Permit Roof 71 19th St 2011 t ° 2'- \J\ J fJt
,t CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
j - ATLANTIC BEACH, FL 32233
-
INSPECTION PHONE LINE 247 -5826
/•1 Vi31 >r
Application Number 11- 00001825 Date 3/23/11
Property Address 71 19TH ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 8324
Application desc
reroof
Owner ikV1- Contractor
.4 ::5N
441 GRASTON ROOFING CO INC
2680 FOX HUNT TRAIL
ST JOHNS FL 32259
(904) 287 -0298
Permit ROOF PERMIT
Additional desc .
Permit Fee 95.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 8324
Expiration Date . 9/19/11
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 IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
PERMIT NO.
JCC FF 20 1 I utio6ub OR bIK "! otbU "age !62
TAX PARCEL NO. (i,9"7' °ia: Number Pages 1
Recorded 0323201 1 at 01 24 PM
JIM FULLER CLERK CIRCUIT COURT DUVAL
STATE OF FLORIDA COUNTY
COUNTY OF Ot.v.th C RECORDING $10.00
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.
THIS SPACE FOR RECORDER'S DATA
Legal description of property (include Street Address, if available)
I' - 11 .1 t' k. > A t1��. r Ate( aofi�r 1 ; t�
General description of improvements dif»
Owner V. A9,l,J s -• i kP
Address "71 M.% •` 1. A71.4#1 .06 E. ..44 L. 3 L3
Owner's Interest in site of the improvement
Fee Simple Title holder (if other than owner)
Name
Address
hv Contractor 0 n € '.. F. C. 4i
Address i :);E. t ..7 ? iU 1L. sAiw.s; Tom 4,n i L 322.3
Surety
Address Amount of $ bond
Any person making a loan for the construction of the improvements:
Name
Address
Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7, Florida Statutes.
Name
Address
In addition to himself, owner designates
Of
To receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Expiration date of Notice of Commencement (the expiration date is 1 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 WITH YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOT CE OF COMMENCEMENT.
X
SIGNATURE OF OWNER
`
PRINTED NAME OF OWNER
,,. SWORN TO AND SUBSCRIBED B ME THIS C I DAY OF
rA r ^ ` _ 1„� , 20 k \
(
L WAN& > \\Q NOTARY PUBLIC -STATE OF FLORIDA
�``� '' Christine A. Heckle
MY COMMISION EXPIRES Ve..X7 oL `�� = Commission #DD961065
NCliTARY PUBLIC ,,,, ,.e Expires: FEB.11, 2014
BONDED THRU ATLANTIC BONDING CO-INC.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: '1 1 15 4 Permit Number:
Legal Description 4'1 -91 09 - as - 41,9 . 13 r ioatiK su{ Parcel # 1(09 2.3 - to 3.5
u
will 3 R / P Floor Area of Sq.Ft. Sq.r't
Valuation of Work $ 2 Proposed Work heated /cooled non - heated/cooled
d 5 SiQuJIALS
Class of Work (circle one): New Addition Alteration Repair 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): es N o N /A
Florida Product Approval #
For multiple products use pro uct approva orm
Describe in detail the type of work to be performed: REReoF wrt ( p R C 4I7tc. Sk,Ncdcfs F 1
(.4 NiA k42 LAd Mrz4.1'I : SgLF- RDAK:42 -A Ic- fE.(ui.A7 =1_ (DZ t2,.
Property Owner Information:
Name: k A R) n1 A Ai S EP Address: ? 1 1 - • S7 ,
?4M (b
City Af?Ic-, AeM State Ft, Zip 3A7133 Phone (goy ,334 - 4.40 t1
E - Mail or Fax # (Optional)
Contractor Information:
Company Name: -- 6- fruttr - -14\ S'IaJ I�ooft C., Qualifying Agent: (4r. IE.L. R GR ASlof.)
Address: a`Z (do FoxKUxrr 7Ra,L City s A ,'.rr voNNs State P L Zip 3 A
Office Phone 006 94")-0198 Job Site/ Contact Number ') o') - 3 L(D o Fax # J. g - 1 8 3,r
State Certification/Registration # c. c c.. o St7A 1 l
Architect Name & Phone #
ngineer's Name & Phone #
Fee Simple Title Holder Name and Address
3onding Company Name and Address
Vlortgage 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
ssuance 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
vork is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
ranks 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.
hereby certa; fy that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
vpe 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
trovisions of any other federal, state, or local law regulating construction or the performance of construction.
� ( Le i , of Owner `� \�— � ` �� Signature of Contractor di '`
'riot Name V A k r- R S (' Print Name g i}S•7o ot./
worn to and subscribed before me Swo r+ o and sub cr bed befor- me
his , Day of � �\. , 20 \ \ ►:_ _� Day of /JJ l i ice ,
20//
Tot OTARY P UB L1C TAT F F L A / +°•�+ -�-. r i * /rR , / "
a ry Pubh Christine A. Heckle N ` . C. BERNARDI
tiu
C #DD961065 MY COMMISSION # DD876315 Revised 01.26.10
E ?XPIRES: March 31, 2013
"••. ,, ,,,.•• Expires: FEB. 11, 2014
BONDID THRU ATI.A.\ 1'IC BONDING CO.. INC. I- e00-3-NOTARY F7. Notary Discount Assoc. Co.