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Permit 35 Forrestal Cir N *mF 04PAn mir OF ewL0#NQ lTYOFATLANncbEACH 0 114"RHATI N - OCAlTTOJq L PERMIT NiORMATION aL C RC14 Addrets"', FORREST #,ormi t""'Numb* 1, 15632 35 PLOR10A. 3121233�,:� LANTIC Asacs AT --------- LZOWD96CAIPTION: of Work.Reoail ��01 Blockll Lot-.14 v o sub C'd`list r ' 'ijpe-�POOD FRAME Rn- ed Propos seiSTNOLZ FAMILY Subdj,'v' si®rn,.ATLAKT'C BEACH VILW Dwelling$*- 0, ,j E$t 'VIA 10. 0. 2 000.'00 " Amprbiv.- Cott: 30,00, Tota 30.,00 e S 64R g DOOR;f 14OVE WINDOW,ADD DOOR TO REAR OF Work IQ APPLICATION F J0.00 TON 11, 1 IRCLE NORTH op pLORIDA 322,1 . 50 10 9 A TlOil R R NJ -Name� 'p .................... M_N", sXp t T xg W -�w ml�- PAP NOTES' 5 TLEASt 24 HOURS PRIOft TO-IINSPECTION NOTICE INSPECTIONS.- MUST,0E REOUSSTED A; RUBBISH AND DEBR I IS 6RK MUST NOT'81: PLACED'I N PU sLic SPACE,AND.MUST OE SUILDII G MATERI�L I FROMJHIS W C I L.EARED UP,AND H 6 Au LED AWAY BY EITHER CONTRACTOR OAnOWNEP E 'LAWC -"f 'THtrr AN '$U4'T-rj, )LY WitH ECHANICS' LIEN ,OWNER: AYJ MP NT 'E L0040 I ROVEM Tfi OCNIION��'PM",_I :D:rPILANS WkJCH,.AkE'0ART 0 PERMIT AND SUBJECT To Rtv ORDINGTOAPPROVE OF APPL UED AQC ON ICApL,E�PA ION A VIOLATI $�OF,L �W-6 NG 6EPARtMF T ATLAN 0 g T1 'A' ACH BUILDI CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS Owner(s) : 0 1 -5 C . 71-�� IQ A) 16-19/1/ Address: Fo r(.9 e S 7-,4�- 0 IP, Al 2jel�4 — �- O S�-Y-� �--2770-57 3 Lot # ILI Block or Unit # Subdivision: o*T-1— 13cA- VILJ- ff Contractor: State License # Address: Phone No: city State— Zip Code Describe work to be done: A �'-'� —4-11� Present use of building: Valuation of Proposed Construction: Proposed use: V2 Is this an addition? /-) 0 If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SVBMIT THREE (COM4ERCIAL) TWO (RESIDENTIAL) =WLETE SETS OF PLAms, INCLUDING SITE PLAN, SETRVEY, ENERGY CODE FOEMS, NOTICE OF COMENCEMENT, AND OWNERIcoNTRACTOR AE71DAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: c::K Date: 1-2-131 7 V Signature CONTRACTOR: Date: Sworn to and subscribed before me this 3 day of Y7 RECE/VEDNOTARY' PUBLIC STATE OF FLORIDA AT LARGE PaWda Amonft n,FC 3 1997 W WW&SSMf==I EMFWS AuWvA 27,M CitY of Atlantic Beach Building and Zoning MWO TM TM FM W.MMM.M, __A6 lie CITY OF ge=41 — 4 --- (' 13 1. FLO �VFLANTTI )11 1 WN I,' F.\N 90 1, t 60.5 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REc)UIRES OWNER/sUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW RE(:)UIRE:S CONSTRUCTION TO BE DONE EBY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY. TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE: - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING,YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE: OR LEASE, WHICH IS IN VIOLA-MON OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER 70 IMPROVE THEIR OWN PROPERTY WHEN 17 IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REOUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPEC71ONS. HE ORDINANCE s-rA7ES OWNERS MAY PHYSICALLY Co WORK 7HEMSE:LVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF 7HE OWNER, WHO MUST BE ON