Permit 548 Pelican Key `z CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
V it 1,
Application Number . . . . . 10-00000626 Date 5/17/10
Property Address . . . . . . 548 PELICAN KEY
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4505
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Application desc
REROOF
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Owner Contractor
------------------------ ------------------------
MIGNONE FIRST COAST PROPERTIES OF JAX
548 PELICAN KEY 5432 WELLER PL
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 553-0069
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4505
Expiration Date . . 11/13/10
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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
5y 3Job Address: k `f Art-Aa,'1cAu4 Permit Number:
Legal Description N3-11 n-n -- `2cf, 0q V 74 L-vA u4kc� �'`Pa cel#
Floor Area of Sq. t. qq.. 't
Valuation of Work$ y Sp o^ Proposed Work heated/cooled 15a non-heated/cooled
'7.0 0<✓
Class of Work(circle one): New Addition teration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one): Commercial Residenti
If an existing structure,is a fire sprinkler systeminstalled? Circle one): o N/A
Florida Product Approval# L - q 14 ��-5 Z 2�- I
For multiple products use—product approval form
Describe in detail the type of work to be performed: 1 js TA LL N&+w iRa o F Lr- (Zu o SK/tj 6It
c cGS
Property Owner Information:
Name: W&4 Oy M I C,N a ay Address: 5cA6 P&L r CAN 16 y, A
City AT'r,Aj Tl c. 6EACH State{�-G Zip 3-L03 Phone 9-y• f-23 . 011T/3
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: T aPs-0.n 43 &F TAc 4,%w-"We Qualifying Agent: T�q4 rt- Pk Il s
Address: 5'L/3t Wk lLr �iZ City J^_ -V! 112, State FL Zip 32,241
Office Phone Yo 4.3�S-3- o u to 11 Job Site/Contact Number 5iySS3- o a 6 f Fax# z t
State Certification/Registration# CCC 1 3 2 ft?
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 certify that no work or installation has commenced prior to the
issuance of a permit and that all work wall be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void of work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperaod 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 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 hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether speci aed herein or not. The granting of a permit does not presume to gave authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractc?1"�
lt 5'57 0!z• 7 t ,�/
Print Name ( nONL Print Name
Sworn to and subscribed before me Sworn t and subscribed before me
this Day of �4 ,20 this Day of .20 �>
Public Stam of Fielwa
Notary PublicLfVfd .,E.pirC,,05/2
Aura Bouvier Notary Public G • Aura Bouvier
1120D892070
MyCoinmisaionD0692070
�f M1� 1C�VIS�LL V 1.G
Doc#201 01 1 2 7 59,OR BK 15246 Wage 1409,
NOTICE OF COMMENCEMENT Number Pages:1
Recorded 05117/2010 at 011311PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Permit No. RECORDING$10.00
Tax Folio No ---
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property ftal deccriptlon): y - t
..15-02.`le O•l:)7-( 5F-vA c..Atc.es 7-
a)
a)Street(job)Address: 5q a P FLIexca Ky ATLA'J'nc (3tActt 3
227,x,
11
2.General description of improvements: ,,J P-aOF-
3.Owner InformationA 3-LI 3 3
a)Name and address: W6r"O`t fMt Cnr4o"'t 5`f9 P�crtcA� k Y ATLA^+i rc. (�.`�Ac.K
b)Name and address of fee simple titleholder(if other than owner)
c)Interest in property Izi s I
4.Contractor Information
Xk42 12-1 a)Name and address: Ft tt.5 r Galas T
b)Telephone No.: Fax No.(Opt.) 9'44.5 7`f ►1 �- 1
5.Surety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt)
6.Lender
a)Name and address:
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address:
b)Telephone No.: Fax No.(Opt)
8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.(Opt)
9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED H"ROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR V"ROVEMENTS TO YOUR PROPERTY.
A NOTICE OF CONIlMM
ENCEENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA Notary Pub#C Stalo of Florida I
COUNTY OF PINELLAS6;4mjAura Bouvier
My Commission DD692070 gnature of Owner or r' uthorized Officer/Director/Partner/Manager
Exptrea D512112013 /U Gi14) �—�
Oi* ' Name
The foregoing instrument was acknowledged before me this j-7 day of AA tCy ,20r 0_,by
CSajKreA ' as (type of authority,e.g.officer,trustee,
attorney in fact)for (name of party on if of who • strument was executed
Personally Known OR Produced Identification Vim- Notary Signature �j
Type of Identification Produced N12 s S.g9 2.75"A001-0 Name(print) 1 l L.\Y%xV
OR QO(A
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that
the facts stated in it are e o belief.
Notary Public State of Florida
Koar4siNOC4vsC010 ( Aura Bouvier
my
Commission DD892070 Signature of Natural Person Si g( #10.)Above
of Opt Expires 0 512112 0 13