Permit Roof 1850 N Sherry Dr 2011 � S r 1 r;
q ss CITY OF ATLANTIC BEACH
�, ,T 5 `) ! 800 SEMINOLE ROAD
J ' Z ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002070 Date 5/12/11
Property Address 1850 N SHERRY DR
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 10520
Application desc
REROOF
Owner Contractor
PAULSON, STEVEN ALL SEASONS ROOFING OF N FL
1850 N. SHERRY DRIVE 3536 UNIVERSITY BLVD N # 187
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32277
(904) 591 -4044
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 105.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 10520
Expiration Date . 11/08/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 105.00 105.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 109.00 109.00 .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: /6512 / V Jk�/ /2 2 50 Permit Number:
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ /L.JoO Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition lteration Re a• Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial R�esidenti
If an existing structure, is a fir installed? system nstalled? (Circle o e): Yes Ro f
1 , / � 0,7y,
Florida Product Approval # i/! / CS 'fL / ✓J/,7 /q, �V1�"/ a lt�✓ //1fGT /4 -( ��" �` ��7 � v
For multiple products use produt approva form
Describe in detail the type of work to be performed y�L /'d0 100 f G / f�G4'eY7r
64t4 ,4 bJ t V, //#O fretT As/Jaw (xiM'lJ-
Property Owner Information: ,, �J /�
Name: ( I 0 Xi '9/ AdtP4 A s: / g5 ltd (1./W " � l ij
City i G ,,� State /Zip 7aitj Phone Z N9
E -Mail or Fax # (Optional)
Contractor Information:
Company Name i kr /,.r AL,s 4/ c Qualifying Agenty!% ii A 6
Address: Q• fkr. State /7 Zip,V,Z77
Office Phone 7"f o2/• JoJJ Si / 4 gntact Number 5'9/ -OW Fax #
State Certification/Registration # 'z
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address O/ J
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 if work is not commenced within six (6) months, or if construction or work is suspended or abandoned fora period of six (6) months at any time after
work is commenced. I understand that separate permits must be secured for ElectricalWork, 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.
I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
d
type 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
provisions of any other federal, state, or local law ref' : ng construction or the performance of construction.
•
Signature of Owner / '� t� •_ 1 Signature of Co ac
Print Name S'1'E t _. 14LC1-- ) Print Name AleZer
Swo . • . nd subsc • . - • - fore 1 e // Swo .. • d subsc • • - fore
this 11 • y _ ! 20 v th : J ' , of a , 20 1!
1,015 `5 � °s Y L GRAHAM
.t. ION I;
Notary ' u • fie a o� ? ` rF , : Notary Public Underwriters I No IR Februa ry 14, 2014
Bonded EXP Thru :
otary Public • nden�uftors
,,,, 1 1.26.10
, .
NOTICE OF COMMENCEMENT
(PREPARE IN OUPLICATE)
Permit No. . Tax Fob) Na
State of 4=1 aRi rIa County of
To whom it nay cement .
The andeosigned bemby banns you Mat Menxivements wdi be made to certain mai property, end in
accordance with Secdon T•13 tithe Florida Stataisa, thefollowing information Is stated In this NOME OF
COMINENC1311191T.
Wald demriPtion of Monody being improve&
ije,....•
Address of property being iniprovett il7s At _S 19' ,
• 'A/ ' _ .4 # ,„, , '
General descron of knprovements: 14" 1/9/75rj e
,
Owner • Mint 7 4
. ' Addnass 1 •Wif i ribiliEr ...MIMIEVEMS
O w n e r ' s i n t e r e s t m ade of the improvement
Fee Simple TAleholder (dottier Ihmji owner)
Name A,
Address
Contractor —i§ttLSa(Y)gatsLr
Address ... . _ L._ Z. M. • 2. 1.,- - a. ..
bkk Phone No. &Its') 2.9J Fax No. &Net) WI 5
• Surety Of any) .
Address /VA Amount of bond $
Phone No. Fax No:
Name and address of any person asking a loan for Me construcdon of the improvements.
Marne
• Address ./
-
PV.4
Phone No. Fax No.
Name daemon aillhko Me Stele of Rodde. other than himself. desianated by owner upon whom nodose or other
documents may be stinted:
Name
Address.
Phone No Fax No.
In adcalon to himself, owner designates the fallowing person to receive a copy of the Liana's Notice as provided In
Section 713.08 (2) (b), Florida 3frj (RH in at Owner% opdon).
. (!---'.\
Name
Address .
411/1 .
Phone No. Fax No.
Explradon date of Notice of Canmersement (doe emigration date is one (1) year from the date of recording unless a
different date is smiled):
THIS SPACE FOR RECoRsors USE max 1 • ...., - ...AGENT
DEAgoot. - . ,F o , or RequirodE5
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Number Pages: 1 yph,..
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Recoreed 05;12 2011 at 03:05 PM, ..7 LINDA Y BEDO
JIM FULLER CLERK CIRCUIT COURT DUVAL *
00: MY COMMISSION t DD 900672
COUNTY EXPIRES:August 2, 2013
-
RECORDING 510.00 ir ne e Bonded Thru Budget Notary Services