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Permits Folder 372 Ahern St 416 1638 DE 'Aar P MIENT OF'Ou dili'dFATLANTIO PERMIT IMI�ORM LOCATION INPORMATI'oN 172 ARE104 Address,: Remit T STREET AMANTI C :BEACH 0 'i ­ ' o. , FL RIDA 32233 s of'Voik-ALTZRATION dtist,r LEGAL VZSCRIPTJ�ON ------- - c �WOOD ,FIRAMR Type. Lot : ropose NGLE FAMIA, Tvp. o .d: use'; Sl L Sectjon. Dwell lin 0 Subd: Rnj: 0 gs Est . Value- O �00 mp Cost:- 0100 , rov :To 25,00 Amoun D e ekJ' j�o ---------- 25"00 ET "d Y �ORX,DA 4 ,, 11 N11, 10, on Aw, Of ORMATIO)N, Na m e�v A�4 AT-LA FLOR .DA �3223: NTT xp:: T IN j INSPECTI AT�OASr,:04� NOTICIE I ONS MUST'SE'REQUESTED SPRIOR TOMSK N Ulk OVILDINGMATERIAL,RUBBI$HAND,DES r R I,8 FROM THIS mus N OT:a t, WOR' 'T" �*D�MUV'8r 0 NE �'�QLEAAOUPA:' 0 HAUL ftjl CONTRAC' N ED AWAYBY,EITH TOR 60 R Er �T Y�'r WJT� 'Cori.% LIUR PL W CAl. ASSU ,H'THE MECHANIM LMJ4,'r�, 11 LA N", PRO PEMY"O" R', AYM d TWIC E '0" ILDING IM PROV0 0CQRD �A, litQED A INO TO APPROWD PLANS WHICH ARE PART OF THIS PERMIT,AN-,b SUBJECT'TO REV66ATION.FOR P�F �40�,L W ATIoN oFAPPLICAI§LE OVI'610 ISIS A 'I NAD EPARTM "ATLANTIA�AEACH ILD ENT By, CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: IJ OWNER OF PROPERTY: PLUMBING CONTRACTOR: CONTRACTOR'S ADDRESS: ael Ag STATE LICENSE NUMBER: Ce�3 Z/9 e TELEPHONE: HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ---------------------- --- -------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. DEPARTMENT OF BUILDING CITY OF ATLANTIC-1ACH,FLORIDA PERMIT NO.A 9 5 0 PERMIT To BUILD ------ i THIS PERMIT MUST 13E POSTED ON JOB Date Valuation$ _UQ_90��Fee s This Permit not valid until abc,ve fm has subject to revocation for W012tion been paid to City Treasurer,and is of applicable provisions of la", This is to Certify that Wrl-TAM L. TROTM has permission to build—_LZ_TA T 'classification S Y Owned by Zone Lot 20 House No. 3 72 Aliff ---------—Block STREEr S/D According to approved plan's which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE X 0 Building material z , rubbish and debris 4 "On' this work Must lot be placed f in publi up ic space, and znult be cleared and hauled 'Way by eA*Q4o,T tractor Ow r 59 UUCK T FOR OFFI E USE ON y PERMIT c�Q.Jd` B Ing U/d NU"ER DATE PLUMeING CONTRACTOR ELECTRICAL SEWER ATER AMMIL APPLICATION FOR FENCE AND WALLS;SEAWALLS PERMIT ZONING: CHAPTER _28, SEC 28-5 (e) (1) In the area between the front property line and the front building setback line, no fence or wall shall exceed four (4) feet in height. (2) In the area between the front building setback line and the rear property line, no fence or wall shall exceed six (6) feet in height. (3) No person shall construct, erect or place on any property within the city any seawall or retaining wall without first obtaining a permit therefor from the city and submitting adequate plans and specifications to show the building official of the city the construction contemplated. For the purpose of this section, a seawall or retaining wall is defined to be any wall used to resist the lateral displacement of any material. (4) Not- withstanding any provision hereof, no fence shall be constructed contrary to the provisions of subsection (n) of this section. (n) Traffic visibili.ty across corners. In any district, no fence, sign or any planting shall be maintained, except that which does- not interfere with traffic visibility across corners. This determination shall be made by the city manager or his appointed agent, and property owners in violation thereof shall be advised to make the necessary removal. ----- -------------------------------------------------------------------- TYPE OF PERMIT NAME, ADRESS & TELEPHONE NUMBER OF APPLICANT FENCE 0 0 C� 6 or (PRINT PLEASE!) WALL WIL-1-1,lm J- AV SEAWALL 3 7 /-Z 7 IS THE PROPERTY ZO 7-4,q,-� 7-14- RESIDENTIAL -3,0.