The URL can be used to link to this page

Permit Roof 1849 Seminole Rd 2010 J� x f CITY OF ATLANTIC BEACH �y 800 SEMINOLE ROAD '= ATLANTIC BEACH, FL 32233 ' INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001259 Date 10/15/10 Property Address . . . . . . 1849 SEMINOLE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8900 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MORIN, EDWARD THE FIDUS GROUP LLC 1849 SEMINOLE ROAD 301 KINGSLEY LAKE DR ATLANTIC BEACH FL 32233 UNIT 501 ST AUGUSTINE FL 32092 (904) 874-1010 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 8900 Expiration Date . . 4/13/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 99 . 00 99 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Y f" V �u 09- CITY OF ATLANTIC BEACH l ROOFING PERMIT APPLICATION Date: U by/ l o Job Address: LFLL? Wrl. Owner of Property: Ed zea rd Mort Address: Telephone: d d Roof Contractor: JC7 t)5 c//0/2Z./Q CL C State License Number: CCC 1 -32`70Y-3 mt Contractor's Address: .301 i DQ: )eu Lol& -b(- 50 Telephone: X312 Fax: 1 30 f61/7 Email: IG�(1'V 5 4r-e-,7C/USJ�U"6J" Scope of Work: �� (©(d Roofing Material 1l�L- FL Product Approval# & /a� � Valuation of Work: $ OGgoo, �U Required Inspections: Sheathing/In Progress-Dry In /Final If re-roof: Assessed Value of Structure: <$300,000 -$300,000;Roof-to-wall improvements required?�0 (Applies to single family structures o '` "WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE!OB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOUR NOTICE OF COMMENCEMENT" SIGNATURE OF OWNER: k-,!- • Date: 1e5) /!J AS TO OWNER: Sworn to and subscribed before me this y day of 0 C� 20 /U . State of Florida,County of Duval ky LORI L.TORZSA Notary's Signature: 7f � ENotary Public-State of Florida ❑ ILMrsonally known My Comm.Expires Mar 22,2013 ❑ Produced identification Commission#DO 872896 Type of identification produced Bonded Through National Notary , sn. S A R O C NTRACTOR: Date: z0h y 1 / AS TO CONTRACTOR: U Sworn to and subscribed before me this /t-/ day of QCJ 20 /0 State of Florida,County of Duval Notary's Signature: [personally known ❑ Produced identification ••ti p5k pve.� LORI L.TORZSA Type of identification produced Notary Public-State of Florida • My Comm.Expires htac 22, 96b minole Road Atlantic Beach,Florida 32233-5445 Commission#DD 872896 T ephone: (904)247-5800•Fax:004 247-5845 �1w1,\� F:\roof permit applicaton.docx 7/28/09 8nn6ed tlriough Nacional Notaty assn, NOTICE OF COMMENCEMENT State of C,)n_ Tax Folio No. 1 (p Q &--9 Q , CUDO County of ,s/a To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: G Ej� C) C) C(O V Address of property being improved: I-)L/e Iql-)nez 7") }7 r h 3c�Tr� 3 3 General description of improvements:_ � - (C/; Owner: El(U,Q ,- 0 )Or Address: _ I �/ �7 f rn 1-')0/P rr'C)c?LY _ Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: �� Contractor: — Y'i f 1;Ca''U_ S G1-3 C- Address: J6 1LSP iF ��! ylCc /'L 0 9a Telephone No.: _-_,2 c Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at owner's option) Name: Address: Fax No: Telephone No: year from the date of recording unless a different date is Expiration date of Notice of Commencement(the expiration date is one(1}y specified): �ONLY OWNER ,� Date: � i'(/G r ( rV /a THIS SPACE FOR RECORDER'S USE �'w� r the County of Duval,State Signed: � day of Before me this �-- Of Florida,has personally appeared ofd 's�� S tj Notary Public at Large,State of Florida, ounZ « My commission expires f Personally Known: produced Identification: .��t<�"�e'• NO�atY Pub�\c-\tes mat 22.203 �;* t. '•. m,Ex4 696 rvm �pt�lb 'ptp� a