Permit 358 Royal Palms Drive CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
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Application Number . . . . . 09-00002059 Date 12/29/09
Property Address . . . . . . 358 ROYAL PALMS DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5200
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Application desc
reroof 183 .r2
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Owner Contractor
------------------------ ------------------------
CHAPMAN ATLANTIC TOTAL SOLUTIONS
358 ROYAL PALMS DR 15153 N MAIN STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32218
(904) 757-9641
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 78 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5200
Expiration Date . . 6/27/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 78 . 00 78 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 78 . 00 78 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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09-
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date: 12/29/09
1obAddress: 358 Royal Palms
Owner of Property: Mark Chapman
Address: 358 Royal Palms Dr. Telephone: 904 . 374 . 6238
Roof Contractor: Atlantic Total Solutions State License Number: CCC1254251
Contractor's Address: 15153 N. Main St, Jacksonville, FL 32218
Telephone: 904 . 757 . 9641 Fax: 904 . 757 .3959 Email:
Scope of work: Tear off and reroof Roofing Material Asphalt Shingles
FL Product Approval# 183 .R2 - Shingles Valuation of Work: $ 5, 200
Required Inspections: Sheathing/In Progress-Dry In /Final
If re-roof: Assessed Value of Structure:X<$300,000/_>$300,000;Roof-to-wall improvements required?
(Applies to single family structures only)
"WARNING TO OWNER: YOUR FAILURE TO RECORD 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 B 0777
YOUR NOTICE OF COMMENCEMENT"
SIGNATURE OF OWNER: Date:
AS TO OWNER: !
Sworn to and subscribed before me this C� day of 20 Q9.
State of Florida,County of Duval
Notary's Signature: C;w
Q Personally known 1-6
Y"°a�� Notary PubliC State of Florida
Produced identification Robyn L Brown
_ � My Commission DD801154
Type of identification produced 0910212012
SIGNATURE OF CONTRACTOR: _ ate:
/�. �
AS TO CONTRACTOR: °f
Sworn to and subscribed before me this day of 20 CO
State of Florida,County of Duval /v
Notary's Signature. �2r
0 Personally knc64n EOO =Brown
NotaidaProduced identification RobyType of identification producedMy Cxpir
800 Seminole Road•Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800•Fax:(904)247-5845
F:\roof permit applicaton.docx 7/28/09
Doc # 2009309729, OR BK 15110 Page 2494, Number Pages: 1, Recorded
12/29/2009 at 10:48 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
Stats of County of
To whom R may concern:
The pnd*m"d hersty Informs you that Improvements win be mads N certain reel Properly,and In
accordance with Section 713 of the Florida Statute*,the following Information Is stated In this NOTICE OR
COMMENCEMENT.
Legal description of Property being Improved: 3_�-16 &R-2s-24M
P far~ P7- of--2ev}�w- 15ALtA4 IJN„ 2-A
Add—of property being hrRrroved:. P oaL— Q,ea�n_c y l2
General des«lptlon of Improvements: 1 BAR o 4 F .r eRo6
owns Milt.- C 11APy.*,N
Address_.$S$ ParyAf_. VI^ A%L
Owner$Interval In site of the Improvement
Fes Simple TMiehdider pf other then owner)
Name
Address
Contractor a.vrf l ?erAt Ser t 4?6 w S
Address AI+RVI r . ]A-jr ?Z y(�(
Phone No. Fax No.
Surety of vo
Address Amout of bond i
Phare No. Fax No.
Name and address of any person meldng a loan for the construction of the Improvements.
Nab
Address
Phone No. Fax No.
Name of person within the State of Florida,other than hknWf,deslgnsled by owner upon whom notices or other
documents may be served:
Nams
Address
Phare N0. Fax No.
In addition to Nnrelf,owner dssWmft@ the following person to receive a copy of the Llenoes Notice as provided in ,
Sactlm 719.Dt1(2)(b),Fladde Statutes.(FW In at Owners option).
Now
Address
Phan No. Fax No.
52!m data of NOUN of Commencement(the expiration date Is one(1)year from the date of recording unless a
dffers err data is specified);
TRW SPACE FOR R CORD6R'S USE ONLY OVWNIE t p
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