Permit 2235 W Oceanforest DriveCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000878 Date 7/14/10
Property Address 2235 W OCEANFOREST DR
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation 3995
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Application desc
ROOF REPAIR
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Owner
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DEVAULT, KENNETH
2235 OCEANFOREST DR.W.
ATLANTTC BEACH FL 32233
Contractor
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TAYLOR CONSTRUCTION CO
3617 CAPPER RD
JACKSONVILLE FL 32218
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Permit ---------------
ROOF PERMIT ----------------- ---------------------
Additional desc .
Permit Fee 70.00 Plan Check Fee .00
Issue Date Valuation 3995
Expiration Date
--------
- 1/10/11
-
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Fee summary
----------------- ---------------
Charged
- -----------------
Paid Credit ---------------------
ed Due
Permit Fee Total --------- --
70.00 -------- -------
70.00 --- ----------
.00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 70.00 70.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No- [ 1p„(~j' ~ >Zf~
tJoc # LO-i0leiytl8, Oil tsK 15305 rage 3is4,
Number Pages: 1
Recorded 07,1102010 at 1122 AM.
J!M FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713. l3 of the Florida Statutes, the following inforn~a~tion is provided in this NOTICE OF CQMMMENCEME
1.Description of property (legal descrip ' n): 1 -
a) Street (job) Address: 3
2.Generai description of improvements:
3.Owner Information ~" - t~C '
a) Name and address: 'Z ~ 2,~-
b)Name and address of fee simple titleholder (if other than owner) ..---
c) Interest in property
4.Contractor Inforrnati
a) Name and
~ b) Telephone
~5. rety Information
a}Name and address:
b) Amount of Bond:
c} Telephone No.: Fax No. (Opt.)
6.Lender ~lJt..tcE7`ks~ tl _ ~AaC~ 1r- '~~' C...-~-~
a} Name and
t 7~
Phone No.
7. Identity of person within the State of Florid a des~ated by owner upon whom notices or other documents may be served:
a) Name and address: I`J~EC'
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13{I}(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 Il1~IPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IlIZP'ROVEMENTS 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 NOTI
STATE OF F(.ORiDA
COUNTY OFPINELLAS
The foregoing instrument was acknowledged before me this _~ day of ~~ , 20 ~ a , by
as (type of authority e. officer trust e
attorney in fact) for (name of par
Personally Known OR Produced Identification Notary Signature
Type of Identification Produced
Name {print)
OR
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I
the facts stated in it are true to the best of my'knowledge and belief.
g• e ,
behalf of whom instrument was executed).
.~
CF1RISi1NEWATSON
commis~o~xoosaatol
that
Fotu~s~aoc,,.~azoro
Signature of Natural Person Signing (in line # 10.) Above
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
~-.
Job Address:~i2~ 47 ~ '~jCl~' *Permit Number:
..
Legal Description
Valuation of Work $
heated/cooled non-heated/cooled
Class of Work (circle one): New Addition Alteration ~ Move Demolition pooUspa window/door
Use of existing/proposed structure(s) ((circle one): Commercial ~:~'~re~~
If an existing structure, is a fire sprigld~system installed'! (Circle one): Yes ~ N /A
Florida Product Approval # ~ `LL ~
For multiple products use pro uct appro orm
Describe in detail the type of work to be performed: ~~ tom- ~
Property Ow••n~~er Information:
Name: ~ Ali ~ Address: 2 ~~ ~~
City Sta ip ~, Phone
E-Mail or Fax # (Ontionall I D~~
~.onrracror mroi /~ ~f
Company Name: . ~- ~ m*- (/a Quali Agent: ~~'d (~ ~~~ ~¢-------.
Address: Ci~~ State Zip ?~2? /~
Office Phon Job Site/ Contact Number Fax # '~
State Certification/Registration
Architect Name & Phone # xn(k-
Engineer's Name & Phone #~~,1 ~'".
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 certify that no work or installation has commenced prior to the
issuance of a permit and that all work wild be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is sus-pended or abandoned for a~ period of six r6) months at any time arter
work is commenced. I understand that separate permits m:~st be secured for EledricarWork, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Healers,
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 YO~(1R NOTICE OF
COMMENCEMENT.
1 hereby certify that I have read and examined thts~pltcation and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied wi~la whether sped ed herein or not. The granting of a permit does not presume to ive author to violate or cancel the
provarons of any other federal, state, or local law regug construction or the performance of consmscdon. ,~ , , /~
Signature of
Print Name
Signature of
(~
/ . Print Name (`
`~a
_./.... f_ - ~__ ~
Sworn t~and subsc' before me
thi Day of J k~y , 2010
-
Notary ublic ~ N
~~ Notary'ubiic, 5~ate of Florida
~Con,missior~~ DD984107
My camr:~. expires Apr. 21, 2014
Sworn and subsc 'bed before me
this ~ Day of
State of Fbrlda I
fMy comm. expires Dec. 15, 2013