THE JOB AT ALL T7MES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES N07 ALLOW USE OF' UNLICENSED CONTRAC7ORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOIAEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE: No. 455-225(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE: OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE: OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CF-FrriFicATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE: DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REOUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTY OWNERWUILDER ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS 3 F/ NOTARY flUE3LIC; NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING patdcla AmonflM DEPARTMENT. C&&MI EXPIRES my COMMISSION#C August 27,2000 BOWED TKRU TROY FAIN INSURAKE,INC RWB Construction, Inc. 1660 Blanding Boulevard Jacksonville,FL 322 10 1'elephone(904)394-0033 Fax(904)384-0058 PURCHASE ORDER NUMBER PURCHASEORDER PURCHASE ORDER DATE: JOB: VENDOR BILL TO SHIP TO NAME NAME RWB Construction, Inc. NAME ADDRESS ADDRESS 1660 Blending Blvd. ADDRESS ADDRESS ADDRESS ADDRESS CITY,ST.ZIP CITY,ST,ZIP Jacksonville, FIL 32210 CITY.ST.,zip CONTACT CONTACT Richard Helster CONTACT PHONE PHONE (904)384-0033 PHONE ORDERED BY REQUIRED DELIVERY DATE SHIP VIA DIRECTIONS TERMS REFERENCE UNIT EXTENDED QUANTITY DESCRIPTION PRICE PRICE 7 7 194, 07 X rek 104 41-K (ru Bes) q6 0 Aff�J N� 6: j1,4A;,ZE-b A1441-S K X --2 K C- AR-)4Z-E -510EM6 .F9AWe-- AAJb Azoe 5,00 . 00 AA)b 1�5-0- 00 FAM / 570- 00 A A[b j �5 j AF XF7 AM,1�444 64�,r7 JOP) 5 SUBTOTAL SIGNED SALESTAX For RW8 Coristructio.41-- SHIPPING&HANDLING 6WfJt—:R 5HOPP11)& Fooe A)0T IAAUU,)e�) TOTAL 1-3m F- MAP "'11-10WING SURVEY OF Aj'1J)M'rT(' 11F.W11 III I-1,A 1,11Q)T TY I W; PAGE, (,F 1111V,11, RECEIVED OEC 3 1997 antic Beach City Of Atl Building and Dning 'ji fir Q) 1-z 4z MAP SHOWING SURVEY OF LOT 149-BLOCK 19 ATLA"IC BEACH VILLA UNIT NO. 19 AS RECORDED IN PLAT BDOK 30t PAGE 56 OF THE CUMMT PUBLIC RBCORDS OF DUVAL COUNrfs FLORIDA. N LIZ-- g !v I N 7-1 0 Ile lk '44 it kk 14( 24.7 Iry It POJ 1�7 1A&,ov 1106 1 .4 ds- d2 -so se." w. /0 o DEpARTM9NT OF BUILDING FOR OFFICE USE ONLY Date 19 Clvy�.Or ATLARtIC BrAcH, FLORIDA ----------- Permit # Fee Ap cation for Permit Valuation tiot Misc.. Alterations House and Repairs DESCRIBE: 774 'building, erect awnings Astate if to, repair, alter, add to or move or- signs, etci.') Sub.Div. Buildi Blk No. ng on ilot__No.;Oe��/ 7 j Address ;,-Poe 7� Valuation Owner's Name S Z10i 0 I:s BUILDINGS & OCCUPANCY Building Use Residential or Business don-71 What Plumbing work to be Size of Present Bldg. Size of Extension. Lot size Material of Roof No. of stories now after altered 'Material of Present Building Material of Extension PkMS,,.MUST BE §UBMITTED RKrEW�tTll SIGNS Size Classification (state whether ground, roof, wall, projecting banner) Material of Construction Illuminated? Type of illumination (State whether larnpa or neon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF F.W�.