Permit 278 W 9th Street `r'j J"jra
s Ms`s, CITY OF ATLANTIC BEACH
s� 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000482 Date 4/21/10
Property Address . . . . . . 278 W 9TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4800
--------------------------------------------------
Application desc
reroof
--------------------------------------
Owner Contractor
------------------------ ------------------------
PAUL, KATHY BEST CHOICE ROOFING
278 WEST 9TH ST. 4320 DEERWOOD LAKE PKWY 402
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 353-5055
-------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date valuation 4800
Expiration Date . . 10/18/10
------------------------------
------------------
Fee summary Charged Paid Credited Due
---- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 75 . 00 75 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address: --�'7 FS W �t�k S-I- iQ-'t� acb. 3 2-2-3 :3 Permit Number:
Legal Description 1-7- z S - 2'1r 03 i t s KTL B C t$ S o k Parcel# /7 0,1 y 5 o f 13
4 � D oor Area o q. t. t
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New AdditionAlteratio Repair Move Demolition pool/spa window/door
Useofexisting/pro osed structure(s�((circle one): Commercial Residential
If an existing structure,is afire sprinkler system installed? (Circle one):-' Yes-�o N/A
Florida Product Approval# L- I o i Z 2 Z
For multiple products use pro-iluct approval form
Describe in detail the type of work to be performed: KE - ROOF a0 sck A5P1AcAj4
Property Owner Information:
Name: t�ct� 1 -k;—>o�cx`� Address: a--7 b w ct rti S
City__A TLA,,T(L 9 CA--CtA State Zip3--Z-Z-3 3 Phone jog - 307 - _49L(2-
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Zest C;6\.c,,e Pco0 Fke�
Qualifying Agent: Ct,��--Fo 2p A . C,pvKs EvP-
Address:_`3?-o Dee-rW c) (Atc, r_wy t{o L City 3 A-C- CW V,lte State�_Zip 3 Z24
Office Phone Job Site/Contact Number Fax#
State Certification/Registration# CLC 13 z q Za i
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I cert 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 tf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for apertod of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical WorAy Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I herebYcertify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ojwork will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owne Signature of Contractor
Print Name ...........'17v�a1 c ........._FCLU.,_\............................................................. Print Name CSI t=fv D f'�- CAU_. E�
.........................................................................................................................................
Sworn to and subscribed before me Sworn to and subscribed before me
this i3 Day o r'- 1 _ ,20 )o this 3 Day of P-pr:. 1 20 ty
No bllc 0 �oa��pmu �?t ••� Not aP.r*o���•.` N@ota�rqy�.�un CLIFFORD ALAN COUSER Jennfer L�Z��iss
P'° r
CYP Comm#DD0793020 D
965433
tMa qq
.$ Expires 7/12/2012
db'
ryay�„fl,..•`� f!ordda,�'3C�sy Assn.,Inc• w.
SEP-2-2001 04:28 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No._10 pq S Z Tax Folio No. -0110
State at FLORIDA County of FY-OV-9W
To whom It may concern.
The undersigned herby informs you that WIPMVentonts will be made to certain real
accordance wlth 3011don 713 of the FlarMa Ststubth and
s, e following InfoeTlfallon is stated in�NOTICE IOR
COMMENCEMENT.
Legal descriPtion of property being Improved,-17-2 S-2,9E
Atlantic BeAcIl Sec ji
Address of property being Improved: 278 W 9TH STREET Atlantic Beach Fl 32233
General description of improvements: RE-12OC1F
Owner PAUL, RONALD
Address278 W 9TH STREET Atlantic Beach Fl 32233
Owners interest in site of the improvement prigigMe g,
Fee Simple Titleholder(if oilier than owner)
Name
Address
Prepared Contractor BEST CHOICE ROOFING AND REPAIR INC
By: Address 4320 DEERWOOD LAKE PARKWAY STE 402 JACKSONVILLE FL 32211
Phone N0. 904-350-5055 Fax No. 204-439-4035
Surety(tf any)
Adtimas Amount of bond S
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 Lienors Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owners option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(tie expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY111E
SWed:aDATE 4-13-2010
Before me thk to Vie
Coady M Dwar,t3tate or ftorids,hes pe�sonaly appearee
herein by
_ .. - - — — "- 111rr1saV1 flersatf and affirms Ihat all etatamptta and dederadorls herein
(JoC 1 2171 GUtf9
id1,uk 8M.15419 Pop(98. we Inn end aaarste
Numt*F PaNcs1
Record0d W-".'010 m 12:07 PM.
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
P,ECOROiNG 510.00 Notary ata d OfDLTVAL
My GKI)IM:
Pafaora 14rown or
Ptoduoad tdMtifiM ion CFFnRn Al ANP_Q" R
No
EVIr=7/1212012 E
isy,I...M.O...\Y••