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Permit Roof 390 Mayport 2011 { ,. CITY OF ATLANTIC BEACH ='� 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 '11 Application Number 11- 00001934 Date 4/14/11 Property Address 390 MAYPORT RD Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . 18000 Application desc reroof Owner Contractor ASSOC., FLEET RESERVE HOMEOWNER BUILDING SVCS, INC 390 MAYPORT ROAD 739 BROOKMONT AVE E ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 322 -1054 Permit ROOF PERMIT Additional desc . Permit Fee . . . 140.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 18000 Expiration Date . 10 /11 /11 Other Fees STATE DCA SURCHARGE 2.10 STATE DBPR SURCHARGE 2.10 Fee summary Charged Paid Credited Due Permit Fee Total 140.00 140.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.20 4.20 .00 .00 Grand Total 144.20 144.20 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION t CITY OF ATLANTIC BEACH m 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 'Alt. ' rob Address: 3 q P C Q .. , ' t T C.. �( l , Permit Number: Jegal Description Parcel # Floor Area of Sq.Ft. Sq.Ft Taluation of Work $ 1 8 ) 000 Proposed Work heated /cooled non - heated/cooled ;lass of Work (circle one): New Addition Alteratio Move Demolition pool/spa window /door Tse of existing /proposed structure(s) (circle one): ommercial Residential fan existing structure, is a fire sprinkler system ins .1, - : ? ' - i ne): Yes No /A lorida Product Approval # Ft-- O 0 & -- 2 Z 'or multiple products use product approval form )escribe in detail the type of work to be performed: LC) r roperty Owner Information: .n� rame: �-Z ! ►2t/a i 14 29OAddress: 3V 1`l'l o'er r - 2- h . ity itrt- FF" IC "Sit ,4c 44 Staten -Zip ZZ '3 Phone '/e 7 -- / 0 -Mail or Fax # (Optional) `ontractor Information: ompany - ame. .d. Mt& 10 .2S cC- Jc. S" itL /z + qualif Agent: �t ‘,../4.) Z, -z- 44-, J s, ddress: C. 2-00 ) . ,,. . 4 ' f IC_ City ,x 1 State FL_ . Zip 5 ZZ i 1 f fi c e Phone ` 2 2.__- - 1 0 5 - y Job S i t e / CostRct N u m b e r Z - ( 0 2 11 Fax # 7 ? S- © b - Ate Certification/Registration # C. C. C_ /3 Z Y Z rchitect Name & Phone # agineer's Name & Phone # 3e Simple Title Holder Name and Address onding Company Name and Address [ortgage Lender Name and Address plication 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 nuance 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 : d void (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 )rk is commenced I understand that separate permits must be secured for Electrical 'York, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, inks 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. ereby certify that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this w of work will be complied with whether speci ed herein or not. The granting of a rmit does not presume to give authority to violate or cancel the Jvisions of any other federal, state, or local law re ul ng construction or the perfo ce of construction. gnature of Owner - // of Contracto • �� �� int Name g t c 1 -1,i,e D 3 xi .. '.R 't ' Print Name vorn Wald . • scr ,:�: �efo ,- .e Swo i . _ subscriled befoye me is /ID, of .4I /��.r!a y,a ./ O 2 this rIa o' ,is►� ,. , 20/ .�. _ I .1 ■71*4 "710,1F� 1 : I �tIi]� ii r11SIt.i:1IVTI,t. Tr )tart' Pub 1 1 t ►w44 J IR '3 14, 2014 N.t, � y rrI' ` d' Bo v I Thru blic Underwriters ' • , M C� l� E "ES: Febnt• , 2014 T `� , a" Bonded Thru Notary 1.i +Y1: 4. + 1.26.10 APR -18 -2011 11:13 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1 NOTICE OF COMMENCEMENT Stab of Tax Folio Na. County of To Whom 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 Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal, Description of property being improved: Address of property being improved: 7 L} . �•� A. f i - 62-3 3 General description of improvements: .t_ c I ,. A Ovvnor _e i:Ge'.✓jr, % O 2Ra Address: . //, - :C 8 -/ Owner's interest in site of tine improvement: Fee Simple Titleholder (ifotb.er than owner): .. _ Name: Contractor.: L. r� 1G, cort-'CZIC0e,5 ,../...,d.; -,_ c Address: 7 / iZCtcS 1tG.+Pr 44 R „, A olV - RI. J 1 _ Telcpbon.e No.: . 1Z2- i6 sy Fax No: 7 „S"”- a'C f _ Surety (if any) '------ . Address: _ ._ _..� Doc ri 2U11088Uwi, OR BK 15 5Th rage 723, . Number Pages: 1 Telephone No: _ Fax No: _ Recorded 041181201 at 11:20 AM, Name and address of any person making a loan for the construction of the it JIM FULLER CLERK CIRCUIT COURT DUVAI, cauNTY Name: RECORDING $10. A.ddress; Ph,on.e No: Fax No: Name of person within. the State of Florida, other than himself, designated by owner upon whom notices or other docurn.ents may be ' served: Name: -f7` g'_: CAZ e - Address: r i. . •. I S) i C tic L L D C 1 Tclepliono No:/_C G. — ` In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided. in Section 713.06(2)(b), Florida Statues_ (Fill in at Owner's option) Name: Address: , ...�... _ ..�.r...,. Telephone No: Fax No: _ . Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different data is specified): _ - - _ 'CIS SPACE FOR RECORDE'R'S USE ONLY OWNER * ; WILLIAM IPELLAND Signed: (- Ad ' ' Dale: '/ / J *g a, •' , MY COMMISSION # DD756374 •re n thi If ,5 of .4507.401. J i rr the { oun.ty of 13uva.1, State "' 4.: - C XPIRE3 March 10 2012 lorida, has personally appeared •,,,; . tary Public at Large, State o:F iotici.a, County of Duval. . ( 407 ) 395.010 Fraridallotaryee x • • • 1r . al ., Tres: /�� f �„ • • ersrmXily Known: _._ or (7\