J
INSPECTION PHONE LINE 247-5826
W1
Application Number . . . . . 10-00000175 Date 2/17/10
Property Address . . . . . . 365 1ST ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2955
-------------------------------------------
Application desc
REROOF
----------------------------------------------
Owner Contractor
------------------------
RBER, FRANK BENTON BUILDERS & ROOFING INC
KE
KE1ST STREET 2865 PLUMMERS COVE ROAD ST 4
365
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32223
(904) 262-7663
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Permit . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . 65 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 2955
Expiration Date . . 8/16/10
---------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- --
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 65 . 00 65 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
S ljy
••��Jiiltlr' 09-
CITY
9-CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date: / '��5 16 _
Job Address: 3�o J� J t Stire eT 9L Pi f"1 C.
Owner of Property: `T)OPO-4h k j2 r b e i,—
Address: 3Co 5 S
�S� tV'ee Atktcui t�a F41 Telephone: ;2 &4 "
Roof Contractor: BENTON ROOFING State License Number: CCC035631
Contractor's Address: 2865 PLUMMER COVE RD, A, TACKSONVTT j F, Fi im A
Telephone: 904--262-7663 Fax: 904,-2262-7003 Email: BENTONI BEL.L.901JTH /NET
Scope of Work: 1 �Ca l"OO� �/l�G I" lkt- ��,i,� Roofing Material '410P n'�.0`�v1` a- (3t-e�,.,,,j
FL Product Approval# �" L04 b Valuation of Work: $ *2,Q 5 5. 6 0
Required Inspections: Sheathing/In Progress-Dry In /Final
If re-roof: Assessed Value of Structure: V//<
s-<$300,000/_>$300,000;Roof-to-wall improvements required?
(Applies to single family structures only)
"WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED
ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT"
SIGNATURE OF OWNER: Date:.
AS TO OWNER:
Sworn to and subscribed before me this !J+k day of b 20 1 L7
State of Florida,County of Duval
Notary's Signatur
[ er ly known ,, �: JAMES H.MILLER
0 Pr ced identification *: Commission DD 788236
apTe of identification produced ' '=` Expires June 1,2012
ru Troy F*Irawffl p aDM*7010-
SIGNATURE OF CONTRACTOR: Date: -2///5YD
4V If
AS TO CONTRACTOR:
Sworn to and subscribed before me this )5 day of Feb 20 10 .
State of Florida,County of Duval
Notary's Signature:
er na known
0 ro ed identification
pe of identification produced 2 --JAMES H.MILLER
jJW'.T1Ck Commission DD 788M2012
800 Seminole Road•Atlantic Beach,Florida 32233-5445 = Expires June 1,m"jTelephone: (904)247-5800•Fax:(904)247-5845 SwdW�'"'imyFiinkreuryq�9ppil{iplp
F:\roof permit applicaton.docx 7/28/09 YJ
i,>or the rionaa statutes,the toilowing information Is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: -16-2 S-29 . 2-1
A+IcLn+iC d3Ca.c6umf CoLLftN . F(ortcla,.
Address of property being improved: 3�G.5 t
4410,.kitl C. Begz.6 _ F= L 3 22 33
General description of improvements: 9,0(�4
Owner V O p0jj�h eY',D. Q 1" .t, A 1
Address .3 G S (S + S+ren �. A+ tQ iq+t C & CLch. EL
Owner's interest in site of the improvement �:e e S i m p ! ,e
Fee Simple/Titleholder(if other than owner)
Name )/4
Address
Contractor Benton Roofing
Address 2865 Plurmiers Cove Roan., Jacksonville, FL 32223
Phone No.904/262-7663 Fax No. 904/262-7003
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name P► 14-
Address A^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..06 (2) (b), Florida Statutes. (Fill in at Owner's option).
Name �J 14-
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
Signed: d - 7 'L' Date: tc�
-- ----------- ------ - ---- Before me thi _ day of 2 b . 2O ( Q in the
Doc;;20100362&+,OR 6K 15157 Page 1134, Couw6fDuval,Sta WFIoria, has personally appeared V
Number Pages:1 zA
Recorded 02/17;2010 at 10:28 AM, r ��1
JIM FULLER CLERK CIRCUIT COURT DUVAL f
COUNTY
RECORDING$10.00 Nota Pint Large, State of Florida, County of Duval
f
M : Ission expires:
ovally Known or