Permit Roof 532 Pelican Key 2011 IF 'r� CITY OF ATLANTIC BEACH
A F, 800 SEMINOLE ROAD
J = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
'` 01
Application Number 11- 00001752 Date 3/04/11
Property Address 532 PELICAN KEY
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . 7200
Application desc
REROOF
Owner Contractor
SOLDO A.J. WELLS ROOFING
532 PELICAN KEY 5432 WELLER PL
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 553 -0069
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 7200
Expiration Date . 8/31/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1.11 Y Ur ti 1 LAIN 1 IC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
32 215 3
Job Address: 5 3P. ?ELI c Pa ki" y 1 ATi..A P' 11 c 64-4(11 ( f- Permit Number:
Legal Description '1 3 - i 1 1 7 - ZS - 2-.9e 041./? '4 5 .4 / 1 1 u -; Parcel # 7 2- D 7 - SS (la
Floor Area of Sq.Ft. S
Valuation of Work $ 72d. - Proposed Work heated /cooled 1 2-(o 3 non - heated /cooled 16 7. o
d r -
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial Cgesidential'
If an existing structure, is a fire sprinkler system installed? (Circle one): - Yes No N /A
Florida Product Approval # F(.- S .I.04 fi- - 52 t 9 -,
For multiple products use product approval form
Describe in detail the type of work to be performed: NE Sao 4 ,n•-
Property Owner Information:
Name: 5 Soe_, Address: 53 t eet..Ic.4,- key t A fl nc 6 , (
City Art Ar11c. aZ F►c.H Stateft- Zip 3 2- z ?) Phone T.., y. 3 -- 11.1r
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: /4.5. vi& �— Qualifying Agent: p V- 7Lcti2 W,5- s
Address: 5431 t�1eilK Pc.. City 744. ,,, it& State it Zip 3 2 z ti
Office Phone $q A5 - O Co 9 Job Site/ Contact Number 9_,i(• SS 3 - o v 6 5 Fax # q, y. 3 y. 1/ 1. 1
State Certification/Registration # CC e 1 12_24'71
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 of work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six f (6) months at any time after
work is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, 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 certi that 1 have read and examined thisgoplication 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 her in or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, . or local law ' . lati g co truction or the performance of construction.
Signature of Owner Signature of Contrac ` �!. --
Print Name ,,501 4 ..4,J _G 4--- 0 0 Print Name 41 , /At ✓` Ct.ft/ if
Sworn . : 4 subscribed before me Sworn to and subscribed before me
this i D:y of /J c,„... , 20 // this Day o , c t 201
otary ' ublic ota ublic
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aPti io Revised 01.26.10
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ea!nnog emy a Aura Bouvier a4 Aura Bouvier
�''w y < My Commission DD892070 , � My Commission DD892070
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NOTICE OF COMMENCEMENT Nur' ber Pages
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...IV = ER 0LER6■ C'RCuiT COURT DUVAL
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Permit No. RECORDING S10 00
Tax Folio No.
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property (legal description): C/ 3- I( 1 ? - 2 5 - 29 E 0 ¥2.1"( 5 E CV A biki 5 ✓ I"...
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a) Street (job) Address: 5 3 Z Pe C Arl l'`f / A i t.pr 11C. IS A4.( 1 31- 'Z1 3
2.General description of improvements: Ai Z ,..r' lt.... F
3.Owner Information
a) Name and address: S GA ,-+ 5r∎.. b o 5 3 z (N� i-t cArr K: y /17 flf '0i�-( / 322 13
/
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
4.Contractor Information J N „g 1( i - ,:
a) Name and address: 5.{ 32. t.-J q I cL e .Pc,E i 7AGL,S..rj1' 1(E, / 31 2 . 1 4
b) Telephone No.: ¶. Y . 5S 3 . Oo (39 Fax No. (Opt.) 5a4 . 3 7'f • ILL L 1
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6.Lender
a) Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1Xb), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF CO MENT.
STATE OF FLORIDA
COUNTY OF PINELLAS 10 k t--�
Signature of Orel or Owner's Authorized Officer /Director/Partner /Manager
1
.So L a
Print Name
The foregoing instrument was acknowledged before me this 4 day of /j, t.C. fl- , 20 / ( , by
Se-AI ( i.i. 00 as 0 wyl r (type of authority, e.g. officer, trustee,
attorney in fact) for (name of party o eha f of who instrument was executed).
Personally Known OR Produced Identification X Notary Signature
Type of Identification Produced y(.5 Igo 793 7 Z 3Zt Name (print) /tAre . Sou Vier
OR
Verification pursuant to Section 92.525, Florida Statutes. Under penalti per' , I der a that I have read the foregoing and that
the facts stated in it are e . .• - . - e • , , . _ d belief.
Notary PubbC State of Flonda ra B OU'Mr
FORMS/NOC,rvsd2010 .e. Au 1.
C....,
r My Commission 01)892070 S ignature of Natural Person Signing (in Tine # 10.) Above
4 y p,. „or Expires 05131/2013