Loading...
Permit Roof 1565 Park Terrrace East 2010 'q L r CITY OF ATLANTIC BEACH ' :P* P ) 800 SEMINOLE ROAD 75 :e ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 10- 00001370 Date 11 /10 /10 Property Address 1565 E PARK TER Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 10000 Application desc REROOF Owner Contractor SALAUN JUNE PRINCIPAL CONSTRUCTION 1565 PARK TERRACE EAST 3119 SPRING GLEN RD 115 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 Permit ROOF PERMIT Additional desc . Permit Fee 100.00 Plan Check Fee . . .00 Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 5/09/11 Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 100.00 100.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 104.00 104.00 .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: / Permit Number: Legal Description Z7. /' /t -25 ; 2 g5 j '/ Hd ' j n v,,, f LParcel # /;7j -67o.012p Floor Area of Sq.Ft. Sq. "Ft Valuation of Work $ - Q 47€2,9 Proposed Work heated/cooled non - heated/cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door Use of existing/proposed structure(s) (circle one): Commercial Residenti. - If an existing structure, is a fire sprinkler system installed? (Circle one): ' es No N /A Florida Product Approval # .A0/2/2/ ./6 For multiple products use product approval form Describe in detail the type of work to be performed: 2e --,,ems � 3 ©7,� 9p - , / J s ,r Property Owner Information: Name: 3vr, p ,f .mod /d c ' n Address: / C ," r2' �+e,► ('d �� , City , XZ422 i4!8ccp_ State�7Zip _ 12. .3 Phone E -Mail or Fax # (Optional) Contractor Information: Company Name: }%'ir�i 4 J Qualifying Agent: ..t7 y es j � .? - Address: J� //9 17 'J 4 6../e di .+ .aO /1� City �"d e.(".saaw.-P. State / Zip j is Office Phone 7 _ / ;',r ?,,S Job Site/ Contact Number %3J - .Z 9 Fax # ,3 , •Y7 State Certification/Registration # Architect Name & Phone # Engineer's Name & Phone # — Fee Simple Title Holder Name and Address .;T�+s7,0- may, - ,0 t.ti 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 a period of six (6) months at any time ajier work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo 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. I hereby certify that I have read and examined this placation 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 ofany other federal, state, or local law regulating construction or the performance of construction. Signature of OwnerJl t-,f 1 Signature of Contract _ I ; Print Name -e S at cap Print Name t L .44,4 ft,E 47/ ► Sworn to and subscribed before me Swo , V subs d fore me this /e) Da of o -. 20/ a this • o and . • I Nor PITNIC$TA`PE OF FLORIDA 20 b .4 K. SHIPLEY L. gpAHAm �..�lllr , • E. Leon Stephens, Jr. my c C!h, mISS1C` # i?h , % . 6U Notary Public ' ' F'� :, a Commission Notary k 'e ,,, . F [pines: MAY 44 N 3 s °..+I .naed i r No br , , dic - Bf WDF.t7 TliRTI ATLANTIC NC, C ,, t s _ , 0126.10 Doc # 2010262874, OR BK 15425 Page 2251, Number Pages: 1, Recorded 11/10/2010 at 01:26 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. State of Tax Folio No l7/9.5�, pi County Of, To whore It may concern: accordance with The undersigned hereby Informs you that Improvements will be made to certain real property, and In COMMENCEMEon 713 of the Florida Statutes, the following information Is stated In this NOTICE OF Legal description of property being improved: rJ Address of property being improved: � r ✓I,_ -'� , General description L2 ptlon of improvements: � 3 • D ,sr _ �ysl~r�ce�tr Owner Address /J • ,0" Owner's interest In site of the Improvement Fee Simple Titleholder (if other than owner) _/films Name Address r1 Phone No. _ qr�. f'.2 t•° .3� Surety (if any) Fax No. - Address Phone No. Amount of bond $ 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 himseJ, designated by owner upon whom notices or other documents may be served: Name 4 - - Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Provided In Name , Address Phone No Fax No. Expiration date of Notice of Commencement (the expiration date is one (1) date is specified): () year from the date of recording unless a THIS SPACE FOR RECORDER'S USE ONLY Before: DATE 11 — 1b Before ms e day of the County o i 81 State F a, has personally appeared In era Iru f// and a cc and afArms bin n statements and dsd — ara���u �e,� rein by are true �e a ccura te ROTARY PUB11C STe�IE OF FLORIDA E. Leon Stephens, Jr. Commission #DD870322 ' // / \•. Des: MAY 04, 2013 aArurm maw ATLANTIC BOND= ' • My y Pu • at uroe, Sta of / �"" . • of •.1 Personally K�+Iree: or Produced identMcatlo