Permit 552 Pelican Key IS, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000627 Date 5/17/10
Property Address . . . . . . 552 PELICAN KEY
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4750
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Application desc
REROOF
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Owner Contractor
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FARRA, ANN FIRST COAST PROPERTIES OF JAX
552 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 . . . . 4750
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.
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address: .SS o2 PELI C Pr-Ji k-V Permit Number:
Legal Description y3-I 1 -2 e 56 L%1A LAkt-s LAP4 f 2 Parcel# / 7 ao01-7 — 55- 7
Floor Area o q. t. Sq.Ft
Valuation of Work$ 7� Pr d 3�'�k heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): o N/A
Florida Product Approval# Fc - SIqqfc -5 2 2 9-/
For multiple products use pro uct appr va form—
Describe in detail the type of work to be performed: )View 514►&J6 t-E je a J F
Property Owner Information:
Name: /ANN FAI&AN Address: .5sa ;PEL(C-AN kY
City r- &&N,44 State_Zi ) 2 23 3 Phone S -,-t • 2 4 c
E-Mail or Fax#(Optional)
Contractor Information: f
Company Name: r ca 0Lafb--l) `$ d15- ;kd-3 l�Qualifying Agent: A�Ll-� A_ Wq Its
Address: 5132111y-- Lic.c City J_AcA3-,j jj -(-C- State Zip 3 2 2 11
Office Phone 9i,-1-553.0o'69 Job Site/Contact Number 5'53•J06 9 Fax# iY37q• Il'r-(
State Certification/Registration# CC-r- l3 28$1 1
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 will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void f 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. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Bollers,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.
1 here certify 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 q work will be complied with whether sppecs sed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisi.ons of any other federal,state, or local lcnw regulating construction or the performance of construction.
A
Signature of Owner Signature of Contract
Print Name - . a ...... r�................................. Print Name ��.r Gut S
Sworn to and subscribed before me Sworn to and subscribed before me
this Day of r %4 y ,201 this Day of 20 ( 0
N Public Notary Pu lic
Gdo -0q4- 60• 715%d Revised 01.26.1
r Notary Public State of Florida r W Notary Public State of Florida
Aura Bouvier ef Aura Bouvier
4,0 My commission DD892070 r My commission DD892070
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W Doc#F 201 U1 12 i6b,OR BK'15246 rage 1408,
NOTICE OF COM MNCEMENT Number Pages:1
Recorded 05/17/2010 at 01:31 PM,
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 COM ENCEMENT.
al des tM3-1 1 1 -a.�" S SQL VA r-Ak�5 tt Z
1.Description of property(leg CM wn)=
a)Street(job)Address: 7 a f�,_f Li CArJ Kt'!�( 0 r4 C- &-4 ct-1 3'2- 7-13
2.General description of improvements: tj--- Xas F
3.Owner Information N FAlLt2 A 41e_ «�.�( AIW&&1 -�
a)Name and address: A 4 r— -r--
b)Name and address of fee simple
•tlehholder(if other than owner)
c)Interest in property FCC-
4 Contractor
CC4.Contractor Information
a)Name and address:JF I�-r
b)Telephone No.: Fax No.(Opt.) f,3-1- 3 7`l• t Z I
\•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.)
8.1n addition to himself,owner designates the following person to receive a copy of the Lienoes Notice as provided in Section
713.13(I)(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 U"ROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES,AND CAN 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. lF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. �\
SPATE OF FLORIDA
COUNTY OF PINELLASRj
Notary Pub�C Stow of FIOMO
Aute Bouvier Sign o Owner's Authorized Officer/Director/Partwr/Manager
Expires 05121/2013
Print Nam
The foregoing instrument was acknowledged before me this 14 day of 20_to,by
as (type of authority,e.g.officer,trustee,
attorney in fact)for (name of party on behalf of whom instrument was executed).
Personally Known OR Produced Identification t/— Notary Signature nn
Type of Identification Produced 06" -d yf•by 71 S• O Name(print) /q L_J d'4, 0 u V e V-
OR
OR
Verification pursuant to Section 92.525,Florida Statutes.Under lties of perjury,I declare that I have read the foregoing and that
the facts stated in it are true to the best of my kcnowled e an belief
roxbsrrroc,.�azuue Notary public State of Florida
dura Bouvier Signature of Natural Person Sign Cline#10.)Above
My Commission OD892070
Expires 05121/2013