Permit 334 19th Street CITY OF ATLANTIC BEACH
t 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000683 Date 5/28/10
Property Address . . . . . . 334 19TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 14100
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Application desc
REMOVE AND REPLACE ROOF PRODUCT #9631 . 7
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Owner Contractor
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SHORT, FREDERICK R. HAGERTY CONSTRUCTION AND
334 19TH STREET ROOFING
ATLANTIC BEACH FL 32233 3749 QUINBY ISLAND CT
JACKSONVILLE FL 32224
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Permit . . . . . . ROOF PERMIT
Additional desc . . REROOF
Permit Fee . . . . 125 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 14100
Expiration Date . . 11/24/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- -------
Permit Fee Total 125 . 00 125 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 125 . 00 125 . 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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CITY OF ATLANTIC BEACH 08- 1- 1-A __
4
r 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826•FAX NO.:(904)2475845
BUILDING-DEPr@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: 2.VALUATK)N OF WORK: 3.SO.Fr.UNDER ROOF
4.LEGAL DESCRtPTKNh 3.CLASS WORK: 6. . OF STRUCTURE:
NEW WILDING ❑DEMOUnON RESIDENTIAL
LOT_BLOCK_SUB DIVISION MON ❑CONVERTING USE 13 COMMERCIAL
7.DESCRIPTION OF WORK (����ALTERATKNd 13 ACCESSORY BLDG. S FIRE SPRINKLER
_ ❑REPAIR ❑POOL/SPA DYES ❑WA
'G- I, 17 MOVE 0 OTHER ARCHITECT ENtdNEER
PROP OWNER: CONTRACTOR:
9.NAME: O15_COMPANY NAME: 23.COMPANY NAME:
�T-� I'/ I Ak-
16. E: 24.LICENSEE NAME:
10.ADDR� S: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO
3733Unr ✓er6t'�"� f31V�GLJ
z 3 18.ADDRESS:/�^rl +, ,� N 22 I� '2 28.ADDRESS:
JAe-KSg.AIVtLLE FL 32Z- 7 T3jr, IVUvt�IZtV�'( l��Z��j
11.OFFICE PHONE: 112.FAX NO.: 4Q.OFFICE P NE: / 20.F NO: V.OFFICE PHONE: FAX NO.:
0 -731-1-0)211 19a 173
21.CE HONE: 29.CELL PHONE:
13.CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: `J 30.EMAIL ADD
FE TITLE HOLD • BONDING COMPANY: MORTGAGE LENDER:
TIF OTHER rr"MOMM
31.NAME: 33.NAME: 35.NAM
32 ADDRESS: 134.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
-31
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 YOU
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWI gR ar AG,ANTCONTRACTOR
(if F%%- or utter RNP*W) i c-u wr ONy)
Sgned: Date: � D S Date.
Before me this� day_ of 20�7�n th county of BNSof
da of 1�t 21�in the county of r
Duval,State of Florida,has personally appeared j D ,has'pe pally appeared
FRIEDER icx R ,S OST �R t,I I Ir
Dons are
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms`tl� stati�l�� �ra
e.r
t
true and accurate. true and accurate.
/I
Nota ublic at Large,State of O A County Of VJj�O�4 ` //Public at Large,S Of ^
Illy Known Personalty Known
13
13 Produced IdenfircaProduced Identifice -ti -
Notary Signature:
Notary Signature: M if ti�1
�f�M�� RID
- 17 2011 IN►r►nitl►ttt
EXPIRES:Jen�UMW~
COAG F E
f
' NOTICE OF COIviwIENCEMENT
Tax Folio No.
State of ��l f 7IZ.111 "
County of
To Whom May Concern: and in accordance with Section 713 of
The un geed hereby informs 3�tW�°�ennts will be made to certain real property,
the Florida the following information is stated in this NOTICE OF COMMENCEMENT,
Legal Des OP60n of being improv
11 A U.v1 i - ,3z2--3
33 '' --
Address of�iroperty being improved: � EE
General description of improveanents'
Address*i"3 U�ii vers i ft/ 13I 1� —Ste Z�3 2-2-17
Owner:
Owner's interest in site of fire improvement:
Fee SimplelTid holder(if Other than owner):
Nome:
tj
Con "• .. t � --f + � �`- a � 1�,3 " '�►�, "{... .:� ��� �t
FaxNo• C r C f S ,s t'f
T41ephone No.:
S (if94,Y)
Amount ofBond S
A4dtnss:
T41ephone No: Fax No:
Name and W=of any person making a loan for the construction of the improvements
N*me:
Prone No: Fax Na:
be
b owner upon wham notices or other dacumeuts may
Name of person within ilie State of Florida,other bran himseK designated by
served: N>nie:
A"=:
Telephone No: Fax Na
additi himselii owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)),Florida Statues. (Fill in at Owner's option)
N":
Address:
Tlephone No: Fax No:
iration date is Gate(1)year from the date of recording unless a different data is
Expiration date of Notice of Commencement(the exp
specified): i
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed:
Date: ,J �—, .. .,.
Before me this 2 day of A in the of vol,State
Of Florida,has personally appeared
lotuy Public at Loge,StWo Florida,County of Duval.
Ry commission expires: Ol l7 2A 11
uoc#i"[0'I Oi'G331 ti,OR BK"i 5258 Fuge 237; personally Known, ` OT
Number Pages: roducedldentificdion:
Recorded 0512812010 at 10:24 AM, 6 pp 630158
M�
JIM FULLER CLERK CIRCUIT COURT DUVAL - EXPIRES:JvY 17,2011
COUNTY ��` WnjW euNd, Pdaftu�ww�+w.
RECORDING$10.00 W,