Permit Roof 2010 ' `j, CITY OF ATLANTIC BEACH
' 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
s i VIM
Application Number . . . . . 10-00001081 Date 8/30/10
Property Address . . . . . . 84 DUDLEY ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10300
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Application desc
REROOF
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Owner Contractor
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JACKSONVILLE HOUSING AUTH UNITED ROOFING OF CEN FL, INC
123 S 8TH STREET 5032 EDWARD STREET
JAX BEACH FL 32250 JACKSONVILLE FL 32254
(907) 407-3091
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Permit ROOF PERMIT
Additional desc REROOF
Permit Fee . . . . 105 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 10300
Expiration Date . . 2/26/11
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Special Notes and Comments
REROOF DUPLEX ##82 AND 84 DUDLEY STREET
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 105 . 00 105 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 105 . 00 105 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT IT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax(904) 247-5845
lob Address: S+ . Permit Number: /,0—/O tr,/
egal Description t. Parcel#
Floor Area at q. Sq.Et
Valuation of Word$ 10#3 O f Proposed Work heated/cooled non-heated/cooled
lass of Work(circle one): New Addition Alter e air Move Demolition pool/spa window/door
Tse of existing/proposed structures) (circle one): Commercial Residential
f an existing structure,is a r1rp sprinider system insta ? Cir one): Yes No N/A
alorida Product Appproval-#. 0/a4 • �
For multiple products use product approval form
)escribe in detail the type of work to be performed: 4 t2cid
S�-'.". ' lc- S
'rouerty Owner Information:
lame: , A Address: 0 8' �- r• a o^
;ity Stat –Zip -32297-Phone Phone 904 1W, - 34.114.
?-Mail or Fax#(Optional)
:ontractor Diformation:
(Alt t Je 2� 44 Qualifying Agent: Cr Lk (AfSSQ',A)
address:_ 50 3 1 Ci State -t C Zip I 2 2 S
)ffice Phone904 90'7 1091 Job Site/Contact Number O 6 Cv 3 Fax# �b l� 3s-S-^&'v I
tate Certification/Registration# C c L t 3 :1 5q 7 t
architect Name&Phone# .J(A
'sngineer's Name&Phone
'cc Simple Title Holder Name and Address
3onding Company Name and Address
4ortgage Lender Name and Address
k) VIF–
pp'!caao 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
nuance of a permit and that all workwill be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
ndvoid if work is not commenced within six(6)months, or if constructio�a or work is suspended or abandoned for aperzod of six(6)months at any time after
ork is commenced. 1 understand that separate permits must be secured for EZectricQi Work,Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters,
'anks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR Il"ROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
aereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
�e ofYwork will be complied with whether sppecld herein or not. The granting of a permit does not presu e to give authori to violate or cancel the
gvisions of any other federal state, or local law*com",ctione performance of construction.
�atare of Owner Signature of Contractor
kt Name V l 4j -. Print Name ......_ .' ......._ TSSd/j
.................�.......... ....... ..........................................................................
aalzt and subsc ed before
meSwo subscrib before ate /
s N ay of " this Day of 20 /
g on#DD 891238
taffy Public sq ' , ttiiilirfaiwNo arms Notaiy P ;s MY COMMISSION#DO 634126
EXPIRES:May 21,2011
r 8w,dsd rnru Notary Public M�"d 1.26.10
�� s� -2/,,2-C, 3 3 2- d
NOTICE OF COMMENCEMENT
VWPAIX ar ouPh tcv M
Pemhit No. Tax Folio No.
State of ori a county of Duva
To wham It may concern:
The undersigned hereby kdar ms you Mat ImprovwnNMs will be nude to certain road p►o wW.wW in
accordmnco with SecUm T13 of the Florida Statutes,f�he foNmkV infonvadon k s- I 'In MAs NOTICE OF
Legal descriplim of property ung Improvedt
CA—
Address Sig 8 5 s 6 & 7 Du 1 U� ob o b�ckanNille, EL �t�r t��z �/C
cenerataesaiptior,of irrhproremthrte:
Reroof of S3 & S4, repairs on S1, S2, S3, S4, S5, S6 & S7 Dudley St. i
owner Jacksonville Housing AlthoriU
Address- 1085 Golfair Blvd Jacksonville FL 32209
Ownees interest in site of Moa improvement fee simple
Fee Simple Titielwider,(if 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 any) N/A
Address _ N/A Amount of bond S. _ N/A
Phone No. NIA Fax No. N/A
Name and address of any person ma*q a loan for the construction of the k proven ts.
Name, N/A
Address NIA
Phone No. N/A Fax No. — N/A
Name of parson within the State of Fiorkfa,other than himself,designated by owner upon whom notoes or other
documents may be served:
Name N/A
AddressN/A
Phone No. N/A Fax No. N/A
In addition to himself,owner designates the fO*WA g Penson to receive a Copy Of the Lienors Notice as provided In
Section 713.06(2)(b),Florida Statutes.(FS M at owners option).
Nam N/A
Address N/A
Phone No. N/A Fax No. N/A
Expiration
date h hof Commenoement(the expirationN AIs one(1)year from the date Of recording unless a
differentTHS SPACE FOR RECORDER'S iJSE ONLY — 0WHM
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Doc#2010202253,OR SK 15351 Page 1113., to ebw =;�sem.-�—�—°f—
Number Pages:1 PATRICIA fa.TdYI.DR k
NH1 11I�
Recorded 08/30/2010 at 12:54 PM, �'K+� y, 1#OD 851238
JIM FULLER CLERK CIRCUIT COURT DUVAL :*? �ifi11SS10i
Expim COUNTY �� s°aeemhwMay 20,2m3
a,ga.�ss•r�s+a
RECORDING$10.00