Permit Roof Suite 2 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
,N
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001122 Date 9/13/10
Property Address . . . . . . 375 SUITE 2 ATLANTIC BLVD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7600
----------------------------------------------------------------------------
Application desc
reroof
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HALBERT CONTRACTING CO
524 HERMAN ST
JACKSONVILLE FL 32254
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 7600
Expiration Date . . 3/12/11
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 90 . 00 90 . 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
Job Address: bbAtlantic Beach FL 32233 -37,5-
Legal
7,5-Legal Description Parcel#
Floor Area of Sq.Ft. Sq.vt
Valuation of Work S .7 6 crO,-fO Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition teratto Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(j) circ�Ip
ne): ommereta Residential
If an existing structure,is a fire spn er to ns (Circle one): Yes No N fA
Florida Product Approval# V
For multiple products use Oroduct'approval form
Describe in detail the type of work to be performed:Modified Bituminous Torch Down System over%:"Duraboard
Pronertv Owner Information: /
Name: G wAF ?-&L-6514-1-6 Address: 3 7S A-7t-A+4c I?h d.
CityA-/tRIt7c end. Ste LZip. Zz33Phone 3 yT3fe7
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:Halbert Contracting Company,Inc
Qualifying Agent:Craig Parsons
Address: 524 Herman St. City Jacksonville State FL Zip 32254
Office Phone 904-381-8905 Job Site/Contact Number 904-R38-3359 Fax# 904-381-8911
State Certification/Registration# CCC1329335
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 ojall laws regulating construction in this jurisdiction. This permit becomes null
and void tjwork is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period ojsix/6)months at any time after
work is commenced I understand that separate permits must be secured for Elecoical Rork,Plumbing,Signs, Wdls,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc
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
COMMENCEMENT.
I hereb certify that I have read and d this plication and know the same to be true and correct. All provision&1ordi overning this
f work will be complied wit Cher spe i d herein or not. The granting of a permit does not presume toor cancel the
Provisions ojany other federal te,or local I gu ting construction the performance ojconstruction.
Signature of Owner / Signature of Contrract
Print Name � ...... ........ ......./ Y_ ..... ......... ..._..... Print Name �-v.a< �......... x..So..t✓
Swo 1�and subscrib f e Sworn to and subscribed before me
this !� Day of 20 this —Day of .20
otary Pub is Notary Public
Revised 01.26.10
A NoterY-Public State of Ion a
Monica Lynn Day
w
'; ►" My Commission DD674836
- 07/29/2011
SEP-13-2010 13:48 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
NOTICE OF QQ�MMENpC/F.ME7 t11 r
per"Il NO. ^ V t I .G
Tax Folio No.
TIiC lrpta�pr�rea rlolitc that iowmemem will be bade to mulin raw property,aro In moredmom with Seselvn
713.13of oo Florida Shat kL the following WAbnrAti-isprovided in this NOTICE OF t30MMLNC&MENT.
1 DcaclipCioo of prop"('Apps(demadpilrmr)-
a)Sweet Q*Addnsa: L a/ : h � P2. 33
FIN2.Ocnaai dmariptian of(ntpnoveieeiici u,s_ gta�lcl I AT
3. - - �_�is!•rtaL .�.`a�t 1_ �'� .�v.1�0��..�l�.filC .
b)Name sad"drM o'fan single tda(if otl�pm ownm) _C
c)(,Melt io propaty Gr. - a WC�
1.CmArmtar lnfarraation
a)Name and :
b)Tckphae No.: .-. . . . F No.(OptQ4.x._.�t��.=-�cU _t '
S.Sura(y intorumdon
y Name and sd*m: -
b)Amcalt of Bond:
c)Tokphor(c No: _. Fax No.(Opt)_ .....---• . _.
h.t.ender
a)Name and addra
f'llalle Nn. —�
7.ldentiry of per mwithin the StanOf Flory4 daiprrad by owns Won ahoft outim or cow docamc, Tray ba mrved:
a)Name and eddresre. .,...
-
b)Tok tWWNo.: Tax No.(OpQ
SAn addition to himself,owner dcripwts the fohowvg perm m receive a aapy offt Lieaor's Notion n provided in$mom
713.13(1)ftFlorids8ftbt L-
a)Namc and addrest-
b)TdepbumNo.:.___... Fax W(Opt.)
9.Expiration date of Noft of Cermnllerrrcetnerrt"s eglratian data iR sat�from the date efenomdist wtlm a 4NLTtm dm
b apaifre!)• .
WAltWllkTO OWNISR: ANY IPAYMEMMAD&FAV1171MOWN1111i AFTER TAB 671 MT1ON OF THE NOTICE 01r
COMMF,NCFKV$IT ARb CONSIDERED 11►NSOKPAt TAYMBN M UNWIt CRA/f'ER 713,TART L SEt",•TlON 713.13.
F1+ORIDA STATUTE&AND CAN RESULT M YOUR FAYM TWK;R IrOR IM"IOVEMENIS TO YOUR TROlERTY.
A NOTICEOF COM WENCBMBNT MUST W,VZCORDBD AND lAsf1EQ SBM f7'E upoua;TRE FOIST
INSPECTION. IF VOU IN TND TO CWAIN NINA}fC71 Q CO 414T LED11fEh OR AN ATTORnV BLVO>RK
C'OMMtMCM WORK OR RECO]MING YOUR NOTICE OF CO
xl•11'1�•O►vlgxn� ,r'
MOW"m+mu I.-i
Y 1 rMrarvlMirx�yr• I
11exC I!
The fnnp,;a$iTartranalt was aclmorvlodgod hefone me thiif day of `7 2Alp,by
_as �. (typr sf aatYmuy,a g otlker,traelr�
xtteraey Is het?tnr ("Me of prey M R of-t ors brddrareerM was «send}
rrorsona(ly Known •.:.0R p►od000d irkMiElation! Notary Sipalabac I... _
TypcofldoatiSai;m"umd _ Naare(priM) 'CC' Ad
OR
VO NMM10"puralrwlt ro Scrota 92.525.Ficrida Storax.Uhda peasMos of fm1myr 1 dodare thal I hove rad drc formlir,g and that
the%ft s+r+ed in it arc Stec b the heel of my lorowledtpr and belief.
rourrrxx;nraer
ip�WrcKN�e�►.h. (Mleft iiia)A
7*7 —TquugFv rum ZWW%p
MWIM Lynn Day
-r0My COMMMmm 00674836Ex 'ExgM 071912011
DOC X 201%)211y41.Or 8K 16WA "rag(+207 5.
Number Pager:1
Recorded 09/1&2010 at 01:50 PM•
JIM FULLER CLERKCiRCUIT COURT DUVAL
COUNTY
RECORDING$10.00