-yo'o 6, C, COMMERCIAL/BUSINESS ? 4, 13ea we) C let:C-f/ ATTACH THE FOLLOWING TO THIS APPLICATION: IF Z' CV jd1d e a) The location of the building, structure or lot to which or upon which the structure is to be erected. b) A plot plan showing the position of the structure in relation to nearby buildings or structures. c) A blueprint or ink drawing of the plans and specifications and method of construction and attachment to the building or in the ground. 4'p P R6VE D d) The name of the person/contractor erecting the strT0qVujrf_,ATL0T1C B�Ao SUILOING OFFIr-F- e) Such other information as the city manager or his appointed shall require to show full compliance with all other laws and ordin4h s 07: ity. din*R�s d" ?�t it, SIGNATURE OF APPLICANT DATE Bat I'l f W- 3-7 Q t,z -w- 30 a wA�,e- 61 -5- :5 �DEPPAFR�tl—,,,, CITY OF ArL.A BUILDING NrIC BEACH, FLORIDA PERmmNo. 5 PERMIT To BUILD -J2� THis PERMIT MUST BE POSTED ON JOB Valuation Date--­2!E!!�er2 8 1 919— Pee This Parn"t not valid until above fee JIM been aubject to re Paid to C"' T'—'-1 and 1. vo""o. I-, violation of PIicabl. Proisi... of J.,,. This is to certify th, A L* Trotter has Perraission to buil Classificatio F Owned by, W 1.1jam rotter Lo D�.. lot 20 If Ouse No Block---_I____S/D A/B According to approved plan, I Which are Part of t is permit NOTICE—ALL AND FOOTIN CONCRETE poltICS GS SPECTED BZpOR.E Mp0UUSTRjXBGj.: IN_ PERMIT VOID AFTER DATE Op ISSUE SIX MONTHS 20 Building material, rubbish and debris 11 from this work Public BPace, an must not be Placed in and hadled d or ow1mer. away imust be cleared Y either contrac C. S FOR USE 0 Building offt NUMBER DATE # jlik""'4cc PLUmISING CONTRACroR ELEcrRICAL SEWER W A Date........ CITY OF ATLANTIC BEACH Permit ...Fee FLORIDA Valuatim$.... ..................... House 6 ........... APPLICATION FOR BUILDING PERMI-Ir ............. ............................................................. APPlication is hereby made for the approval of the detailed statemen of the plans building or other structure described. This application Is made int and specifications herewith submitted for the' the City of Atlantic Beach, Florida, and all provisions of the Laws 0 compliance and conformity with the Building Ordinance of Beach and f the State of Florida, all ordinances of the City of Atlantic all rules and regulations Of the Building Department of the City Of Atlantic Beach, shan be compiled with, whether herein specified or not The Contractor or Owner-Builder who has been Issued a Buildinx Permit is Automatically responsible to ascertain that I contractors engaged by him are duly licensed in the City of Atlanife Beach,Florida. To prevent delay or embarramment regard- &I sub- Ing Intermediate or final inspections It If suggested that a list of sub-contrActors be submitted to tbis office so that licenow cm be verified. Date..../. er..... .......................................... own .......................Address.....��fw....... ..............Telephone NaA.�..p Architect.................. .1piw,c......................................................Address,..................... Contractor ...................................Teleill no Nol�.......Z/............... ..4.............................. ........... .. .. .........Address........................ ................................Telephone NO......... ............... Lot NO...................................................Block No...............................Sub Division................................................................................zozie............ ............................................................Street.........................Side Between Valuation $.......;7 .. .....For what Purpose will building be ..............T�w of construction..... Dimensions of Building... y , - --/0-//..DImensJonx of Lot........ Z 'r Size of Piers �2 7J��....2.. ..........Size of rootings.... ........ ................ How will Building be Heated T.... Of SLU................................Greatest Sin S, in ft..........................Type x0of.......... ------------- -------&-4p.......oe"r......................Will Banding be on Solid or Filled Ground?........ .......... Size of Ceiling Mato...............................—......... Distance on Centers............................................. Greatest Spaw........................................ SIM of Floor Joists.............................................. Distance on Centers.......... ................................. Greatest Span............................ Size of Rafters............ D istane on Centers........ .................................. Gre*test Span............................................ APPROVED This roe, e Is to represent me lot CITY OF ATLANTIC BEACH 110cate b dhw or buildings In the BUILDING OFFICE A ht Position. Give distanice in feet from Zf lOt-HAOS and existing building& 0 E CAI REAR LOT LxNZ Two coplesof plane and speefflextIong shan 79 be submitted with application. Inspections required. L When steel Is In piece and ready to pour footing. 6 - 2- When steel Is in place and ready to pour columns&War 3- When steel Is in Place and ready to pour beam. Z 4. When framing is complete& 5- When rough Plumbing is Completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. ElectricAl Inspection by City of Jacksonville. 8. Final Inspection. Note: In came of any rejection,re-Inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work WAScribed in the above statement, we hereby agree to perform said work In accordance with the attached Plans and a tions, which regulations of the City OLAUM�1*Beach. A" 0 Part hereof, and -accor&nce,with 0 building ftm&tm of Buildei"--��_ I Address.... . .. ............ ....... C;�21 ?4�........... ...............I............... Signature Of .......... . .......................... A. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000498 Date 4/14/08 Property Address . . . . . . 372 AHERN ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4600 ---------------------------------------------------------------------------- Application desc reroof fl f18670 . 9 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ COMPANY, DOWNEY PRINCIPLE CONSTRUCTION 372 AHERN STREET 3119 SPRING GLEN RD, STE 110 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 398-3525 ----- ----------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 53 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4600 Expiration Date . . 10/11/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 53 . 00 53 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 53 . 00 53 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �V CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08- OFFICE:(904)247-5826 G FAX NO.:(904)247-5845 BUILOING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY W "low 37? 