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1CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000852 Date 7/07/10 Property Address 1375 OCEAN BLVD Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation 6000 ---------------------------------------------------------------------------- Application desc reroof f 1 5444 Owner ------------------------ WEST, JAMES V. 1375 OCEAN BLVD. ATLANTIC BEACH FL 32233 Contractor ------------------------ EQUITY BUILDERS OF FLORIDA LLC 1925 SOUTHAMPTON RD JACKSONVILLE FL 32207 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . Permit Fee 80.00 Plan Check Fee .00 Issue Date Valuation 6000 Expiration Date 1/03/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 80.00 80.00 .00 .00 .00 .00 .00 .00 80.00 80.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOU-18-2001 07:34 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1~1 Nb'~~.C~,~ OF CQM__MF;.~i~EMEIVT Permit No.~_ ~~ ~' D~S~ 'x'ax Folio No. txc a 1V1uz~rci, uR z;K 15298 Page 45A, Number Pages: i F~ecoroed o'flU7/2010 at 03:16 PAII. JIW1 FUU_EP. CLERK CIRCUI i COURT DUVAL COUNTY P,ECORDING $10.00 TI-If•_ UNDhRSi(3NBD hereby gives notice that improvement4 will be made to certain zeal property, and is accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCBMJElY~'. I .Dcscriptidn of prapcrty (legal d~criptiunf: 1p ' // ~j .+ ~$ 'rr~ 9 ~ !t(i •- -- a) Strcct (job) Address: t 3 75 _O c ~9`~ C3r.-v „~ .!9!t ~.,c.~'~-~JEi~~_ Z.Gcncral dlesctxption of improverrxeats: ,/,~y-,~~...., s ~h.._..~ ~~ ..- a /~ ~ ~. ~ ,,}e .x. 3.t7tvncr Information j c/ ~ U - L a) NBmC and address: .~ n.e~r ~ ~ d 3 i~w !.>*/.~,(. f~l/,,,Sa Bch, F( b) Natrn and address of fee simple titleholder (if other than ownex) . _- ___• _ _ ._ _ _ _ 3 a ~3$ c) interest in property wc- T~ _ `-'•'-~y" 4.Contrector information _ - - -"-'~ ~ ~'-- `~ a) Namc snd address: ~~0"\ b)'T¢kphoncNo.• Fax o. (Opt.) •~- '1 S.Surcty ln{vrmation go~~` "2'~~-"'~ a) Name and address: __ _ _ b) iA1nOUllt of Bond: -~~~ Y c) `Telephone No.: 1'aic No. (Opt.) 6.,Lenclcs a) Namc and address: ~ __ Phone No. 7. Identity d[pecsori within Uzc State of Florida designated by owner upon whom notices or other documents may be served: a) Name acid addmss: ~( ~.. _ b) !Telephone No.: - Ft-x No. .. 3.1n additioh to himself, owner desi tes the followin - (~) ~ ~ " gna 6 person to receive a copy of the Lienor s Notice as provided in Section 711.13 (I xt~, Florida Statutes: R) N(Imc and sddress: b)1'elephone No.: _ _ Fax No. (Opt.) 9.irxpintiorf date ofNotice of Cotttmcncement (the expiration date is one year from the clatbe of recording t4rltesLl a <liiiereot date is specificdj: Wq,RNtNts TO OWNER: ANY PAYMENTS MADE BY THE OWNER Ak'X')gR THE EXPTRAT~ON OF THE NOTICE OF COMMENIC"EMF.N'I' ,~,RE CONSiDERED iMPROPER PAYMENTS UNDEfR CAAPTER 713, PART 1, SBCTiON 713.1.3, FLORtOA ATi1TE5, AND CAN RESULT iN YOUR PAYING TWtCF. F'OR 1MPROYEMEN'f'S ~'O YOUR PROP.EiRTX. A NOTICII OF COMMENCEMENT MUST BE RECORDED AND POSTF,D ON THE JOS SITE 13EJf! bRE THE FTRS'X' iNSPMECTIbN. IF YOU iNTt;IVD TO OBTAIN FiNA.iVCINC, CONSULT YOUR LENDER OR AN ATTORNEY BEFQRE COMMP;N~CIPIG WORK OR RECORDING YOUR NOTtCiE Ok' COMMENCEMENT. $TA7'R QF FI.r~RI1fA " eetmrv orM1rr«eer+.