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Permit 1800 Mayport RoadCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000801 Date 6/21/10 Property Address 1850 MAYPORT RD 1 Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor KLOTZ DAVID MERRITT CONSTRUCTION 1930 RIVER OAKS ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 858-9400 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . Permit Fee 75.00 Plan Check Fee .00 Issue Date Valuation 4700 Expiration Date 12/18/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 75.00 75.00 .00 .00 .00 .00 .00 .00 75.00 75.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA 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: Permit Number: Legal Description Parcel # oor ea o q. t. q. t Valuation of Work $ ~~ ' Proposed Work heated/cooled non-heated/cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa window/door ~2e,,2. ~ .. _ ~ .__..._W._ Use of existing/propposed structure(s) ((circle one): , ~Comm_ ercial~ Residential If an existing structure, is a fire sp ~ ~1~ sysr m mstalled'~ (Circle one): Yes No N /A Fl~r>da rr~luct Aprr~va.l # j For multiple products use pro uct approva orm Describe in detail the type of work to be performed: ~ ~~~ Name: J e~~ City E-Mail or Fax # (Opt Contractor Information: Company Ny~ne: Cl VI 1. g~ ~t~~ ~ c:Zip 3L2 3 3 Phone ~p/5'r l'C?-~-/?C Quay~Y}'~g Agent: M~1 l SSCt ~ ~f1(ln City U~L'~ C~G~- State ~ Zip Z Z ~(~ Office Phone gS~S ~dG7 Job Site/ Contact Number '~ ~ 3--((o Q' Fax # State Certification/Registration # Cc C (32 S "l ~ `~' 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 cerkfy that no work or installation has commenced prior to the issuance of a permit and that all work wrll be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work rs not commenced within six (6) months, or if construction or work is susppended or abandoned for a__perrod of six t5) months at any rime after work is commenced. I understand that separate permits must be secured for ElectricaCWork, Plumbing, Signs, Wells, Pools, urnaces, Boilers, Heaters, Tanks and Air Conditioners, etG WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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 COP~~NCEMENT. I hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions o, f laws and ordinances governing this type of work will be complied with whether spped red herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local lativ regulating construction or the performance of construction. Signature of Owner Print Name ~ JE~ /~C~L.O 7~ Sworn to and subscribed before me this ~z Day 20 l ~p`N`~ +~ Notary Public State of Figjdp Gat Testa Notary Public '?~ r~edP Ex gyres mission DD99®p5y P 06/07/ZOf4 U Signature of Contracto~,r /_ ~- Print Name ~P~L Sf ~` ~~~ ......................................................................................................................................... NOU-2-2001 03:36 FROM: CLERK OF COURTS 904 270 1512 T0: 92475845 P:1~1 ox>u `7.UiO14L4tf1. VK tlK~7SLH~ NaQe 1;iUr. NOTICE OF CONIlVII';NCEMENT Number Pages: 1 Recaded06,'..1,~010at 1i:t8AM, JIM FULLER CLERK, CIRCUIT COURT DUVAL COUN'rV Permit No. RECORDING 510.00 Tex Folio No. ~ UNI3ER5iGNED hereby gives nd>ticc chat improvemarts wt71 be trade m certain