­JNG WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reserve side) SiORTAyt�'JJOTICE: �*deration of permit given for doing the work as described statement, we hereby agree to perform said work in th attached plans and specifications, which are a in accordance with the building regu lations of the Z.; Beach d 1, Bui3,din%/Aode) ...... th a rg ,0,9,u ern Stan r ---- --- or Owne", 0 Aone -Z2#42 MAP SHOWING SURVEY OF IA)T 14t 'BLOCK It ATLANTIC BEACH VILLA UNIT NO. 1v AS RECORDZD IN PLAT BOOK 30t PAGE 56 OF THE CMMT PUBLIC REWRDS OF DUVAL 00UNTY, FLORIDA. 4 0-1 N (y) 4i ��7;L 0 js t4- Z47, f4b tj 24 7' A tome. 44 Y4 p 10VIV av AV. lit 777 06PA10V 4T Of BUILDING CITY'Of,'ATLANTIC 8 ACH OeRxxt ItiroitnATION ------- LOCATION I FORMATION -P Wait numbers 5575 Addreast 35 PORRE, TAL CIRCLE: T 1�-Perl *it Type i' Rk-RbOP`� A LA1RTIC H's' ' PLORIPA 32213 'Olean of Work t )NEW ---------- LEGAL b1WCRIPTr0R rConstr., Typw *wWV FRAVICK Lot i Slook; Sectiont Use$ ST.WaLs, PA14ILY Townxh*0;z RNG.- 0 ' 0 i4ellings t I Codv,% , Subaivin*oft S" $0.00' A22.50 *2Z50 SZ29/92 #22F WITH WODIPIED SITUXMEN T PPLICATXON FEES "A Xojj A 'PERMIT $22.50 WAT T*L CIRCL IMPACT" FEE $0.100 *00, FLOR9 04 tx- P RADQ0:, G OAS' $0.00 100ROAT RA WATER TA# .00 Uv coil 100 TAP" 00 7 IL4 HYDRAULIC SHARE, $0.00- IL,4 FL 3�1i6 )Li Type*: �o kz:-titSik& �Prt 00 SEC., H IMPACT FEE loo 77-7� : NOtiCIE.-Att.CON,�REte,fOftM$At4o�FOOTI140s,musT,$Elloi.8,Pe, 84FORti POURINe CTFE PERM T VOID,SfX�MONTHS OTER DATE-OP IS$,U �$,IUILDJNG MATF.RtA Nb,DiSAS FRO14 T IS WORK MUS NOT�B PLA ED IN PUBLIC SPACExAND MU*r sE ,, T -CLEA ED U 0 A�kb H t A VTH Ek CONTRACTOR OR OWNER. D- A L 0 NICS," 9 WL CAN A --'S T- 1, 'VE W, 44 CHA UE, FAMUR b-CO N, �"SPROPOTI�0���PAYIWMICE BUILDIN I g,",:M ;0414 4 AT G,'TO APOROVi6,PLAN,$'WHItH ARE PART OF THIS PEFkMIt'ANr) '6601 �F! AUE, ACCORDIN OLATI F PPL CABLIE ROV LAW. 0140 A, I P i$1ON6 OF, VWT IPT LANTtC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING �jowner(s): Address: TA F,Phone: Lot # Block or Unit # Subdivision Contractor: Ct,)F -Phone: 0 Address:;rZ9q 1,3_ State License No. ccco�(-(40 Describe work to be done: Materials to be used: TrUP17 Signature OWNER: * te: Signature dONTRACTOR n V ATLANTIC REACH,FL 32233 INSPECTION PHONE LINE 247-5826 D Application Number . . . . . 05-00031184 Date 9/09/05 Property Address . . . . . . 35 FORRESTAL CIR Tenant nbr, name . . . . . . 1CU 1AH Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ JERNIGAN, L.C. OCEAN STATE HEAT & AIR 35 FORRESTAL CIRCLE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . - Permit Fee . . . . 63 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63 . 00 63 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 63 . 