19hV,?At 777 '44A El NEW BUILDING 13 DEMOLITION 13 RESIDENTIAL LOT BLOCK SUB DIVISION 13 ADDITION 13 CONVERTING USE 211ICOMMERCIAL 13 DG. ALTERATION 13 ACCESSORY BL 11 REPAIR 0 0 13 POOL/SPA 13 YES 13 N/A -or 13 MOVE OTHER 0 ;�4cee 4 N I.......1 77-777 9.NAME: 15.COMPANY NAME- COMPANY NAME: hrvrz;�f "V' f:,. fw�-' - 16.NAME: 24.LICENSEE NAME: 4e'gq' 10.ADDRESS: EOF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 1/7 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 112.FAX NO.: 19.OFFICE PHONE: 26.FAX NO.: 27.OFFICE PHONE: FAX NO.: 13.CELL PHONE: 21.;;LL PHONE: 29.CELL PHO'NE: 14.EMAIL ADDRESS: 22.EMAIL ADDRES Noel 30.EMAIL ADDRESS: �4 mrrl 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. .......... F ME Signed: Date:-av- Signed: Date: Beforemek. //4d.yof 200jffn the county of Before me this_day of 2007 in the county of Duval,State of Florida,has persondfly appeared Duval,State of Florida,has personally appeared -To-Y,C.4 e 5 A P-�A eA- her!n'roy h I mself/herself a nd ag4s that a I I statements a nd declaration a a re herin by himself/herself and affirms that all statements and declarations are tru Ind a E.L90n Stephe"S'Jr- true and accurate. 83 a. Notary P.blii ission#,qQj Notary Public at Large,State of_,County of [3 Personally*dkown 2 Personally Known . Ma- W Produced IdWf& I V"001 P-,I---d Identification- Notary Signature: -4e Notary Signature: W- IV COAB FORM BLDG01:REVISED:1/10/2008 Doc # 2008094351, OR BK 14460 Page 425, Nubo,'p,,j,,. 1, Filed Recorded 04/14/2008 at 12:49 PM, ,JIM FLA.LER CLERK CIRCUIT COURT DUVAL COUNTy RECORDING It f )610.00 NOTICE OF COMMENCEMENT "EPARE 04 OUP"TE) Peffnit 140. Tax Folio state Of County of To Whom it may concern: The undersigned hereby inibms,you thist ImProvemOnIS will be mad*Io certain Mel prop".and In gccoder.wNh Section 713 of the FIGrMa SWMIW,the ROOWI"g InfOrrnatiOn'a a'In#do NOTICE OF COMMENCEMENT. Legal descri;*on of property being Irnproved - 92�A444& Address of proWly being knpWG& Generaidesail)(Ion0fimPrOverne"W. d9e-&ftp-- owner M066d Address 1J7' Owner's interest in site of the improvement Fee swnple Titleholder(if atho than Owner) Nr Fax No. Surety(Ifany) d(,oewe Address Amount of bond S Phone No. Fax No. Narne and address of any PMW MBWQ 3 ban 11-the constructlOn of the kTq"WFYMft Name Address Phone No- Fax No. Name of person within the State of Florida.other than himself.designated by owner uPOn%Vhm notion Or other documents may be served: Name ffe- Address Phone NO. Fax No. In addition to hi"we".Owner desOutes the ftiov*g Person to receive a copy of the iletwes Notice as provided in section 713.06(2)(b),Florida StW66-(FIN in at Owners 0004 Name qdjgn& Address Phone No. Fax No. 8"-Am date of Notice of Commencement(the opirution date is one(1)yew from the date of recording unless a different date is spedlied). THIS SPACE FOR RECORDER'S LISE ONLY Mum DATE-J�,� so I" by of owet effiffift oppsamd C-'* *ad dechwa"mm hw*in we um OW scoff** M—ftry pubft 44 Of my owwnbeim expk"* #�� P*mfoly Kmw WVY.01, of Pmdumd wwwwason E Looft S"Ph*n*'jf' C;;;iW.#MX2300 WWy 4.2009 nciple Construction, Inc. 3119 Spring Glen Road, Suite 110 It Jacksonville, Florida 32207 April 16, 2008 Atlantic Beach Building Dept 800 Seminole Rd Atlantic Beach, F1 32233 Re: Permit #08-0498 372 Ahern St Atlantic Beach, Fl Dear Sirs: Please cancel the above referenced permit. The owner decided to have another roofer perform her work. If you need any ffirther information, please let me know. Yours truly, E. Leon Stephens, Jr. Fax (904) 396-4147 Offlce 398-3525 Mobile 631-6149 Certified Building Contractor CB C046757 Certifled Rooflng Contractor CC C056975 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000584 Date 4/29/08 Property Address . . . . . . 372 AHERN ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4525 ---------------------------------------------------------------------------- Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ COMPANY, DOWNEY & JOHN GILMORE ROOFING, INC. 372 AHERN STREET 11647 GWYNFORD LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32223 (904) 880-8044 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4525 Expiration Date . . 