Permit 1528 W Park TerraceCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000867 Date 7/09/10
Property Address 1528 W PARK TER
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation 17800
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Application desc
REPLACE SHINGLE ROOF WITH METAL
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Owner Contractor
GHIOTTO DAN BUTCHER ROOFING INC
1528 PARK TERRACE WEST 1629 SW BEVERLY TERR
ATLANTIC BEACH FL 32233 STUART FL 34997
(772) 260-4828
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Permit ROOF PERMIT
Additional desc METAL ROOF
Permit Fee 140.00 Plan Check Fee .00
Issue Date Valuation 17800
Expiration Date 1/05/11
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Fee summary Charged Paid Credited Due
----------------- ----------
Permit Fee Total 140.00
Plan Check Total .00
Grand Total 140.00
140.00 .00 .00
.00 .00 .00
140.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Af/~•,,~-~ t3PQ~ti
Job Address: _ /.~'".2fs i Flr ~C ~Te~•y~/ -~ ~ o~,a~. 3 2133 Permit Number:
Legal Description `~~ ~ ~' ' ~ ~' _ ~ 5 -'~`' F : SNP fT ~~;,~ 3 ~ "'' ~ t''` ~ parcel #
rtuor tirea o1 ~q.rt. lj7G'O Sq.rt
Valuation of Work $ 17~ ,SS+x~ ~ Proposed Work heated/cooled non-heated/cooled
Class of Work (circle one): New Addition Alteration epa' Move Demolition pooUspa window/door
Use of eausting/proposed structure(s) (c>trcle one): Commercial esident-
If an existing structure, is a fire sprinkler system installed? (Circle one): es No N /A
Florida Product Approval # >~/ /,~~G,f~.lA ~m ma~l.~:l.s s-v e~,;,~, ry,,.p~z
For multiple products use product approva o-7~rm -"
Describe in detail the type of work to be p/erformed:_ ~t? t»o~e e><is~•~S S~-~nate rv~ -•- ~~t,,,;, J li.>,~h- fj'~f
/'ln~Sji~.~ ~ .vas /C ... rl r•+ in, wz ~ k DOr61,~ir ~ f1grS A7ra/~f 26 ~ M,~ ~wz$ A.. 3= V [zrirn~ I9?f~c ! ~'~~
Property Owner Information:
Name: /~ht Jan e ; h ~~~ Address: /S~ F1 W P4 r k TY rru c .~.
City ,L~ -~.1,g ,,,~ ~'c 8~ ~ ~ h.~ State >~Zip a3 ~~3 Phone
E-Mail or Fax # (Optional)
Contractor Iuformation:
Company Name: ~,q n/ l~~tr Rec~,,rv ,~r`.c . Qualifying Agent: _~~4rv ,~~c~f
Address: ll02 o Sam/ ~vP rl~/ Tr r5 c.p City S-{.~a r-l:" State ~ Zip 3y ~G 7
Office Phone 7.72 -7~i - 325 Job Site/ Contact Number 772- ~ tQo-yl} 2g Fax # 7 `~ 2- ~ 2.3 -ioJZ
State Certification/Registration # Ci!I? /3a !~ X5'0
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. !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 construction in this jurisdiction. This permit becomes null
and void zf work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a_perzod of six~6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, 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 IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereby certify that I have read and examined this~plication and know the same to be true and correct. All provisions o, f laws and ordinances governing this
type o work will be complied with whether sppeci zed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provzszons of any other federal, state, or local !w-v regulating construction or the performance of construction.
Signature of Owner f 61L~ ~ /l - -~~ Signature of Contractor ~~ "~e:.~ ~~~,,
Print Name / -'
.......~1...7~~1:..~`~.......:.......,.L.:7/1../L'./~........ PrmtName ...~.~-11,1............~.~a<'"c..~.a..:~.a.:.~ ................__........................
and subscribe efor e
Day of . 20 1 L~
Notary Public State of Florida
Notary Public ~ ~p~ My commission DD810s44
?or~d• Expires tO/10120~~
Sworn to nd subscribed before me
this Day of ~1 LP L~-/ 20 ~ D
Rotary Public -State of Florida
My Commission E,IaTi~it~d, ®olt 6. l 0
Commission # DD 612006
Bonded Through National Notary Assn.
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Doc #2010158347, OR BK 15300 Page 1447,
NOTICE OF COMMENCEMENT Number Pages: t
Recorded 07/09/2010 at 11,:20 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Permit No. RECORDING $10.00
Tax Fotio No. / r7I
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
X 3.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCTMENT.
I.Description of property (legal description):
a) Street {job) Address: lSzB
2.Generat description of improvements:
3.Owner Information
a) Name and address: Ph r ~ j~ lvt -F j~~ s~ ~1 ~~~a /s'Z~ Par k -Tarr ~-J/ati-l,~B~rk-~ ~"~
b) Name and address of fee simple titleholder (if other than owner) ~ ~ Z ~ _ s-s3s'
c) Interest in property
4.Contractor Information
a} Name and address: ~,~, ,13~~ ~r ~p~a~?,.,t. , L-,.,.r, /dip sw 6w~~r,(~ T rr S~inr E ~l 3y 4~7
b) Telephone No.: ~7 ~ _ a~ 1- -3 2f ~ ~ Fax No. (Opt.) 77~_ ~.Z 3 io/ Z
S.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6.Lender
a) Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.1n addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA / r
COUNTY OF P[N ELLAS ~ l O. ',G~' i' - ~ . - C L l'am' ~ .
Signature of O or Owr~e['s Authorized Officer/Director/Partner/Manager
'i~/r ~l' ~$1. ~`i~i~ i/'cry:
Print Name
The foregoing instrument was acknowledged (tefore me this ! day of ~ , 20 l0 , by --~~~c.--~---
- as ~G~'~'~~'~J (type of authority, e.g. officer, trustee,
attorney in fact) for
Personally Known OR Producedrldentiyfi~cation
Type of Identification Produced __`~ !/~
(name of party on be of whom~in~st/r~ument was executed).
Notary Signature / /~ ~=.~-~-~.
Name (print) frV-'~.if/~ ~~L~.~' ~v !/jc ff ~.
OR
Verific t-tcl~ipt-~ Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the fac st~ttB' it elcmtrym~thatbolst~~ty owledge and belief.
. , Lynne Ellen 9u4cher ~ ~~
c. ~ My Cornmtssign 0D8t0844 ~~~ ,/~~ ~~~ ~j
FORMSlN rv r~q ~p~rg8101t0/Q012 ~ t' / I"
Signatwe o atural Person Signing (in line # 10.) Above
~1Va MArtrvca. Un i~' 2 La-t- S 8%ac1C 3