Permit Bldg Repair Post 2010 J
CITY OF ATLANTIC BEACH
MIS
;1 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001082 Date 8/30/10
Property Address . . . . . . 70 DUDLEY ST
Tenant nbr, name . . . . . . SEE ATT
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5800
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Application desc
REPLACE 20 POSTS
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Owner Contractor
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JACKSONVILLE HOUSING AUTHORITY UNITED BUILDERS OF CEN FL, INC
70 DUDLEY STREET 8741 SW 19TH AVENUE ROAD
ATLANTIC BEACH FL 32233 OCALA FL 34476
(904) 860-7663
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Permit . . . . . . BUILDING PERMIT
Additional desc . . REPLACE POSTS SEVERAL LOCATION
Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00
Issue Date . . . . Valuation . . . . 5800
Expiration Date . . 2/26/11
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Special Notes and Comments
PERMIT COVERS REPLACEMENT OF POSTS AT:
91 DUDLEY, 97 DUDLEY, 70 & 72 DUDLEY,
82 AND 84 DUDLEY, 2065 AND 2067 GEORGE,
1870 AND 1872 GEORGE STREET AND 2001
AND 2003 PARK STREET
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total 40 . 00 40 . 00 . 00 . 00
Grand Total 120 . 00 120 . 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
c
fob Address: -70 C 7A. E Air, --V Permit Number:
regal Description Parcel#
as
Floor Area o q. t. t
50 Pro used Wo
Taluation of Work S S, 7 k heatedlcooled non-heated /cooled
23
:lass of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Tse of existing/proposed structure(s) ((circle one): ComA�ci Residential
f an existing structure,is a fires rinkler system insta ne): Yes No N/A
Iorida Product Approval#
or multiple products use product approves orm
)escribe in detail the type of work to be performed: _ 9e' P-0CA L." I, 17e r- L,) S f'j�'-
( r
Property Owner Information:
Tame: --s � Pr Address: 1 U S1S'+ •,o (-�,r}��,i• (��J ok'
;ity CCC J State,(( Zip-'522z)9 Phone
Mail or Fax#(Optional) un c -�- �e (d m res s�- rVc J,
'ontractor Information:
bmpany Name: V ' '24&,�,.-. Qua ' g Agent:
,ddress: Sv w,A s c
City c ✓, f State47' Zip 3 2 2
ff ice Phone - 14o •-3 d9 ( Job Site/Contact Number%q - 8 G Fax#
tate Certification/Registration# CG( t J!!-n'1
xchitect Name&Phone# ,i �a-
,ngineer's Name&Phone# c -
ee Simple Title Holder Name and Address
onding Company Name and Address A,
[ortgage Lender Name and Address
plication 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
uance of a permit and that all work wall be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
d void if work is not commenced within six(6)months, or if construction or work is susppended or abandoned fora eraod of sax 6)months at arty time after
rk is commenced. I understand that separate permits must be secured for Electrical YYork,Plumbing,Signs, ells,Pools, urnaces,Boilers,Heaters,
xks and Air Conditioners,eta
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
COMAIENCEMENT.
Neb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
of work wall be complied with whether specifPd herein or not. The granting of a permit does not pre�me to give authority to violate or cancel the
isions of any other federal,state, or local law regula g construction or the performance of construction.
nature of Owner Signature of Contractor
PrintName �4f-ss�'lJ............................................ ............
t Name ..............
............. ..
.......................
Swo bse before me r'a
r1jayof dsubs keabefOr me this ay of
+ ,,
&0126.10
&zs�
NOTICE-OF COMMENCEMENT
tAREPAM w tx -M)
Psmk No. rax Foilo No.
State of Srl a County of DuyA
To whom R may concern:
The undwsWwd aniby lnfomns you tat Improvwn wft wdl be nude to certain real propMly.mW In
accordance with Beldon 713 of the Florida Udubw dw fo*wd"Udbmation is s4Nd In this MY=OF
t ell of t' qwW betnp knproMed:
Address of property being impmved:gl d SObC,4 Sobb-7j )VI),A'/-Z-Q'c,,
S1 S2 S3 S4 S5, -S6. '& S7 narDudley J�
Gerafan desuiptlof improvements:
Reroof of S3 & S4, repairs on S1, S2, S3, S4, S5, S6 & S7 Dudlev St. i
owner Jacksonville Housing Authority
Address 1085 Golf air Blvd Jacksonville, FL 32209
owner's Interest In sib of the improvement_fee simple
Fee Sk%*Titleholder Of COW than owner)--- N/A
Name-_ N/A
Address N/A
cotraceor_-United Roofing of Central Florida Inc
Address 5032 Edward_St Jacksonville, FL 32254
Phone No. 904-407-3091 Fax No. 866-355-8881
Surety(ff any) NIA
Address N/A Amrxmt of bond Z NIA
Phone No. N/A Fax No. N/A
game and address of any person maldnp a loan for do constnx dm of the improvements.
Name N/A
Address NIA
Phone No, N/A Fax No. N/A
Nano of person within the State of Florida,other than hkmelf,designated by owner upon whom nodm or other
docwmis may be served:
Name N/A
Addmw NIA Phone No. N/A Fax No. NIA
in addlom to Nmse1E,owner d the Pam to receive a copy of the t enoes Notice as provided to
Sedlon 713.06(2)(b),Flodda Stam*".(Ftll lo at owner's optlon).
Name
Address NIA- Fax No.
phone No.
ernpkatlor►date of Notice of ConnnnatoeMnt(the ems^
date is one(1)year from the date Of mcordirng WWs a
&Mmt date is r owmm
TrtlS BpACE FOR t ONLY C �'4 � DATE � 4 to
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