00 63 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES- Hu FI L Z3m CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: A .. ,� /I- Property Address: - 6,41 Owner: A-�11 Telephone 9: Contractor- ocean�rn-4T a---T-e- RC I F' Q I C Telephone 9:Ewl-SE51 Contractor Address: 14-1(P G:TLn11Uj'C,(-)fy' A n8 Fax#:Fd1q-9Qqq In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein- Type of H atin Fuel: If other construction is being done on this building 77ectric or site,list the building permit number: • Gas: —LP —Natural /Central Utility • Oil • Other-Specify_ MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space _Recessed -,�Central —Floor R""Residential Air Conditioning: _Room _yCentral Q, Duct System: Material I Thickness U Commercial Q Refrigeration Maximum capacity_cfm :1 New Building 2 Cooling Tower: Capacity gpm 3--�Existing Building C2 Fire Sprinklers:Number of Heads Q Elevator: —- Manlift Escalator_(Number) 5-*`lReplacement of Existing System u Gasoline Pumps —(Number) :1 Tanks (Number) Q New Installation Q LPG Containers (Number) (No system previously inmalled) zi Unfired Pressure Vessel ED Extension or Add-on to Existing System U Boilers �2 Gas Piping 0 Other-Specif�_ cl Other-Specify_ LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model 9 Manufacturer Ton's Agency /I / 1;? GAC PHI ;i M-n U do W HEATING-FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model Manufacturer BTU's Agency :;App,ovmg Ag L �5FU _y T mt:�NACES,BOIL rNu�b Ge, Decj� /WX1 TANKS Norninal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency goo Seminole Road - Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 . Fax: (904)247-5845 - http://www.ci.atlantic-beach.ft.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 08-00001207 Date 9/04/08 Property Address . . . . . . 35 FORRESTAL CIR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6000 ---------------------------------------------------------------------------- Application desc roof f125333 . 1 and 3 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JERNIGAN, L. C. NELIGAN CONSTRUCTION 35 FORRESTAL CIRCLE PO BOX 49249 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-3777 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6000 Expiration Date . . 3/03/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLAUM EF" 08- OWSMWXXE ROAD ATLANTIC SEW-K FL -MIM;MT OFFICE- -SM*FM NO.AVOW-a8ft 191.11LOING.-DEPTOCOARLIS BUILDING PERLST APPLICAMN DUVAL COUNTY 'LJOBADORM '77 —77 tj 00 RESIDENTIAL 13 NEwis Li [3oBxxffm LOT_EXOCK_SWDIV0ON OADorrm 13 comwERym usE 13 COMMERCIAL E IMEE 33 ALTmTm 13 AccEssm eLlor. 03 REPAIR 0 POOL/SFA 0 yes 0 WA 0 E W 3 MOVE 0 OTHER ONO _777� 77� 9.NAMF_ 15L COMPAW NAME:- 23,COMIPAWNAME. IVIFL,)bA-Al CO3j:5'TJ?14T*W I&NAME: 214,LICENSEE NAME. 3 jtAoJ Ai A-)6*,AJ 10,ADWESS:3 IT STATE OF FLORIDA LICS)SE NO.: 25 STATE OF FLORIDA LICENSE NO: ca 13 9 f9j ICA 0r9.$; P'Tt- FL_ I&AOORESS:?0 ,ffqv4 ttqL19 26,ADDRESS: -T.g. a 4 0 11.OFFICE PHONE. NO.: 19.OFFICE PHONE FAX NO-, 27.OFFICE PHOW FAX NO.: -t 41 -.%71-7 N 4 7 -11 13.CELL PHONE. 21-CELL PHOW 20L CELL PHONE: r4% --9 7 c,6 14.EMAIL ADDRESS. 27 EMAIL ADDRESS: EMAIL ADDRESS: T10'130V, 6 D,.-t4 f 4 1 v W n&wq 31.NAME: 33.NAME. NAME. 32.ADDRESS: 34,ADDRESS: 4.6,jX).