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Permit Roof 695 Atlantic Blvd 2010 Aft 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ±) ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 10- 00001448 Date 12/08/10 Property Address 695 ATLANTIC BLVD Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 11000 Application desc reroof Owner Contractor ELITE PRO REALTY MILLBROOK CONSTRUCTION CO. 2605 SOUTHSIDE BLVD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 Permit ROOF PERMIT Additional desc . Permit Fee . . . 105.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 11000 Expiration Date . 6/06/11 Special Notes and Comments OK TO ISSUE WITH BINDER GL PER M GRIFFIN NEED NOC Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 105.00 105.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 109.00 109.00 .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: b 1 J Atlrit►c_ 1�31.voi. A.ttani,e. t` ., rl, 3 aa3 Permit Number: /D ` / Legal Description Parcel # Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ I I, POO , ° a 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): ommercial Residential i If an existing structure, is a fire prinkler system inst • - • . - • one): Yes No N /A Florida Product Approval # f / 11 7 r t 7 ` S G/ (I, / For multiple products use product approval fo Describe in detail the type of work to be performed: : S/� , , ,, 5 ��- ,, ,✓ (,(c) , „„ t e, p , , f� /Feat.- r=,,,/r' co! "FA l „, Property Owner Information: _ Name: i /'. / r /l'll /Lt , Address: L' ,3 P / /,1 "/j c /�f,4P City 477 I'c j State, Zip ' 2 Phone `/' /9 (( — 6, '7 g F7 E -Mail or Fax # (Optional) Contractor Information: Company Name: Mill brook C (, V1.5tru.C.A - i e ✓'. Qualifying Agent: Address: 6 (0(3 (s-rccrxgerr■ L Ir... City - 57-_.ck,Gnui llc State FL Zip 3 7 7 Office Phone y'0 S(/ S q 7 7 1 Job Site/ Contact Number �'( ) L( or I y / 3,2 Fax # State Certification/Registration # CCC i 'c 2 7 - 314/ 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 a period of six _(6) months at any time after work is commenced. 1 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. 1 hereby 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 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, o cal law regulating construction or the performance of construction. D 1 �,,... J lse- C Signature of Owner Signature of Contractor -(, ,� Print Name Ze},l O A - Q-., \\ �� , � Print Name 5 V e 1-t (c , L....- Sworn ) , nd .. c - ed be o me Swo ., i d sub - • : - s before me , this / '/ , 201d th1 r a of 4:a111 , 20I PIIPIIIWINMMMMOIIPWIPIIMMW --„, ,,.. ' Notary ' P P o °° RY AN JOWEFIS No tary 'ubliC f,� � ,,r EXPIRES: February 14, 2014 o MY COMMISSION ' 011 324096 I ' „tar” :, • • Thw Notary PublcU nderwfiters . : F; "` s'' ,' EXPIRES: May 21 . 2012 — 'ti,_ www.sunbiz.org - Department of State Page 1 of 2 Lf)}t1llA DEPARTMENT OF STATE NO W CORI ORA] IONS Home Contact Us E Filing Services Document Searches Forms Help Previous on List Next on List Return To List i y Na ..