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Permit Roof 830 Cavalla 2010 CITY OF ATLANTIC BEACH -� 800 SEMINOLE ROAD =' ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001246 Date 10/13/10 Property Address . . . . . . 830 CAVALLA RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2520 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- WHITE THOMAS M A-Z ROOFING INC (ROOFING) 784 CRESTWOD DRIVE 1032 W EDGEWOOD AVE ST AUGUSTINE FL 32086 JACKSONVILLE FL 32208 (904) 766-5758 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2520 Expiration Date . . 4/11/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 69 . 00 69 . 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 �& 04`W C-&fJq - /jT1C �� P&WREermit Number: Job Address: Legal Description -f ��W Q. P � r? Parcel#i�i7i110 � q, t Valuation of Work$ o� ^Proposed Work heated/cooled non-heated/cooled- Class of Work(circle one): New Addition Alteration Repai Move Demolition pool/spa window/door Use of existing/proposed structure(s)((circle one): Commercial sidentia If an existing structure,is a fie sprinkler y installed? (Circle one): —Yes No N/A Florida Product Approval# Y For multiple products use product api5roval form Describe in detail the type of work to be performed: 7 �� Proaerty Owner Information: r Name- 7l�i/ �� Address: �/ �L1 City State ipPhone E-Mail or F (Optional) �"�i'�/ Contractor Information: n Company Na e: AMklC, 1 Qualifying Agent: Address: City State Zip Office Phone — 7 Job Site/Contact Number`, Fax# 7&&- State Certification/Registration# ' % ?7 . 7 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 tf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_�pperiod of sbc r6)months at any time after work is commenced I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Neatens, 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 hereby certify that I have read and examined this plication 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 speci ied 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 law regulating construction or the performance of construction. 1 JSignature of Owner Signature of Contractor Print Name U.kl..d.S........../4(-......1.4... . . q.................. Print Name � &n.................................. � ..:.w. ............................. Sworn to and subscribed Pefq re me Sworn to and subscribed before me this I Day of D RYN 201 0 this -,UL� Day of 0o ,20, r) a2J i N Pu lie Notary ,p{W CARiERUI Revised 01.26.10 " 08 � Notary Public=tate of Florida ' �y My MOD 8081 10,2012 Loretta W Moors '": P►AES:Au st � � My cgmmis iian DD888212 NOTICE OF COMMENCEMENT Permit No, i4"CVL.S� Z* 1`I ILIM, , Tax Folio No. THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE O/� _ F,�COMMENCEMENT. I Descrirption of property(Iggaf aescrt rton): a)Strut(job)Address: �xW4( At /C' e ,z3 2.Generai description of improvements: F D 3.Oaver Information �,�r �t�1 T� a)Name and address: I�02/129 7' //! h / b)Name and address of fee simple titleholder(ifother than owner) f c)Interest in property 4.Contractor Information //// `, [ �g/L��/ ,,/ /J�� n a)Name and address: /y-Z 1IM6AI9 �l(��, 14 &l Gr N^ b)Telephone No.: _ 6ap�( Fax No (O ) , 5.Surety Information a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7.Identity 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.) S.In addition to himself;owner designates the following person to receive a copy of the Liencles Notice as provided in Section 713.13(I)(b),Florida Statutes: a)Name and address: b)Telephone No.: Fax No.(Opt.) 9.Expiration date of Notice of Commencement(the expiration date Is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANV PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I, EgION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT S TO OUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEF04 THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATT RNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 4TAT60PP ORIDA PINELL 10. CDUIYTY OP PMELLAS S�ro_.h,re�orOwner or Owners uthariud � t/DuecCor/PmtnerMnnager d/C�_1As CrJ e Prtnt Name ne foregoing instrument was acknowledged before me this 42:�Lday of , 20,—by �t /� A/E},�''t +xJ� + as w Q4A/ (type of authority,e:g.officer,trustee, attorney in fact)for lj d G 4ny/,r&Z ,�4�C/ar &k mame of party on behalf of whom instrument was executed). Personally Known v'-'OR Produced Identification— Notary Signa ac� U' C Type of Identification Produced/GYd�un 4� hC Name(print)e C�f,6 f�/ pa,f,� OR Verification pursuant to Section 92525,Florida Statutes.Under penalties of perjury,I declare that 1 have read the for going and that the facts stated in it are true to the best Df my knowledge and belie£ raan,rvoc,rr,�nro •�f:! SIFftaeofNaturalPawnSigmng(inline#10.)Abovc #,9�� NeA1N�c stab 0/Flpn4a Lento W 1VIeO M yCenlm4flia"pp0s6212 ExNres 04126!201 S 1 I i Uooa2Gt 02391 16.Vii 3K lb&%r'age-11-16a, Number Pages: Recorded t Olt 3 2C10 at 11 X05 AM, JIM FUJVR CLERK C.RCUIT COURT DUVAL COUNTY RECORDING 510:00 l'd dZ£ZLOltbloo