Permit 1965 Seminole Road IC BEACH
h k 1. ,jy CITY OF ATLANT
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000497 Date 4/23/10
Property Address . . . . . . 1965 SEMINOLE RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5700
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Application desc
reroof
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Owner Contractor
-
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GUDE, WARREN DAVID MERRITT CONSTRUCTION
1965 SEMINOLE ROAD 1930 RIVER OAKS ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 858-9400
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5700
Expiration Date . . 10/20/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 80 . 00 80 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
10 09:31a Information SystemsClTY O 904247-5845 P.1
BUILDING PERNII'r APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax(904) 247-5845
Address• InI ilPermit Number:
gal Description Pa #
Floor Area q-
tuation of Work S . ��Q �I Proposed Work heated/cooled non-heated/cooled_
.ss of Work(circle one): New Addition Alteration Repair 1\4ove Demolition pool/spa window/door
of esiatinglpru sed strtuctnn!:��3
) cle one):. Commercial Residential
n existing re,is a fire r system installed?(Circle one): Yes No N/A
rida Product Appro�# roll orar
mnitiipte products use p P
gn�be in detail the type of work to be performed: � �0
„seri"ownerIafo_r�n►ation: /
��l Address:
Phone Z
flail or Fax#(Oiooal)
atracto Infor on: 1 V l'SS 0. Mey-,
N e• I"�t l�1 ���1 L CO�-1� ()ns1' g �.
mpany 4 5 Z City _��----Stade Z'
dress. Job Sibs/Contact Number �cf 3—1(QG'� ---Fax-# -2,20-3(405—
ice
2a-3405—
ice Phone
to Ced fioadonaagisamtion# CCL l 32 5�1 1
:bitect Name&Phone#
inocer's Name&Phone#
I Simple Title Holder Name and Address
ndiag Company Name and Address
ctpge Lender Name and Address
&aaawt it hereby made to obtain a permft to do the work and ixuallatlaar rn&camd I eerro that no work or lnatallaKon ham commenced prior rod
once o a permit and that all wor will be ormed to most the standards of a!l daw+s rs�tefatirg egnstr a f?�s mon1l"at arty di�na ash
'd c�olw brk enot I r t�®d that hin Jseparati is VUW or�noix(4 monft.or�Rt bs eerrred for wwk�pr aband ems. a� arwaa Boi/e►a,Xemta
tits a: Air CaNdwoners.dw-
WARNING TO OWNER: YOUR.FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IINPROYEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE COMMENCEMENT. YOM NOTICE OF
COQ
and rh
r0y"rWy t I have trod and ined this d i 'R and bor tww hes granowfQ o eu�t0°�° r °r°to riri��carrel tt
t n!f worms"w P w reel er
co don or the perfo mdwe of cawso-wcHon.
Pat=of Signature ofCMV80or
Print Name _ _ (t'^SS %t E%Y✓t .!_.__......_.___._w_.--
ntNamauratp
and subscri ed befo me Swo subscn befor me 2a
of
20 I thisS' f
Tr T-T/
terry P ° . y +.. r:iR11"T _ Y a IRLEYL
=.i .: MY MMISSION DD 57760 wised 0126.10
=•• '= MY Q{rrn.:..,ON#QD8288T7 ExPIaEs:Febru a,2ota
of M° Bonded Thru Notary Pub is Undew tern
EXPIRE S c>.atember 20,2013 .
SOT 3pti O�ti9 FlorklaN Servlce.corn
SEP-4-2001 03:47 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:2/2
NOTICE OF CO �� Number Paces� b r Rawt8[t,u!t 9K"ore I wage xia:s,
Nu :1
Recorded 04/23P20 r Oat 11:26 AM,
qq-7 Alit FULLER CLERK CIRCUIT COURT DUVAL
Permit NO. 77 COUNTY
Tax Folio No. RECORDING$10.00
THE UNDERSIGNED hereby gives notice that improvernent4 win be made to certain real prropelty,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in this NOTTIq OF COMMZNCEMENf.
I.Description of property(Iegd rlGscryr 111'
r E."]17o
a)Street Gob)Address: S d(C
2.0erml description of improven =:
3.Owner Information
a)Name and address: rz •� �LyK�� M l�l s' •K/�✓e�,� ��A _�1
b)Name and address of fee simple ddeholdec(if other than owner) -
c)Interest in property
4.Conanctor Inforrmion
I/I ) OQVed NA1?,t'I f a?mk Po r� 5<S2
In)Name andaddress: '� (p ja�� G2, i� � �,�,/ .1 b)Telephone No.: , 3"1(04 7 Fax No.(Opt.)"�2 -3V" -. "��l
Y�5. urcgr Informxdon
a)Name and address:
b)A.mlotmt of Bond:
6.Lcnder
c)Telephone No. Fax No.(Opt.)
"-'
a)Name and address:
Phonc No.
7.idaotity of person within the State Florida designated by owner upon whom notices or other documemts may be served:
a)Nam and address.•
b)Telephone No.: Fax No.(Opt.)
&.In,addition to himself,owner designates the foliowiog parson to receive a copy of the Lienor's Notice as provided in Section
713.13(1 Xb).Florida Statutes:
a)Name and address: If
b)Tdephooe No.: f Fax No.('Opt.)
9-Expiration date ofNotice of Commenocomd(me expiration date 1e one
th
M gpeeMled): year&=&= e date of reoordlag wales a diilAeteut date
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AMR TRE EXPIRATION OF TEE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TW.ICg FOR 1 WROVEMENTS TO YOUR PROPERTY.
A NOT110t OF COMMENCEMENT MUST BE RECOROW AND POSTED ON JOB SITE BIWORE TEE FIRST
INSPECTION. IF YOU 0TEEND TO OBTAIN FINANCING,CONSUVEYOURA2NDERORAN ATTORNEY IMFORE
COMMENCING WORK OR RECORDING YOUR NOTIC
gTAT9OF nA*ma
COVWM 0V MHXUAS 10=_.
's arked 1�ecrodPrrmadM�aio_�Cr
if �?�--
Print Nage
The foregoing insWum ant was acknowledged before ate this_OL day of- f`'r t .20 ,0.by
(type of authority,e.g.orrom r,trustee,
attorary In pct)for (ua:ne of party behalf o! otn instrument was a[ecuted).
Personally Known jn'OR hvduced Ideatiflication Notary SWjuwm � �
TM of Identification Produced Name(print) GCU1 d NVt e./o4
OR
Verification pursuant to Section 92,525,Flora Statutes.Under penalties of perjury,I dwlate that I have read the foregoing and that
the&'As stated in it we true to the best of mgr knowledge and belief.
rowemoLmmno VA"F MERRITr
SignanReofNsarral Peesoa 8ipti #4.0 AVMMMIS=N 0 DOOM96T7
�•- f c September 20,2013
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