10/26/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 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 08- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US !fit BUILDING PERMIT APPLICATION DUVAL COUNTY '77,7" "711".!�7 37J.Ahern.St V 6 U PtJq '09 0 NEW BUILDING 13 DEMOLITION )?�RESIDENTIAL LOT 1 9BLOCK 1 SUB DIVISION 13 ADDITION 0 CONVERTING USE Q COMMERCIAL Ail, 77 77.7-77 )!!kALTERATION 0 ACCESSORY BLDG. Ap 'ELN/A Xe-&oF,�?q 9,* 0 REPAIR OPOOL/SPA 13 YES 0 MOVE 0 OTHER 11 NO J 9.NAME: 15.CQWA Y NAM�' 23.COMPANY NAME: Joyce Downey 16.NAMEY 24.LICENSEE NAME: ,O,W &/*/M'o 10.ADDRESS: 17.ST E OE FLORIDA L.ICENSEW.: 25.STATE OF FLORIDA LICENSE NO.: ,AT[ 372 Ahern St. CCCQ 5--7 ff 18.rD 26.ADDRESS: I Atlantic Bch tl -�0 SgA-Jjv5e d blef Florida, 32233 )':�'L 3'z--ZZ3 11.OFFICE PHONE: 12.FAX NO.: 19. 01,1153� 20.F ( C171411941 -' 11(n) 241 -49A-A Y19 'r W.:- . -27.OFFICE PHONE: 28.FAX NO.: TOM YO 410) 13.CELL PHONE: 21.CELL P" 29.CELL PHONE: -A r,-9QQQ 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: M-I'V PT 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. OWNEWS 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. 21", N 16"1 M % I NO S Signed: Date: 0 Signed: AW;�WC_Date:,Y-2 5' Before me AS 4-3 day of 20C6in the county of B r a this a2f''day Of 1741119-4 2 n the county of D�!a�State of Florida has personally appeared 1,S on a, a !�te�Fl id hN.-onallyappeared t-,,)a e (-i Q .0 Alt) 444e00%e- herin by h6seif/h, rl affirms th-Zaii statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate, �0�4 ,County of Notary Public at Large,State of County of L�C' Nr Public at Large,State of 13 Personally Known Personally Known 13 Produced Identification- 0 Produced Identification :1-; '.-7 Notary Notary Signatur%.@peZ 4a. MNNIF I MAUHLIVIUM DPK0679 lcq"18 ')008 ElInbeth A.Will My Comnission DD329327 EXPW,,Sept9mbef 22,2008 COAB FORM BLOG01:REVISED:1/10/2008 GAF 25 year 3 tab shingle Florida approval # FL- 183-RI Carlisle WIP 100, (ICE &WATERSHIELD) FL-6782 40 ML UNDERLAYMENT NOTICE OF COMMENCEMENT State Of Tax Folio No. county of To Whom ft may Concern- 4 Section 713 of The unders1ped hereby informs you that improvements will be made to certain real Property,and in accordance with the Florida Statutes,the following information is skrld in this NOTICE CO�MV'MENT- . O/R BK 5613 — T, 19, RECD Legal Description of property being improved*. antic Beac 1053, BLK 1 ach, FL 32233 Address of property being improved. 372 Ahern St. , Atlantic Be General description of improvements: owner Joyce Downey Address: 372 Ahern St. , Atlantic Bch. FFL 32233 Ownees interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: contractor. 0,'OhAl. tM AF& Address: -xNo: Telephone No.: Fa Surety(if any) Amount of Bond$ Address: Telephone No: FaxN0: Name and address of any person maldrig 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: Telephone No: FaxNo: In addition to himseM owner designates the following person to receive a copy of the Lienoes Notim as provided in Section 713.06(2Xbl Florida Statues. (Fill in at Ownees Option) Name: Address: Telephone 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 RECORDEWS USE ONLY 0 ' qR Date: me _COQ�in the County of DuvaL Slate )f Florida,has personally appeared cle iiz-_. Doc#2008108M,OR 13K 14478 Page 1669, Of Of Duval. Number Pages:1 4otw7 Public at Large,State of FlOri.4 Filed&Recorded 04/29/2008 at 12:41 PM, Ay connnission expires: CONNIE L wmijgtrK —01 JIM FULLER dLERK CIRCUIT COURT DUVAL 1,ersonally Known: Y MAMISSION#DD 3MM COUNTY 'roduced identification: June 18,2ow RECORDING$10.00 Bonded Thru Not"Pubk Upderwrfterr