Permit Roof 1040 Tulip St 2010 VP
r . a , �S CITY OF ATLANTIC BEACH
5. s) 800 SEMINOLE ROAD
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..„)
" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 10- 00001328 Date 11/02/10
Property Address 1040 TULIP ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 6500
Application desc
REROOF
Owner Contractor
SCHIEBLER, RONALD G. NOLAN ROOFING
1040 TULIP STREET 3740 BEACH BLVD STE 102
ATLANTIC BEACH FL 32233 P 0 BOX 5788
JACKSONVILLE FL 32247
(904) 721 -2203
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 85.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 6500
Expiration Date . 5/01/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 89.00 89.00 .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: I0 '1O t l � � Sire
Permit Number:
Legal Description J�,3 -3 �� -,2 • ��(� Ah acn sIf p arcel #
Valuation of Work $ (SOO 47
Class of Work (circle one): New Addition Alteration
Use of existing /proposed structure(s) (circle one): Commercia Res dentiialmolition pool/spa window /door
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No
Florida Product Approval # F FL 1124r
For multiple products use product approva orm
Describe in detail the type of work to be performed: ,2jj o q r 6 ,�.F n ev
rre s
Property Owner Information:
Name: Say i,o SC h il° e._ Address: 10 Tu t 1.p 54fe --
City _ n — e� State ELZip y phone
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: ND IgN t FT
�' 1 O �� � �y � Quali ing Agent: P C �o`Ct "4 Address: City C j aril t 11 t State rig , Zip S2 a 1 /
Office Phone 90tj 7 2 / z 2 3 Job Site/ Contact Number Fax # cog 7,27 1 9 y .
State Certification/Registration # a a. 7 0 2 1
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 if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six 6) months at any time after
work is commenced. I understand that separate permits must be secured for ElectricalWork, Plumbing, Signs, Wells, 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.
1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified 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.
Signature of Owner ,,� � • Signature of Contractor
Print Name Jo$ i L Y I Print Name
Sworn to and subscr,rped before me Sworn to and subscrib d before me
this f3} Day of NiVeiiii6M .. , 20 IV this Day of . g
Y M OJP.wI +Z , 20 1 0
j\AA".. �J
Notary Publi ; „
M °•. SUSAN R. ARENBURGH Notary Public
*: rn -t % Commission # DD 960775 ARENB
Expires May 21, 2014 .� se 01.26.10
„ Bonded Thm imy Fain Insurance 800,985-7019 Commission SUSAN R. # DD
t«.•• _ Expires May 21, 2014
R , ••
''A Boded Taro tray Fan Insurance 800- 385 -7019
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
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 des iption of property being improved: 3 44 - 3 - .2
J�' An he jC I'1 c - ti •
Address of property being Improved: ` 6 T r 5 � •1..-
R+10/11 T ea Ch CI d 3
General description of improvements: R' ) rh'-t '- C F c i 4
Owner h ► P :hti e r2
Address l a L/ r, Tzt l *"} 1. 3 c h •ri t , 3.223 3
Owner's interest in site of the improvement
Fee Simple Titleholder (If other than owner)
Name
Address
�� i - Contractor \-\
Address kr) � r G 7 c— . C:� r� t to Tca `r- - kce. t
. Phone No. C tC) y - r 7 A t • a 1- Fax No. - r Ta.4 - (.dJ 9 N
Surety (if any)
Address Amount of bond $
Phone 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
Phone No. Fax No.
In addition to himself, owner designates the following person to receive a copy of the Iaenor's Notice as provided In
Section 713.08 (2) (b), Florida Statutes. (Fill In at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement (the expiration date iss one (1) year from the date of recording unless a
different date Is spec fted):
THiS SPACE FOR RECORDER'S USE ONLY OWNER
•
Signed: .I 1V _ . • _' DATE II-I-1 b
Before . thla 1 day of $ , in the
Doc # 2 010255580, OR BK 15416 Page 56. CoungrofDuval, Jabs ofFbdde,hpspersonalyappeared
\lumber Pages: i hlmsms elfl herself r end affirms th at at ell state n t+ �g819 ARENBURGH
h
Recorded 11 022010 at 11 21 AM are true and accurate •t ' Commission # DD 960775
JIM FULLER CLERK CIRCUIT COURT DUvAL Expire: t "ay 21, 2014
D O U NTY � 1 t ,tJf ,° Horded MN T.cy Fan lnsurenoe 800.385 -7019
RECORDING $10.00 Vwf {emu y
Notary Public at Large, State of C �_e . Cou.Qty r aQ I
My commission expires:
Personally Known i or
Produced Identification
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