~rA u vr')-L 1 Q _ <~/" Sip~Ne/aoyo~t'(hvner of Ownei s Au/~Narris~l~OfyIre~er/Uieocmr/Puaee~/lyisttager` Print N<Rne The forcgoillg instrurrtent was acknowledged before me this , ?~ ay af-s,,,/~it~~. , 20 /Q, by ,q. (type of atttbority, e.g. nfiicer, trusoee, attorney izt Fact) for ~(/ (name of party ~ Nof Peraonally I4nown ~ produced Ide(Itilieation ~ Notary Signature _ /~1~, Type c.+f idedtification Produced Namc (print) was execoLed). RAt,E4. JR. OR ` EICPIgE~ tAe)r 11, 20t2 Verification pursuant to SOCtlon 92.525, Florida Statutes. Undo penalties of pcrjury,l d_"'s1d ~ ~d'ti~~}84-tllr~ that the facts stand in it are true to the best of my 1(nowlcdge anal belief FOIIM9Mrx'.wMaein Sipmture otNanpal Person Ripping (icl Inlc s TU.) Atfwe BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: x/.3'/.5' D~~ ~~i'a~ Permit Number: Legal Description ~D -~f /b - dS Valuation of Work $ lv , 0 a u ' °~ Proposed Work - ova non-heated/cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa window/door Use of eaisdng/prop~e~ strnctare(s) (c>trcle one): _ Commercial Residential If an ezisting structure, is a fire sprinkler system ><nstalled? (Circle one . o N /A Florida Product Appmeal # ~L .ti^~~~ For multiple products use pr~prova orm Describe in detail the type of work to be Property Owner Information: ' Name: /')'~ t c ~~ ~ A->v ~ ~•9 rvD y ~ s/9~'O Address: / ~ ~ ~ C~ ~ ~~^i ~'~ y~ . City A-rt- rr>u'r-rc ~'F--4-c- f,i State Zip 323 S Phone _ f ~ '~ - Z- ~t ~- ~ ~ ~D E-Mail or Fax # (Optional) Contractor Information: Company Name: Co ur~y a~ ~ (o~ty's m~~. Co. ~_ Qualifying Agent: Address:~_~„4L~..~„~T_/~ d..~ _ City .. 7~s p,c r%j /(~ State ~_ Zip 33'0 x Office Phone 5' C4~~ 3 4~B c ~- Job Site/ Contact Number q o ~• • ~7 7 • (o (8 a-- Fax # ~ o r/. 3 g ~, • a.S' S~,S-' State Certificat><on/Reg>istration #~C~.l~,~~ f Architect Name & Phone # nt I ~4 Engineer's Name & Phone # nl~ r4-' Fee Simple Title Holder Name and Address l~((Q. Bonding Company Name and Address /y ~ a Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify 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 milt and void f work is not commenced within six (6) morahs, ~ if cassduction ~ work is nded or abandoned far a pen'od of sor 6) months at any time after work is commenced. I understand that separate permits must be secured for Elednical Word PMwrbittg, Signs, We(L~ Pools, ~terateces, Bogs, Heutas, 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 YO~JR NOTICE OF COMMIENCEMENT. 1 here certify that I have read and examined this lication 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 sped red herein or not. The granting oja permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction Si of Owner %%~~'~~~'`- Si tore of Contractor gnature may, gna Print Name _-........./'~%.~...~-,.~~.._D.:....~~~s./..cc:-~©_-- ............. Print Name ...~ . . ~~.~-~o................._._.........._......................._.._.._. Sworn to d subscribed before me Sworn to and su sc ' d before me this 9~''~Day of 20lO this ~ D ~ -.~ ~ ~ 20 ~~ ~ ~ Notary Public ~,, ,1~•.,~ HARLES D. RALEY, JR. Notary C 'ct, u is a e o on a :;d"' Stanton Hudmon ,$`, ~ MY COMMISSION p DD 748092 ~G ., My Commission D 9181 <: EXPIRES: May 11,2012 of r~o~ F_xpires 03~~ 6201 ~evised 0 .26.10 st ~ Bonded Thru Notary Pubtlc UnderwrRera