*35_ADDRESS: — 131,1 Application is hereby nude to obtm a permdto doglewortt and irabladons as ' Icer* t0nowultorinsh0efionhas comrnenoad prw to the Issuance of a pem*aid to an vmxk vA be parkinned ID nod ft slaindsift of al hm requielft conshuction in this Jurisdiction. Tflis pern*beconles null ancl void If work is not convnenced witidn sk(M oncino or If consaMn or work Is suspended or =bandoned for a penod of six(6)nxmft at arW*ne ailler wak is convnei I understand to i pg 1 We pennits must be secionad fiDr Work,PWMMM Sign%Welki Pook�.Stwnscm.BaDws.Heallem TwAtel, Air Canddwow%o6r- OME"AFRDAWT-I w*OW al ft ft"oing;lift,neft is acmireft and to all work vA be done in cm0lierm with al appft" laws regula"Construction and zonft.I vA not occupy or use Ve refeirenoed buldingil or wN pwt tenlf,urd al irspections am linaled and prW to obtainirM a cerfikaille of occupancy or conViellim issued by ft bukft of&*C as nxpAred by Ww. At** WARNING TO OWNER: YOUR FAILURE TO RECORD A 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEIff, 7, "iR 41, h� Skp"d: YaL.. Sqwwwk Beftftrnegl� 0"dayd' JGO(f_ .2W in Ow owanly of dW,* 2W in the county of Stake of Fl%ft has p a a r all) has 41-S ��hfli trr-t,��a Duv*9774 Wn by hknwg I herself ind affarns 9 "arx! anit harintsyll anif III am true and accurale. 05:� om aw accullift. Notary Public at LaW,Stalft Of county d Nol!!)�at Lmq^ d County d:il 0:� 13 Pegonally Known qA*—dk*n@k*1on-/ Proamed NO"Sig y 16H �Y L/)GRAHAM SHVLE N, Notary 1:b�li'c�itraFIkorida Ic AStalle of Florida ubl wy Commission Expire 14,2010 Commission Expim Feb 14,2010 'Dire Commission$DD 518533 CODAS jjjk%4EC,,,,CW0M'MT ission#DD 518533 4�,c, Naftmf Notary Ann. Bonded By National Notary Assn.. NOTICE OF COMMENCEMIFNT Permit No. Doc#2-OW226366,OR BK 14626 Page 2148, Tax Folio No. Number Pages:1 Recorded 09/04/2008 at 02:53 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL State of Florida COUNTY County of Duval RECORDING$10-00 TBF-UNDERSIGNED hereby give.notice that the impiiovement will be made to certain,real property in accordance with Chapter 713,Florida Statutes�the following information is provided in this Notice of Commencement. 1. Description of propert y QegW description Of property ar address if VailabI2� I - _ )d a'c�4 1 (— ( 2. General Description of improvements: -1. Owner Information: a)Name and Address: q "X/-1. ac 1, b)Interest in property: c)Name and address of simple titleholder(Wother than owner): 4. Contractor(Name and Address): HEUGAN CONSTRUCTION 5. Surety Information: a)Name and Address: Jadmonville Bch, FL 32240 b)Phone Number c)Fax Number. �d)Arq�-ofBond----, 6. Lender Informatiow. a)Name and Address: b)Phone Number-. 7. Person within the State of Florida designaWd by owner upon whom notices or other docurnents may be served as provided by 713.12(1)(a),Florida,SftWte& a)Name and Address: b)Phone Number: c)Fax Number: Of 8. In addition to himseWherw1f,owner designates to receive a copy of the Lienor's Notice,as provided in Section 713-12(1)(b),Florida,StaMm. 9. Expiration date of Not=of Commencement(The exph-ation date is one(1)year fi-om the date of Recording unless a difierent date is specified: Signature of Owner: ,-AA&g I- Sworn and subscribed before me this day of 20 0 Known PersonallyU46ihown: Signature of Notary: iAg— SHIRLEY L GRAHAM My commission expi thdft-State 4-my Commission Expkm Feb 14.2] 010 'W 51MM Commission#DD 518W 8 By Nabonal Notaty Assn.