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Permit Roof 2010 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001040 Date 8/23/10 Property Address . . . . . . 1921 W SEVILLA BLVD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MAC LENNAN, VIRGINIA COLE BUILDERS INC (ROOF) 1921 SEVILLA BLVD.W. 13640 YELLOW BLUFF RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32226 (904) 302-8606 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 2/19/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 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 90� Jft Address: Q, ) `a. �as� Permit Number: Legal Description Parcel# Ft Valuation of Work$A 004 Prror ea o q. t. q. oposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) circle one):. Commercial Residential If an existing structure,is a fire sprinkler systepl installed?(Circle one): o N/A Florida Product Approval# " VC For multiple products use product approval form r Describe in detail the type of work to be performed: fz�cw 0 0 r Property Owner Information: rr Name: Address: U 1114. �i/ 1- City Gh StateZip �Phone - D irp E-Mail or Fax#(Optional) Contractor Information: Company Name: Qualifying Agent: 4`o -ale dress: (o - L Q City_JQL�4-�. u?11.e State, �_Zip ice Phone q0q - N-$fo04o Job Site/Contact Number ,Q-r/ -5"y'2D Fax# bcate Certification/Registration# CCf5sx-R7q 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 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 f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period of six16)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,eta WARMING 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 1 have read and examined thtsplication and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 work will be complied with whether sppeci ed 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 la►v regulating construction or the performance of construct Signature of Owner ` �x� Signature Print Name !."l a...4... ! ._Q._!._. c.v!A q '.. ...................._...... Print Name �© __...._..........._.._.. ...........W..................... ......__.._........_-.............__.............. n orn to and subscribed befpre me Swou� i subscribed�i� �s��Day of�,A s t .2010 this G�Day of JOHN COX Notary Pub win Pdit-$Me� tary Public Coosa,Ergka Noo/d, �cFfRES:►ray ,2011 • ti r Underwriters ow oion i Im 13056 �4: r fi 0 NMi w Ndry A�Qt. AUG-23-2010 14:49 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1 uoc,F An W tibb i2.UR SK I Sj45' fte 39. NOTICE OF COMMENCEMENT Number Pages: 1 Recorded 0&'2312010 at 02:49 PM, �� -ff` HIAA FULLER CIEP.K CIRCUIT COURT DUVAL (F• � ,+��J COUNTY Permit No. w RECORDING S10.00 Tax Folio No. O UNDERSIGNED hereby gives notice that improvemends will be made to certain nal property,and in accordance with Section i 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. 1.0ltwcription of property(legal des c n): a)Street(job)Address: ,✓�_ 2.Gcncml description of improvements: _toof 3.Owncr Information /yI a)Name and address: —� b)Name and address of fee simple titlebol (if outer th owner) !.J u� c)Interest in property jOk,L+t a.Corraeceor Information ) ��J�tf►lL f a)Name and address: b)Telephone No.: _ Fax No.(Opt) S.Surcty Information a)Name and address: b)Amount of Bond• c)Telephone No.: _ Fax No.(Opt.) 6.Londer a)Name and address: _ lfiauae No. . 7.1dcotity 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.ba addition to himself,owner designates the following person to Meeeive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),f1orida Statutes: a)Name and address: b)Telephone No.: Fax.No.(Opt.) 9.F.atpitation daft 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 TM OWNER AFTER THE EXPIRATION OF THE NO'T'ICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART t,SECTION 713.13, F,I,OJUDA STATUTES,AND CAN RTSULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE(RECORDED AND POSTED ON TRE 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. MTV OF FLORIDA � COtJM1' 1.0.�C "M siRn.Nrp_ Or Acr'S AWA-&&d osficcrm• nsern1�tongw !"� r M S Print maim 1 no foregoing instrument was acknowledged before me this L day of N 5 N J j 20 /a ,by A _J r M ' S ..as- ,a W//N 2` (type of authority,e.g.ofiF or,t MA", attorney in tact)for /� //!r, �,��" (name of party an behalfefwbow instrument was exeretted). Perso=lly Known •OR Produced Identification Notary Signature Type of Identification Producod C7A Jtr L(C C n41 Name(print) l� vt C b 1C OR Vexicatirnr pursuant to Section 92.525,Florida Statutes.Under peltalties of perjury,i declare that I have read the foregoing and that the facts shed BONN belie£ rora�untx, ,o . un pow-sm ol"orft • My CM0.I*kn now is.2012 caw"N"a m$am Iu01f UMkrw Noan�Ana. 4