real property, aad in aa;ordancc with Session 713.13 of tfic Florida Statutes, the following information is provided is this NOTICE OF COMMSNCSMENT. l.i)cscription of properly (IeFai doccrip a) Street (Job) Address: SZ~ /- Z ' 2.C•eocJaa destxlpdon of itttprovemenns: - a.ow,na lrttortntttiott ,~ ~o~ ~ f- /p~ f-'~O- 3ZZ ~ 3 a) Naarle a>7d address: ~~ K ~ ~ 8~ 1~-wt~R~-' ~ ~__ b) NaQnC and address of fcc simple titleholder (if other them owner) ~ - c) Tntd;rcet in property 4.Cont:sctod Information n e~r ~ a) Name and address: V (`~ ~W~ i' ~~ CC~ L"•7~r1C 'A~~6ox sr Src~ ~1 t3 r-~o- 3 Z z~v l,P,~~'y b) Tclcphdmc No.: _ '3- (o ~ pax No. (Opt.) S S.Surcty Information a) Name and address: ,~ b) Amodazt of Bond: c) Tolephone No.: ,,,r____~_. Fax No. (Opt.) t3.x.cndcr a) Name aad address• f Ifianc No. 7. Jdontity of pe~sots within the State of Florida dasi~atdxl by owncx upon whom notices dsr other documents may be sctwd: a) Name and address: _ l b) Telephone No.. Fez No. (Opt) S.Jn additi~ m himself owner desigloa~s the following persoat m rt3ocive a copy of the Lieaac's Notix as pravidcd ns Socxioa 713.I3(Ixb), Florida Stawtes: a) Name and address: ,. _ b) Telepbone No.: Fax No. (Optj 9,F,xpiratidm. date of Notice of Commencamdmt (the atpiraflon date is oac ye„r ><roila tbo date off rocordiAg enfcas a diRer~enlt date b apecil'~): WARNING TO OWNER: ANY PA'XMENTS MME BY TSE OWNER AFX'Elt'I'~ 1gli~lfltA.TION OF Tf).'g NO'T'ICE OF' COMMI41~iG'dEMENT ARE CONSIDBRIi+D I~1~IPROPER PAYIKRN'IB UNDER CH'AP'1('ER 7X3, PART I, SECTION 713.13, FJ<,O)ltIDA STi~TiTFES, AND CAN R>E,SUL'!<' IN XOIIR PAYING TWICE F'Oflt II-'IPROVEMEN'15 TO YOUR PZZOPEBTY. A NOTICE OF C`O)~ENCEMEIV'T MU5T BE RECORDED AND POS'>t'Eb ON THE dOB SITU: BEFORE TSE FIRST 1'N5PEC"ITON. IF XOII 1~ END TO OHTAf<N F.INAI~TCING, CONSULx 1COUR LENDEQ OR AN AI1'ORTitEY. REFO~tE COlVJl7~>IRNCII~iG WORK OB RECORDING YOUR 1~iOTICE OF COMI~~NCN:MENT. e'>!'A~ OF FLOrtM111A COtarz?- Oi DWSJ,rAx, 1 O. Sigcdature or s d~~od~iaedy~ a ' /Pmma~Atioager 1 ~ Kim Paint Namc ThE foregoing iostrutlusnt was acknowledged before mo this _Z day of1~-- . 20 ~n , by +Et~" 1~~OT,~ as C~~.eJ N ~ ~ (type of aatikoritp, e.6. oStcer, tra>tbec, attot'ncy iu. tact) for (aamt dtf party on bebalt otwiaoloe iastrueaeat was executed). Porsor~ally Known ~ OR Produced Tdcati5cation ~ Notary Sigr~ac 'ape of identifid:ruion Produced _ ~ Name (print) G R ~ i. ~ ,~zS% ,p`''~ "'~,. ''~*ry wale sen. a FIoRO, ' UR ~ ~~ Mr ca„rnwlo„ oooevost Verification pursuant to ScctiOtx 92.525, Florida Statutes. Under penattics of Perjury, I declare that I ha °a"°r t the f~-ets stabcd is it are true to the Hest of may imowledgo and belief to~mac,n~aaow Sign roof N~ur~ Pciwn S' , nig (in lisec A Dcrac CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5$26 Application Number 10-00000801 Date 6/22/10 Property Address 1800 MAYPORT RD Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc REROOF Owner -^/ f U' Contractor (,~, ~~ ~ DAVID MERRITT CONSTRUCTION i~ Cv" 1930 RIVER OAKS ROAD a~/ JACKSONVILLE FL 32207 {904) 858-9400 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . Permit Fee 75.00 Plan Check Fee .00 Issue Date 6/21/10 Valuation 4700 Expiration Date 12/18/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 ~a~