Permit 382 7th St 2011 Reroof tS.} CITY OF ATLANTIC BEACH
} 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001549 Date 1/10/11
Property Address . . . . . . 382 7TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 9945
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Application desc
REROOF
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Owner Contractor
------------------------ ------------------------
STEVENS BEDROCK CONTRACTORS INC
10847 HORSE TRACK DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 9945
Expiration Date . . 7/09/11
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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 Numibwr
Legal Description �3 Parcel#
Valuation of Work$
C1Ms of Work(circle one): New Addition Alteration tau ve Demolition pool/spa window/door
Use of ezisbag/proposed structare(s) circle one):- Commerct'aC esi n a
If an existing structure,is a fire span r system installed?(Circle one). N IAt'
Florida Product Approval# �` d- f* . T
For multiple products use p uct approval forml
Describc in detail the type of work to be performed: R12.&ZLE
Progr y Owner Information:
Q
Name: 't, Address: Z8 '4�
City _ Stats Zip_3jj33_Phone '1'D - RM 3 11
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Qualifying Ag
cnt:
Address: City State Zip
Office Phone —_651— 71 Job Site/Contact Number 464-, <4—88/� Fax#
State Certification/Registratiog,V C Ce- i
Architect Name&Phone# 01 A
Engineer's Name&Phone# N
Fee Simple Title Holder Name and ss
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 rhe
issuance o a permifand that all work will be pe ormed to meet the standards of all laws regulating construction in this jurisdiction. rids permit becomes null
and void work is not commenced within six(6f montiu, or if construction or work is suspended or ndoned for a period of six(6)months at any time ager
work is commenced I understand that separate permits must be secWed for Electr 1 WorIS Pbt ng,sNI' Wet1a,Pools, lAnrwaces,Bollen,Headers,
Tanks and Air ConMoners,e,v%
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEL TO OBTAIN FINANCIN ONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING NOTICE OF
COMMENCEMENT.
I her eb cert that I have read and examdned this icadan and know the same to be true and correct. All provisions of laws and ordinancesgovemingthis
type ojywork will be complied with whether speed to or not. The granting oja permit cies not presume to gyve authority to violate ora .. the
provtstons of any other federal,alai , or local l r=0ostruction or the performance of construction.
Signature of Ownel L'� Signature of Contractor
Print Name /� u'bt ... G�. .1.1t.. 1.��-.( Cil Print Name _ f..4. ....._......LP..._.__ .................._......._._.
Swom to and subscribeo before me Sworn to and subscr b9d before me
this ^PDay of_ ;" ,2U i I this Co Day of ..11 ca ,� .20L(
�-
ry lioF�a is
JUDITH LEROUX ,,, vised 01.26.10
Notuy Public-stMe of flotlde D®ORAH A g:18�,2013
VIS
My Comm.Expires Mu 14.2014 t,: .: w cAMMISSION 579188
EXPIRES:JunCommission N 00 970e08 eoodee Tnm Notes Pund«wsen
a6ed 6v86-LbZ-b06 4:ieae Duret}d }o Ali? Wb'8E:6 lloz 90 Uer
JAN-11-2011 09:20 FROM:CLERK OF COURTS 904 270 1512
T0:92475845
NOTICE OF COMMENCEMENT
t f (PREPARC IN DUPLICATE)
J
Permit No. r1 +,0q Tax Folio No. 20-4109463
State o1 FT,URIDA County of DUVAL.
To whom It may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
Accordance with Soction 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT. ...,
Legal description of property being improved:5-69 ATLANTIC BEACH LOTS 35,37 BLK 8
Address of property being improved:382 7TH STREET, ATLANTIC BEACH, FL 32223
General description of Improvements: RE-ROOF
Owner ELIZABETH STEVENS
Address 382 7TH STRF_FT, ATLANTIC BEACH, FL 32.273
Owner's interest In site of the improvement
Fee Simple Titleholder(if other than owner)
Name
n Address
Contractor BEDROCK. CONTRACTORS, INC,
Address 1084'7 HORSE TRACK DR E., JACKSONVILLE, FL, 32257
Phone No. (904) .551-7724 Fax No, (904) 551-7726
Surety(it 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
Addrews
Phone No, Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
document,may be served:
Name
Address
Phone No. Fax No.
to Addition to himself,owner designates the fallowing person to receive a copy of the Lienors Notice as provided in
Section 713.06(2)(b).Florida Statutes.(Fill in at Owners option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date Is one(1)year from the date of recording unless a
olflarent date IS Specified):
TMS SPACE FOR RECORDER'S USE ONLY
S-01-l` O_ATC
eeiore e thiP Jnof !I,
C
v 1y of=l,Slal� -Florida.har,portion Ily appopred
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Numb.m pages: :
PrP we and accorPle misnwWATSON
RerolACd 01;Y112011 at 08:16 A% $ LN Notary Public,8bfeof Florida
JIM FULLER CLERK CIRCUIT COURT OUVAL. Cornmit4*0DD994107
COUNTY l � � My comm.mires Apr,21,2014
REGORGING$10.00 -
Notary Public at Largr,SlOte Of 2Cjjj0N Covnly of_
My comrnlaoion caplfwv _
Peraonaly Known er
I5;
PrpoVCed Identification l..`
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