___.. .. Entity Name Search No Events No Name History [ Submit Detail by Entity Name Florida Limited Liability Company ELITE PRO REALTY, LLC Filing Information Document Number L10000076898 FEI /EIN Number NONE Date Filed 07/21/2010 State FL Status ACTIVE Principal Address 695 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 US Mailing Address P.O. BOX 50664 JACKSONVILLE BEACH FL 32240 US Registered Agent Name & Address EMAMI, MICHAEL V 2447 WINGED ELM DRIVE E. JACKSONVILLE FL 32246 US Manager /Member Detail Name & Address Title MGRM EMAMI, MICHAEL V P.O.BOX 50664 JACKSONVILLE BEACH FL 32240 US Title MGRM MELIKIAN, LEVON N P.O. BOX 50664 JACKSONVILLE BEACH FL 32240 US Annual Reports No Annual Reports Filed Document Images 07/21/2010 -- Florida Limited Liability View image in PDF format Note: This is not official record. See documents if question or conflict. http: / /sunbiz.org/ scripts /cordet.exe? action= DETFIL &ingdoc _number =L 10000076898 &in... 12/8/2010 www.sunbiz.org - Department of State Page 2 of 2 Report Year Filed Date 2004 04/21/2004 2005 06/06/2005 Document Images 06/06/2005 -- ANNUAL REPORT [ View image in PDF format 1 04/21/2004 -- ANNUAL REPORT t View image in PDF format 1 12/24/2003 -- Domestic Profit 1 View image in PDF format 1 Note: This is not official record. See documents if question or conflict. Previous on List Next on List Return To List Entity Name Search Events No Name History t Submit Home I Contact us 1 Document Searches I E- Filing Services I Forms 1 Help Copyright © and Privacy Policies State of Florida, Department of State http: / /sunbiz. org /scripts /cordet. exe? action= DETFIL &inq_doc_number =P 03 00015 5476 &in... 12/8/2010 DEC -9 -2010 09:57 FROM:CLERK OF COURTS 904 270 1512 TO:92475045 P:1 /1 NO TICS OF COMMENCEMENT FOOT* NO. �� `7 Tax Folio No. L State of r M r' Count' Of ' Ils1. To wham 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 ftorlda Statutes, the followin g rrnf ennadoii t stated In this NOTICE OF • CQMNtENCEMT:NT. l. '"I� ' �l �' � �- � l � �� �J�_ Legal description of property being linprored: /C� Address of properly being Improved: to -1 5 t34Lael+i 3YJ Genemi description of Improvements. "e - nor, Owner - ♦ • Address s.h^I. ...v $4t:0 Tic ksaytA' J,L.rk a.27go _ . Owner's interest in alts of the Improvement rrrv`e s fktx n 'f' , Fee Simple 'Titleholder (If other then owner) Name ` Address Q, \ Contractor U � Address G • . 1— _ . 4)• 2 Phone No. S C . fax No. . Surety (deny) • Address /mount of bond $ Phone No. Fax No. - . Nerve and address of any person maldng a loan for the construction of the Improvements. . Nema Address Phone No. Fax NO. Name of parson Within the Slate of Florida. other then hhnf, elf, designated by owner upon whom naticos or other . documents may be served: Name .. Address _ Phone No. Fax No. In addition to himself, owner designates the fallowing person to receive a copy of the lienor's Notice as provided In Section 713.08 (2) (b), Florida Statutes. (Fit) in at Owners option). Name Address Phone No. Fes No. t xprratIon date of Notice of Commencement (the explretIon date is one (1) year from the date of recording unless A different date la speeitied): THIS SPACE FOR RECORDER'S USE ONLY °AKER o z o ?geed'. OATE I re ` p a �+a Nrthe Doc * 201U cat m avo 41 e'rt lmspeenenelyeppeared bemhaby �tlt/ s, OR F3K'i 4o'I Norge 5r'I, dL C f 4 Number Pages: 'I i erfr arJaaFa nd elrume .nitetafattmeIte :barest Recorded 12/09/2010 at 09:01 AM, a,e rase and - .r• JIM FULLER CLERK, CIRCUIT COURT DUVAL it/ \ 1 I I ,1 COUNTY RECORDING $10.00 �f / / ���/// Nomy :1' c m . — _, 7 . . - .. - -- 7-77 .--.1 My aabn a .. c : •�•' , t OIUtKnOwn n P •.„ •. . , . 1 , P vCed men YY '. .' b J I . .. 'r',''''' .... _ . _... -- .... ..........._.,._.._ ..,. .....,,.,, .. ..... _.,,,, ..._ 1i =.' i balU.V .r e U LM ,VII � l0 �h J� X11 +D ; I, ; a. q� t S 14ay 2 2002 jr '