Permit 1252 Rose Street <" t
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
7 ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number
Property Address 09-00001018 Date 7/14/09
1252 ROSE ST
Application type description ROOF PERMIT
Property Zoning
Application valuation TO BE UPDATED
---------- 4622
-----
------------------- _
Application desc -------------- __
-----
reroof
-----------
-------------
Owner
------------------------ Contractor
SESCO, FRANCIS/SANDRA ------------------------
1252 ROSE STREET MILLBROOK CONSTRUCTION CO.
A 2605 SOUTHSIDE BLVD
ATLANTIC BEACH
FL 32233 JACKSONVILLE
FL 32216
------------------------------------------------------
--- ______-__________
Permit --------------
ROOF PERMIT
Additional desc
Permit Fee 42 . 00
Issue Date Plan Check Fee
1/10 00
Expiration Date Valuation 4/10 622
--------------------- _
Fee summary Charged
-------------
_____ Due
g Paid ------
_________________ Credited
Permit Fee Total
Plan Check Total 42 . 00 42 . 00
. 00 . 00. 00 . 00
Grand Total 42 . 00 ' 00 . 00
42 . 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 vvv
6.�
09- -
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I I
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 I I I
BUILDING-DEPTQCOAB.US
=
ZD--DRESS BUILDING PERMIT APPLICATION
t.JOB : DUVAL COUNTY
2:VALUATION OF WDRK 3.50.FT.UNDER ROOF
I (7 TI t 2 S410A:
4,LEGAL DESCRIPTION:
5:CLASS OF WORK 61 E STRUCTURE:
LOT_BLOCK_SUB DIVISION 11 NEW BUILDING ❑DEMOLITION RESIDENTIAL
7.DESCRIPTION OF WORK; ❑ADDITION ❑CONVERTING USE 11 COMMERCIAL
❑ALTERATION 11 ACCESSORY BLDG. 8.FIRE SPRINKLER:
❑REPAIR ❑POOL/SPA ❑YES ❑N/A
PROPERTY OWNER 17 MOVE ❑OTHER ONO
9.NAME: CONTRACTOR:,:- ARCHITECT/ENGINEER:.'-
I te,1 r f� 15.COMP NY NAME:` 23.COMPANY NAME:
T 6 1 J Co I',r�t r I 16. E: JY�
24.LICENSEE NAME:
10.ADDRESS:
��5a Z � �� , 17. TATE OF�LORI)A LICEN E 0 25.S OF FLORIDA LICENSE NO.:
1^J 18.ADDRESS: 3 7 t 2 1 26.ADDRESS:
I a(00 ✓vc�
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:514,
-t"�? I 5 -�5
13.CELL PHONE: 21.CELL,QHONE's 1`
29.CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS:
30.EMAIL ADDRESS:
FEE SIMPLE TITLE HOLDER:
pF giF•IER 7Fu1NoWr BONDING COMPANY:,. . MORTGAGE LENDER:
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.
OWNER Or AGENT CONTRACTOR
Power of A Letter Required)
Signed:
Signedl Date: �7�719j`�
Before met day of 2009 in the county of Before me this
Du I, r� ��1 n
State of Florida,has personally appeared day of 2009 in the county of
Duval,State of Florida,has personally appe ed
`
herin by himself/herself and affirms that all statements and declarations areherin by himself/herself and affirms that all statements and declarations are
true and accurate.
true and accurate.
Notary Public at Large,State of_ EL County of
❑Personally Known Notary Public at Large,State of-. County of
&a roduced Identification- L L- *Personally Known
Notary Signature: NDiAI. 0 Produced Identifi
Notary Signa e:
* EXPIRES:February 413,4u
aF Bonded Thor Budget Notary Ser*65
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BLDG01 Pe,riitfipplic%_6on B!dg;r,EVISED:12/�8rzGJ3 '0�g try Comm#DD0714160
Expires 9/12/2011
yryot,�n"-` Florida Notary Assn.,Inc
A.........■s.a...............................f
NOTICE OF COW�IENCENIEI�
State of
County of Tax Folio No.
To Whom It May Concern:
The undersigned hereby informs you that improvements
the Florida Statutes, y im rovements will be made to certain real ro
totes,the following information is stated in this NOTICE OF COMMEProperty,
CE rty,and m accordance with Section 713 of
Legal Description ofproperiy being improved: MENT.
Address of property being improved.:
General description of improvements:
Owner:
Address:
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Co' tractor: ,j!!::� Vr� t-CKI"
Address: ('
t� t+
Telephone No.:
Surety(if any) Fax No: E5(- —a
Address:
Telephone No: Amount of Bond S
Name and address of an Fax No:
Y.person making a loan for the construction of the improvements
Name:
Address:
Phone No:
Name of Person widen the State of Florida, ax No:
'
daother than himself; designates by owner upon wh
served: Name: om notices or other documents may be
Address:
Telephone No:
Fax No:
hi addition to himself owner designates the following
713.06(2)(b),Florida Statues. (Fill in at Owner's option) person to receive a copy of the Lienor's Notice as provided in Section
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
specified): date is
THIS SPACE FOR RECORDER'S USE ONLY OWNER
_._------ _ - Signed: d
Before me s Date: -
Doc#2009166604.OR BK 14939 Page 341, day of in the County of Duval,State
Number Pages:1 Of Florida,has personally appeared
rI
Recorded 07/14/2009 at 03:02 PM, Notary Public at Large,State of Florida,County of Duval.
JIM FULLER CLERK CIRCUIT COURT DUVAL My commission expires:
W
�NjyYersonally Known:1,11 �'toducedidentification: c'� 13