Permit 289 Magnolia StreetCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000797 Date 6/18/10
Property Address 289 MAGNOLIA ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation 6100
----------------------------------------------------------------------------
Application desc
REROOF
Owner Contractor
------------------------ ------------------------
TRUSROTT, ROBIN W. HUMAN SCALE BUILDERS
289 MAGNOLIA STREET 3365 EUNICE RD
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 635-2326
----------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc .
Permit Fee 85.00 Plan Check Fee .00
Issue Date Valuation 6100
Expiration Date 12/15/10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total
Plan Check Total
Grand Total
85.00 85.00 .00 .00
.00 .00 .00 .00
85.00 85.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORH)A
BUILDING CODES.
BUII.,DING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: ~ g ~ M ,4~.,u-Q ~, A s T` ~T~ , j3 cN. Permit Number:
Legal Description Parcel #
oor ea o q. t. q• t
Valuation of Work $ ~~ ~o ~` Proposed Work heated/cooled non-heated/cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa window/door
Use of existing/pro osed structure(s) (circle one): , Commercial Residential
If an existing struc~ure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use pro uct approva orm
Describe in detail the type of work to be performed:- ~Z (-' - R ~~
Property Owner Information:
Name: Ti.2-p dZ y5 c~T" Address: ~ 8q ~T~~.~~c ~~{ t=K. 32Z 33
City Pr Tt_ ~~ c!~ State dip 3 22-3 3 Phone 214/ ~ k ~
E-Mail or Fax # (Optional)
Contractor Information:
Company Name: ~-{ ~ nt ~/ S ~ ~-- ~- /3 y ~ c. ~i ~,,~ Qualifying Age ~o t~ ~--+r ~ ~ oZ s
Address: 3~ ~-vN 1 c ~-- ~f2D City , ~ /~1 State ~L` Zip3 z 2 Sa
Office Phone J Z 3 ~ 3 G ~ Job Site/ Contact Number S Q l-- 3Z I ~ Fax # _~'
State CertificationlRegistration #~t?~' c3+s G~ 4 ~
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 cerft; fy that no work or installation has commenced prior to the
issuance o, f 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 afler
work is commenced. I understand that separate permits must be secured for Electric Work, Plumbing, .Signs, Wells, Pools, urnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
CONIlVIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IlVIPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby 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 o work will be complied with whether sppeci ed herein or not. The granting of a permit does not presume to gi au o to iolate or cancel the
provisions of any other federal, state, or local lmv regulating construction or the performance of construction.
Signature of Own ~ ~~~ ~ o~(~jt(~ Signature of Contractor -
Print Name .........~..t'-~?--------_1../Z...~.~...~.......~ ..................................................
wv'w
Sworn to and subscrib b~~otary Public State ofFJ~orida
this ~~ Day of ~ John H Graham 1,U
My Commission DD731845
~or~.~ Expires 11/06/2011
Otary
Print Name ..... j.2....4..ti~..........~._.~r...~.....C-'(Z--S ..............................................................
Sworn to and subsc~~~,~,~,b~'`~
this Day of ~ M~ ',Ws,- Notary Public State of FIO~
~T'P~fn nTi T~C.ra-Tip
~< My Commission DD731845
10
NOTICE OF COMMENCEMENT
(rKi=YHf<t tN CJUF'Lit;RTE)
Permit No. Tax Folio No.
State of ,~--L- County of 'D iy/~~
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain -real property, and in
accordance with Section 713 of the Florida Statutes, the following information is, stated in this NOTICE OF
COMMENCEMENT.
iega( description of property being improved: z- Fs ~ ~ /~-.vas L./ ~- --~'T
~t-ru-~r~ ~- ~3 ~N- ~~ ~ z Z 3 3
Address of property being improved: ZSs '•R {h :9-~-~Q~/~ .~ r-
- ~'7'LR~i 7'"~ L /3tt-F lei ~t ~ ZZ 3 3
General description of improvements: jZ (~ - R~.~=
Owner Tr-~ -r-•tz~c f? oTr'
Address 2 ~9 rriA- ~~uLr.4~ sT ~'rZ..~ Q r.~[ +`L ~ L2 33
OwnePs interest in site of the improvement
F.ee Simple Titleholder (if other than owner)
Name
' Address
~ ~+ Contractor ~ yrti ~4><l ~'C~-c ~ l i y; ~ a~R s
~~ Address 3 ~ u / - z S
N
`~~~. Phone No. ,5 Ql.- 3 2i ~1 Fax No. 7~t 3 U 5 ~9
Surety (if any)
Address Amount of bond $
Phone No. Fax No,
Name and address of any person making a loan for the construction of the improvements.
Name -
Address
Phone No.
ONLY
Doc # Ni U14i 8b5, GFY i3K 15280 rage 1'J4~,
Number Pages: 1
Recorded O6f18l2010 at 02:53 PM,~
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
Fax No.
OWNER
S~~ ~_~~ ~ ~ AG~~!~.._._ DATE _ 15~J..SLI
Before me this "-day of L- v~! i~°- to the
County~f Duval, State of Florida, has personally appeared
ea_ rti °~ tt ~ } cw r' rl-rT Fietei~ by
are a~!re~lotary Public State of Florida
_ John HGraham -
a My Commission DD731845
~~or ao~ Expires 11/06!2011 f` /
Notary Public at Lange. State of -.~. > -~- ~t;.dunty of 11 c~ ;~ L-
My commission expires: - r
Personally Known or
Produced identifit~tion