Permit Roof Unit 007 2233 Seminole Rd 2010 CITY OF ATLANTIC ROAD
f ACH
800 SEMINOLE
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Vj
Application Number
10-00001269 Date 10/19/10
Property Address . . . . . . 2233 SEMINOLE RD UNIT 007
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . 2650
-----------------------------
Application desc
reroof
----------------------------
OwnerContractor
--------------
------------------------ ----------
MULLIGAN CONTRACTING, INC.
SURRATT
2233 SEMINOLE #007 6542 PARVIN DRIVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210
(904) 838-9868
---------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 65 . 00 2650
Issue Date Valuation
Expiration Date . . 4/17/11
---------------------------------
2 . 00
Other Fees STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2 . 00
Fee summaryCharged Paid Credited Due
-
_ _ ---------- ----------
00
Permit Fee Total 65 . 00 65 . 00 . 00 .00 00 . 00
Plan Check Total • 00 . 00
Other Fee Total 4 . 00 4 . 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
Job Address: gi2 S'3 SL-/yJ/ J Peru Number:
Legal Description aoe-- Parcel#
Floor Area of Sq.kt q• t
Valuation of Work$ .2�5�- Proposed Work heated/cooled non-heated/cooled
-a—
Class of Work(circle one): New Addition Alteration Re air Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial es'
If an existing structure,is a fire sprinkler system installed?(Circle one): es N/A
Florida Product Approval# L 2,S 37, j
For multiple products use product apprOvat form
Describe in detail the type of work to be performed: /lBv� f�i/y
Property Owner Information: 1 fl
Dame: lC0.9L1?% Address: f l't ✓yrl//-L-- !✓2f
City - , V- &A StateZip Phone
E-Mail or Fax#(Optional)
Contractor Information:
company Name;A/"LZz .s / '4&; .r ew'k Qualifying Agent:
kddress: �a.52o "ILIA /vfrt s��r•G io Ci "+. State 1"40 Zip T'22 6
Dffice Phone R71-9,L6 Job Site/Contact Numbe ax#092'0-Q/o S
State Certification/Registration#
krchitect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
3onding Company Name and Address
Mortgage Lender Name and Address
application is hereby made to obtain a permit t�rmed
do the work and installations as indicated I certify that no work or installation has commenced prior to the
ssuance of a permit and that all workwzll be peoto meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6ontorif constrctioor work is suspended or abandoned for a pertod of six16)months at any time after
vork is commenced I understand that separapermits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters,
ranks and Air Conditioners,eta
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.
hereb 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
ype ofYwork will be complied with whether specif ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
rovisions of any other federal,state, or local lmv regulating cons truc ' nor the performance ofconstruction.
,igaature of Owner W J. Signature of Con ct
Tint Name �iYl SfE�as ASfoz- /*G4 Print Name
,worn to and s cape b for me Sworn ubs bed be re me
his Day (J 20/0 this ay o ZM49 Apee 201-0
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Zotary Public r Comm#DDOwmo Notary u 1 c ELOZ/OZ/bRRsP��,l P3� s
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NOTICE OF COMMMNCEMENT
ate of — Tax Folio No.
)unty of � � F► _—
Whom It May Concern.:
ie undersigned hereby informs you that improvemer_ts will be made to certain real property, and in accordance with Section 713 of
Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
;gal Description of property being improved: O-"!
1dress of property being improved: L3 ' v A)C''I�
eneral description of improvements: 1 �
;vner;._ / QR ddrdsS:
wn.er's interest in site of the improvement: —
:e Simple Titleholder(if other than owner):
Name:
mtractor•
1
Address: 6-TRO
3 --
Telephone No.: 90'1- V Z Z- d �� Fax Na:
1rety(if any) —
Address: mount of Bond S
Telephone No: Fax No:
ame and address of any person making a loan for the construction of the improvements
Name: —
Address: _ —
Phone No: Fax No:
ame of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
;rued: Name: S?delly ec Mho Ssvc /ham -
Address: /.50 l ed ��?✓�,�v ,�c0 �/�1< Ff El1G1�, �/. 3 Zy fiL
Telephone No: a?Y/- SZZ/
i addition to himself owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
13.06(2)(b),Florida Statins. (Fill in at owner's option)
Name: � ---
Address: —
Telephone No: —__ -___. Fax No:�.
xpiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
)ecified):
HIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: nate:
Before rre this day of iu"rr.pliglY.4nRljy i.;tate
Of Florida,has r nalIy appeared / I H.RENO.it
)C 7F 201 Q2441=,OR 8K'I 541)2 rage 550. Notary Public at Large.State of Fl rida,Court 1. Comm#DD0881779
ember Pages: 1 My commission axpires: a 4QM19- � --
.corded 10:192010 at 01:53 PM. Parsotlelly Known: or
s
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A FULLER CLERK CIRCUIT COURT DUVAL Produced Identiftcation:_ ........,r--
)UNTY
_CORDING$10.00