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Permit 1622 E Park Ter Roof 2011 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD . . ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 11-00001616 Date 1/31/11 Property Address . . . . . . 1622 E PARK TER Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8800 ---------------------------------------------------------------------------- Application desc REROOF FL 3667 . 3 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ALLEN JOSH CENTURY CONSTRUCTION INC 1622 PARK TERRACE EAST 6871 TAMMY LANE ATLANTIC BEACH FL 32233 ST.AUGUSTINE FL 32095 (904) 669-8411 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . REROOF Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 8800 Expiration Date . . 7/30/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 99 . 00 99. 00 . 00 . 00 PERMIT 1S 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: IoZ Z p0.( ke(Qk(e IkA5r Permit Number: Legal Description 32-52- -C"5--LIC 5e-✓4 MA(4r)lA uN=1-61 parcel# 1-720z'0-030q Floor Area o q. t, q, t Valuation of Work$ 000 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration 6', � Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial If an existing structure,is a fire sprinkler system installed?(Circle one): Yes (IN) N/A Florida Product Approval# For multiple products use ptoduct approval form Describe in detail the type of work to be performed: K� Cccp�� Property Owner Information: f Name: A1.L&C,I Address: �( 2Z NA - erase C.s i City ► s,C. State Fes-Zip 32233 Phone q©Y 63K5- 5 S` 5-'?LI-7 E-Mail or Fax#(Optional) cillev� k S �C�i . Cv w� Contractor Information: Company Name: C�`�'2`I �l,�O'i'(?.t.1CS«ant �fC_ Qualifyingg Agent: C6ws� 2oC.,�+2-s Address: (o$'I I � y L1M1E City 9i quGusrl�n�E State Zip 345 office Phone ��K ��p gKLI Job Site/Contact Number Fax# hate Certification/Registration# � 132g-?g'-1 Architect Name&Phone# '� ,ngineer's Name&Phone# ?ee Simple Title Holder Name and Address 00 3onding Company Name and Address vlortgage Lender Name and Address J\j )do 1pplication 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 ssuance ofa permit and that all workwall 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 sus�ppended or abandoned fora ercod of six(6)months at any time after vork is commenced I understand that separate permits must be secured for ElectricarWork,Plumbing, Signs, bells,Paols, Furnaces,Boilers,Heaters, ranks and Air Conditioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this vpe o work will be complied with whether speci ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the rovisions of any other federal,sta e, or local law regulating construction or the performance of construction. li ture of Owner � Signature of Contractor 'riot Name -J5..{ Print Name, ".... 'worn to and ubscribed before me Sworn to and subscribed before me lis— D of �.c�w1 20 it this "-)-f Day of 201 t Tot ub Y'r LINDA D.PEARSON ;� .P #DD ,k; Commission �� � Commission#DD 9256171 . ober 14,2b+� _ Expires TO ainmaur�uwo-38s e�.n Revised 01.26.10 Expires October 14,2013 ;, daarnti r aided TMu troy Fain Uaixa"8%,V5.7018 s JAN-31-2011 14:10 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1 NOTICE OF COMMENCEMENT � / (PREPARE IN DUPLICATE) Portrait Tax Folio No. State of Le oormy of_. '13.77c. To whom It key concern: The,undersigned hereby Informs you that improvements wet be made to ce+tafn real property,and In accordance with Section TLS of the Florida Statutes,tte following information to stated In this NOTICE~OP COMMENCEMENT. Legal description of property being Improved: &4-52- M-2 — Z9 Address of property being improved: Z L Q rF T£ a' . 6t1 j Av,..t gll-C 19C+464 PI— 32233 I General descrlpdon ofimprovamenta;_Nel,.^t 2t�� I i owner_ 644 A addltaaa (laza Parte 'Te.�r�l0.ct C s�l- � . Owner's 1.mast in abs of the improvement i Fee Simple Titleholder Cif other than ownso Name Addreas Contractor � z r f f Address `o l ,gyp Phone Ne. Fat No. f S ft(if any) Address Amount of bond S Phone No. Fax No. Name and addrmss of ary person making s loan for the osncitudien of ehs iehprevarnsnta Name i Address 1 Phone No. Fax No. Nemo of person within the State of Florida,other!hart himself,designated by venter upon whom na lces or other documents may be served: j Nome i Address Phone No. Fax ND. I In addh Ion to hinualf,owner designetae the following person to moolm a copy of the Llenors Notice as provided In BactlDn 713.08(4(b).FDt1da Statutes.(FII In a Owner's option). Name i Address Phone No. _ Fax No. i Expiration dabs rA Notloe of Commencement(the expiration data la one(1)year fm 11ho dat©of rocofng unless a dlft Tent date Is specified): MG SPACE FUR RECORDER'S USE ONLY O MNER 11 Dor:xJ)Ie175VU Pae 12:39. 61�ted:� 9 BMaro me vel. 111 MUrnq�r f'aQeS S ceuntyatOmLSlakor�lalda,1.p .enellyallpeaRtl In by Recorocxl0113V2011 at 01:`6 PM, nim elrenaammeInstanHnnenteenddeclaranoremrarn .lint FULLER CLERK CIRCUIT COURT Pt1VAL a endxmMa C0kjN fY RECORDING;l:ho oQ ��$? +y LINDA 0.PEARSON ,r Commission#DD 9�001J N n Rehire n1 Lem,ewl.nr I ounN er Expires 0*ber 14, 0a PerenaxylDlore - -- r .. . . Produeed tdenbriatim