Permit 953 Hibiscus Street CITY OF ATLANTIC BEACH
fs� 800 SEMINOLE ROAD
=i ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00002029 Date 12/17/09
Property Address . . . . . . 953 HIBISCUS ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4100
---------------------------------
Application desc
REROOF
----------------------------------
Owner Contractor
--------------
----------
SAPIA WHITES ROOFING
953 HIBISCUS STREET 14262 PLEASANT POINT LN
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
----------- ----------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 70 . 00 4100
Issue Date . . . Valuation
Expiration Date . . 6/15/10
Fee summary Charged Paid Credited Due
----------
Permit Fee Total 70 . 00 70 . 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.
_ (PREPARE IN DUPLICATE)
permit No. Tax Folio No.
State of Fi �,-; as 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 stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
953 Hibiscus St: Atlantic Bch; F1.•
Address of property being improved:
953. Hibiscus St Atlantic Bch, F1. .
General description of improvements:
Remove existing roof, install new roof
Owner Peter Sapia
953 Hibiscus St Atlantic Bch, Fl. .
Address
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
White' s Roofing Co. Inc. (Tim White)
i Contractor
Address 14262 Pleasant Point Ln' Jax. F1.
Phone No.
220-55.46 Fax No.
j Surety(if any)
Amount of bond.$
Address
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
t.' Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option).
•p
Name
Address
Phone No. Fax No.
e-�
Expiration dale of Notice of Commencement(the expiration dale is one (1)year from the date of recording unless a
different date is specified):
^K11 V7 OWNER
CITY OF ATLANTIC BEACH 08-' �
600 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPTGCOAB.US
L couNnr
BUILDING PERMIT APPLICATION
DuVA
aWins. .. 4 r 1 0 0 . .
1aoQ AnwrtF ..;. 0 0
953 Hibiscus St Atlantic Beach FI. 32233 z�
`SCI ASS"O91N�1Rt 0 DEMOLITION RESIDENTIAL
- x�
EgrEG111DEStxq?710N 'Y2s r . ..u° s3 :'.` 0 NEW BUILDING COMMERCUIL
0 CONVERTING USE
0 ADDITION
D ACCESSORY BLDG. 8.`FIRE'S�I`tM.'
LOT BLOCK_SUB DIVISION ��.< _ [] TERATION E3 POOL 1 SPA 0 YES WA
7s15ESCRI Ot fSFrORICaI`� ''... � n REPAIR
'(� OTHER ❑NO
emove existing roof , install new ro MovE
r ' rorrl�llA4'rT9RA z`8" st � t1? a� Fir'ARCco
H_..: C7GINEER; s Y��
� Pi?6c+ER7Y'OW14ER..' sK r e s�z ,
23.COMPANY NAME•
15,COMPANY NAME:
% 9.NAME: hite' s Roofinq Co. inc.
24.LICENSEE NAME'-
Peter
AME:Peter Sapia 16.NAME: Tim White
17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
1o.ADDRESS: . CCC 058017
26,ADDRESS:
951 Hibiscus St 16.ADDRESS: 14262 Pleasant P Ln
Atlantic Bch, F1. Jax. Fl. 32225
C PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28•FAX NO
11.612 PHONE:19.OFF296 1z.FAxNo.. ��0-5546
21.CELL PHONE: 29.CELL PHONE:
13.CELL PHONE:
22. ADDRE30.EMAIL ADDRESS:
EMAIL SS:
14.EMAIL ADDRESS x
M.. Ho
{I�onaEa }1pN�vYRi .. 35.NAME.
33.NAME:
31.NAME:
36.ADDRESS:
34.ADDRESS:
32.ADDRESS:
th no work
the constriction in this
t of an a ft and
it thatdo
work will n
be performed f ed to meet theindlations as Application is hereby made standards oa�laws regulating or installation as
pen r
commenced prior to the issuancePew
SUB 0
jurisdiction. This permit becomes null months void if workat any time after wotic is not is commeniched s I�understand tfiat separate
tpetmits mu tsbe secured for
abandoned fora period n ,S( )
Electrical Work,Plumbing,SI ns,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. lance with all applicable
OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done til all inspections ons are finaled and
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, unti
prior to obtaining a ceMcate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER: ***
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT TY. A NOTICE OF IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PRORE
COMMENCEMENT MUST BE RECORDED AND POSTED ONG CONSULT THE JOB E BE OUR HE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANC ,
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
r t t
CONTRAfTF�
eYter AgyRbgtiired� F. " ` > ?z,ntQ�falrtler Ohtyl:�
�Attor�flor `:
/7 Date:
Si L V'- �, 4�' Date: 1,L /7 O Sig �l
Sned:ig20 In the county of
Before me this day of o��' � .2007 in the county of Befo e thi 1L day of
Duval,State of Florida,has personally appeared
Duval,State of Florida,has personally appeared
herin by himself I herself and affirms that all statements and declarations are hue and amself I herself and affirms that all statements and declarations are
ccura
true and accurate. T — of i f
Notary Public at Large,State ofEl County of /lJ �County Notary Public at Large,State of
0 Personally Known
0 Personally Known 0 Produced Identification-
0 Produced Ideatifirra(lon- ry Signature:
Notary Signature
MY COMMISSION#DD920172 MY COMMISSION#DD920172
-�';
EXPIRES December 12,2013 - EXPIRES December 12,2013
(407)398-0153 FloridallofaryService.com
(407)398 0153 FloridallofaryService.wm
COAB FORM BLDG01:REVISED:11/6/2007
i