Permit Roof 2010 s. CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001080 Date 8/30/10
Property Address . . . . . . 70 DUDLEY ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5750
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Application desc
REROOF
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Owner Contractor
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JACKSONVILLE HOUSING AUTHORITY UNITED ROOFING OF CEN FL, INC
70 DUDLEY STREET 5032 EDWARD STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254
(907) 407-3091
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5750
Expiration Date . . 2/26/11
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Special Notes and Comments
REROOF DUPLEX #70 AND 72 DUDLEY STREET
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 80 . 00 80 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILD NG PE RMTT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
gob Address: J03� Permit Number:
regal Description Parcel#
Floor Area of S q.Ft. Sq.Ft
Valuation of Work S S 3-60 lob Proposed Work heated/cooled non-heated/cooled
lass of Work(circle one): New Addition Alteration(Repair ove Demolition pool/spa window/door
Jse of existing/proposed structures) circle one): Commerce Residential
f an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
{lorida Product Approval# .
For multiple products use product approval form
describe in detail the type of work to be performed: (,�A h)e O �' 2-b Lf (Z A q
oSt nS 4('s
'roperty Owner Information:
Tame: 1�4 14 Address:
;ity )A C- TeVvt t State!-LZip Z22,01 Phone "ia K 3(o fo 3��-
.-Mail or Fax#(Optional)
:ontractor Information: /
;ompany Name: V n.6C Q ,o J t2S a� (tA'47( ` Qualifying Agent:
address: S`1 6P S£ ( 80` S� • City Q C.4 64 State t Zip 3-!K-2-2—
)�ice Phone35� 3%A 7-S N 2)!q Job Site/Contact Number 10 q 6 d--7 b �3 Fax#
Mate Certification/Registration#
architect Name R Phone# I.1
sngineer's Name&Phone#
ee Simple Title Holder Name and Address N A-
3onding Company Name and Address ty I*
Zortgage Lender Name and Address
pplicatio�a is.he
made to obtain a perrnit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
suance of a permit and that all workwill be performed to a�zeet the stcnzdar^ds of all laws regulating construction in this jurisdiction. This permit becomes null
nd void ifwork is not commenced within six(6)months, or if construction or work is sus ended or abandoned for a_penod of six(6)months at any time after
ork is commenced. I understand that separate Per,
must be secured for EZectricalpWark,Plumbing,Signs, !Yells,Pools, Furnaces,Boilers,Heaters,
inks and Air Conditioners,etc
WARDING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR.IMTROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
hereby certify that I have read and examined th' lication and know the same to be true and correct. 411provisions of laws and ordinances governing this
pe of work will be complied with whether sppeci ed herein or not. The granting of a permit does not presu to gave authority violate or cancel the
rovisions of any other federal, state, or local lmv reQzclating construction or the performance of construction.
igaature of Owner Signature of Contractor
rint Name �I
C ....' ........_ ...'...... ... Print Name ,Ss.d.. .............................................
wom tp and subs bed before me Sv,70ATE subs ib before me /
u Day of this y f 20 `�
t IA .TAYLOR
o D 891238
lotaiy Public a eras 20,2013 uEMAM A-On
sDndeanwuT Fain 8W,%f)-?0j9 No iAe
MY COMMISSION#DD 634126
€ EXPIRES:May 21,2011 pp e ed 01.26.10
lt� Bonded Thru Notary Public Underwrites
NOTICE.OF COMMENCEMENT
mare a�ouF'.IcnTEi
p Tax Folio No.
state ori a County of n"�A
To whom It may concern:
The undwsipad im0y IMorms you that hT*w »nenb will be made to certain real property,and In
accordance with Secdon 713 of the Florida 8t0rbs.the fo*MkV InftmWlIon Is stated in 11110 NOTICE OF
Legal description of property bebg :
Address of property beft I► :91 b 24bW6 b7j h'S d r en-Q,
S1 S2 S3 S4 S5 S6, S7 Dudley �Zd,4
General-description of Improvements: � k
Reroof of S3 & S4, repairs on S1, S2, S3, S4, S5, S6 & S7 Dudley St. �
owner Jacksonville Housing Authority
,address 1085 Golfair Blvd Jacksonville, FL 32209
Owner's Interest in site of the improvement fee simple
Fee Simple Titiehoider(g other than owner) N/A
Name N/A
Address N/A
Contractor United Roofing of Central Florida Inc
Address 5032 Edward St Jacksonville, FL 32254
Phone No. 904-407-3091 Fax No. 866-355-8881
Surety(If MY) N/A
Address N/A Amournt of bond$ N/A
Phone No. N/A Fax No. N/A
Name and address of any person meldnp a ban for the construction of the improvements.
Name N/A
Address N/A
Phone No. N/A Fax No. N/A
Name of person within the State of Florlda,other than hirnself,designated by owner upon whom notices or other
documents may be served:
Name N/A
Address N/A
Phone No. N/A Fax No. N/A
In addition to himself.owner deeignstes the following person to receive a copy of the Lienors Notice as provided in
Section 713.06(2)(b).Florida Statutes.(FIN In at Owner's option).
Name N/A
Address N/A
Phone No. N/A Fax No. N/A
Expiration date date is f Notice of
t(tire expirsborN/Abs one(1)year from the date of recordWQ nodes a
Mwerd THIS SPACE FOR RECORDEWS USE ONLY — COMM
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Doc#2010202253,OR BK 15351 Page 1113, Paso"Proyid m or
Number Pages: 1 '" -., PATRICIA D.TAYLOR
Recorded 08/30/2010 at 12:54 PM, f ss= �p jo)#'D 8$1238
3111 FULLER CLERK CIRCUIT COURT DUVAL __.• "_ 2013
COUNTYFaNMad!
RECORDING$10.00 �1{. aade011w1aora
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