Permit 951 Hibiscus Street f
CITY OF ATLANTIC BEACH
.511
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00002028 Date 12/17/09
Property Address . . . . . . 951 HIBISCUS ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4100
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Application desc
REROOF
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Owner Contractor
------------------------ ------------------------
SAPIA WHITES ROOFING
951 HIBISCUS STREET 14262 PLEASANT POINT LN
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4100
Expiration Date . . 6/15/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
'+ CITY OF ATLANTIC BEACH Q_
s a 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O V
t OFFICE:(904)247-5826•FAX NO.:(904)247-5845
` BUILDING-DEPT@COAB.US
»f+ta} BUILDING PERMIT APPLICATION DUVAL COUNTY
1 JOBADDRES.5, xr�,.,,t? '2 VALUAT,1„ONOFWOR 4,?, ;zr,,, 3 S4 F7`'UNDERROOF. .,.;;;,
,:�: .,.. .. fit ..
951 Hibiscus St Atlantic Beach, FL 32233 $4, 10 0 ,00
F..4 CEGAL DESGf21PTION .''.'a a..,. .',:� .,..> t .,. . .,e• e, ..; r; ;5`CLASS:OF WORi4: � ax,`r! ,,'h ..: �, „ Y 7.,`., B,,7JSE'OF STRUCTURE
❑NEW BUILDING ❑DEMOLITION 04RESIDENTIAL
LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
s7?DESCRIPTIOW0,W,0RIt W.. ..;a ;,?;, ra> :;, , ...;; +�,+ ••>I:� jrE
RATION ❑ACCESSORY BLDG. BF.F.IRE SPRINKLED
Remove existing roof, install new rO IR ❑POOL/SPA 11 YES /A
MOVE ❑OTHER ❑NO
„PROPE,RTY OWNER' ? ssy;CONTR1CTOR .::ARCHITECT(;ENGINEER,;
9.NAME: 15.COMPAN``NAME: 23.COMPANY NAME:
Peter Sapia
White s Roofing Co
951 Hibiscus St 16.NAME: Tim White 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
CCC058017
951 Hibiscus St 18,ADDRESS: 26.ADDRESS:
Atlantic Bch, F1, 14262 Pleasant Pt
Ln
Jax, Fl. 32225
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27,OFFICE PHONE: 28.FAX NO.:
612-4296 220-5546
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
FEESIMpLE;TITLEHOLDER� s : BONDING COM ANY kn F bra MORTGAGE LENDER '-"
,� ?.,L�i,`d, l c'E *°r$v'' i r
... .._.
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.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. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,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 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.
..` r x�t .. a s" r ., & "" Mpi s adx
01". }R S� QNfNER o r AGENT 4 + j tNn �0, CONTRACTOR . . ,. ,
T ` V.4Y ave A y,vtJ ':
Signed: S f ✓ \' Date: f z / O gned: r_ Date: /2 7—O
Before me this J 7 day of J 2001 in the county of Before me this 1.7 day of u �1�.4., .. 1200yin the county of
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. true and accurate. n
Notary Public at Large,State of County of UCY rwtidY Notary Public at Large,State of County of 'X
❑Personally Known 04`6rsonally Known
❑Produced Identification- ❑Produced Identificati -
Notary Signature: Notary Signature:
•• 's DEBBIE J RITTER ;
DEBBIE J RITTER
MY COMMISSION#DD920172 MY COMMISSION#DD920172
EXPIRES December 12,2013 EXPIRES December 12,2013
COAB FORM BLDG01:REVISED:11/ )3"0153 FbrideNotaryServlce.com (407)39&0153 FloridallotaryService.com
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of p'J-e - 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: '
951 Hibiscus' St: Atlantic .Bch, Fl.
Address of pro erty being improved:
.91 Hibiscus St Atlantic Bch,. Fl.
General description of improvements:
Remove existing roof, install - new roof.
Owner Peter Sapia
Address 951 Hibiscus St. Atlantic Bch Fl.
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
1
Address
. White' s Roofing Co. In. (Tim White)
Contractor
14262 Pleasant Point -Ln Jax. Fl. 32225
Address
Phone No. 220-5546 Fax No.'
j 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
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 is one (1)year from the date of recording unless a
h�+'' riiffarPnt data is snacified)'