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Permit 1375 Ocean Boulevard,1 ~j~, ~" `~~'~ CITY OF ATLANTIC BEACH `SIB; '" ~,~ 800 SEMINOLE ROAD '. ,r/ 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 fl 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 FLORH)A BUILDING CODES. NOV-18-2001 07:34 FROM: CLERK OF COURTS 904 270 1512 Nb'~aC~ (JF Cf)1V1MF:~ICEMENT ~e Fermit Na,L_ ~~ r' ~~,~ Tax ,Folio No. .._ TO:92475845 P:1~1 L~oc ~ 1t)tut~ici, Ur? dK.15298 Pape 45A, dumber Pages: 1 Recorded 0');07/2070 at 03:16 PIA. JIM FUU_EP CLERK CIRCuI i CaURT DUVAL cauNrr P,ECQRDING 510.~J0 TTaE UNO~RSTt~NRD hereby gives notice that improvement4 will be made to certain real property, and is accordance with Section 713.1;1 of tFle Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. I.Ooscriptidn of property (degrrl d~cripNon): /O ' /~ ~~ ~ ~ 'rr.') 9 ~ ~~,~w_ •- -- a) Street (job) Address: / 3 ~5 _O_,f`~?^~ C3kvQ.`...!¢_7C~c.e,_,t°~l~F~C~..~.2.~~- 2.Gencral dLscription of improvelrtettts: ,,.,~~, _. •~~ ~-~i T.~e~--oi°~-: ,~,/croe.. tom-. ~o ~}~ •~ 3.Owncr I.nformatton ~y i / a) dame and address: /'/it~is~.G~ e~~( ~ ~ra /~f~/ec i- a I37S n~ _., d/~~ f~'t!~F Bch, Ft b) Name raid address of fee simple titleholder (if. otber than owner) , _ _, ___„_ _„~,_„~, _ 3 2 X33 c) Interest in property fyo 7.• ._ _._. ._-__ _ 6.1.enclcr ; a) Namc and address: ___ , Phone No. 7. Idontity ~f petsott within Urc State of Florida designated by owner upop whom notices or other document may be servod: a) Name ntld address: p f ~ ~ w b) (Telephone No.: ~.-, ~ ~.,, Pax No. (Opt.) S.1n additioh to himself, owner designates the followinb person to receive a copy of the Lienor's Notice as provided in Section 713.13(1 xt~, Florida Statutes: a) Name and address: . b)1'elephone No.: Fax No. (Opt,) _ _ _ __ 9,Pacpintiorf date of Notice of Commencement (the etcpication dxtt is one year trnm the elate of recording anleate x clfi'Ierent date is spccificdj: 4.Controctol' (nformatton a} Namc and address: , b) `Cclcphonc No.: S.Surety 1n{omtation a) Ntune and address: _~ f,4.. b) iA mount of Bond: ll c) ~'clcpbonc No.: WARNTN~ TO OWNER: ANY PAYMENTS MADE BY THE OWNER A.P'I'i$R THE EXPTRAT)[ON OF THE NOTTCF, OF COMMENC"EM[:NT ARE CONSIDERED TMPROPER PAYMENTS UNDER CHAPTER 713, PART b SECTTON 713.1.3, FLORIDA~TATt1TES, AND CAN RESULT TN VOUR PAYTi1VG TWiCF. FOR 1MPROYEMENTS TO YOUR PROPERTX. A NOTICD OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB STTE .13EF'ORE THE FTRS'f iNSPRCTIbN. IF YOU iNTF.ND TO OBTAIN FTNANCINC, CONSULT YQUR LENDER OR AN ATTORNEY BEFORE COMMgN~ING WORK OR RECORDING YOUR NOTICE OI' COMMENCF,IV.I.ENT. $TATIr f1F OI.f~R11fA /!~ eetnvrv or~1Mw+:F.+r~r.11 v //'-'L t0. ~ SipKdu/royof Owner or Owner's AuJt~tw,rirai/OtTKerlViroetar/ParmedManrger~ ~ ~/G ILA ~•/ -.LJ . / ' 1~.1/.~ciJO Print Name The 1'orcgoittg instrument was acknowledged before me this , ~~ ay af -s,/~iri~. , 20 /s~, by /~//f~/,e~Q~ .~,~• ~~5/A.yU as ~W~l~~ (type ofstttbority, e.g. officer, trustee, attorney iri fact) for G~u~'~~ (Warne of party ort Notwho 'nstrv en . waa executed} Acrsonally I4nown ~ Produced Identi>fweation _ Notary Signature ~ ~+ Type of Itledtific:ation Produced Namc (print) CttAip.E9 0. ItAIEY.,at. O~ Verification aursuant to Soction 92.525, Florida Statutes. Under penalties of perjury, the facts at'ttthd in it are tare to the best of my knowledge anal belief. ~,rv,RQ~~ I I Fax No. (Opt.) Fax No. (Opt.) 9' o_~rfr ' ~_S''f o .._._ zotz that Sipwture ofNlRVaI Person Signing (tn tint N lU.) Abgve d BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904} 247-5826 Fax (904) 247-5845 Job Address: _~/.~'/S' DGda~ j~/rte! Permit Number: Legal Description 10 -// /6 - ~S Valuation of Work $ lv, Oou •O-'~ Proposed Work -- Uc~a o non-heated/cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa window/door Use of eaisting/proposed stricture(s) (circle one): _ Commercial Residential If an existing structure, is a fire spnn[cler system tinstalled? (Circle one . o N /A Florida Product Approval # L For multiple products use pro uM approve orm Describe in detail the type of work to be performed: ,c~lrrol/L ,~ Property Owner Information: Name: /~' 1 c ~~ t- A~ 0 ~.9->y©y /~Fs/-9~y Address: / ~ ~ J ~ c €A-~ ~'c- v~ , City A,-L ~cc ~'~~: ~ State >~Zip X22 3~Phone f' ~ '~ - Z ~! ~- ~ ~ ~D E-Mail or Fax # (Optional) Contractor Information: Company Name: Lou,-~r3~ , (mss m•~-mot 2(.c .. Qualifying Agent: Address: /T,~. o .. #yrt /L~ Q,e[ - City . 1~~s e,~ ~% /(e. State ~L Zip __~3~•0 ~ Office Phone~~o~ • B • /v ~- Job Site/ Contact Number q p ~.~. ~ ~~ ~~ (g a-- Fax # o S/. State Certification/Registration # Gca f 3~,~y/ T- 9-~--~-9 ~ ~ ~"•T~~ Architect Name & Phone # nS (.4 Engineer's Name & Phone # N / Ar Fee Simple Title Holder Name and Address n(~ q, Bonding Company Name and Address ~a, Mortgage Lender Name and 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 constriction in this jurisdiction. This permit becomes mrlt and void f work is not commenced within six (6) months, or if construction or work is suspended w• abandoned f~ a perr'ad of six 6) months at airy time after work is commenced. I understand that separate permits must be secured for Eledric~f R'or~ F~ttw~b~i~t~ ,Sfgws, Wdb, Poa[~ ~trmoct; aa~los, Ae~as, Tanks and Air ConrGtioners, etG WARNING TO OWNER; YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO'ETR NOTICE OF coNrnIENCEMENT. l hereby certify that I have read oral examined this~plication and know the same to be true and correct. All provisions of laws acrd ordinances governing this type of work will be complied with whether sped d 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 taw regulating construction or the performance of construction. Signature of Owner %~~~~'~~ Si of Contractor gnature ~.~ Print Name ............~c.~...~~-~....~.:._.~.rf.~.-s./.~.-~.r..o........-_----- Print Name Sworn to d subscribed before me this 7r'f Day of ~y~/~ Sworn to and su d before me this ~ D~y° t~ ...~ :s ~`I Notary Public ~ y~~.., HARLES D. RAIEY, JR. NOtary C 'cF, u is e o on a r? •ly~, Stanton Hudmon ,~= MY COMMISSION S DD 748092 y ~ ,, c` My Commission DD7,69181 • ~ - EXPIRES: May 11,2012 ~OF F~~~ Expires 03!1612012 eVlSed er tw.. = Bonded Ttuu Notary Public Undereriters ~. s ~ s _ . _ _ _ _ _ _ .. _ _ 10 ~~