Permit Roof 82 W 8th St 2011 j CITY
OF
INSPECTION ATLANTIC PHONE LINE BEACH 247 -5814
''' ` ¢` 800 SEMINOLE ROAD
- ATLANTIC BEACH, FL 32233
� M k .
Application Number . . . . 11- 00002086 Date 5/16/11
Property Address 82 W 8TH ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 3950
Application desc
reroof
Owner Contractor
WILLIAMSON BRC HIGH TECH ROOF DIVISION
82 WEST 8TH STREET 6372 GREENLAND ST STE 6
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 70.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 3950
Expiration Date . 11/12/11
Fee summary Charged Paid Credited Due
Permit Fee Total 70.00 70.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 70.00 70.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1111
03 :35:07 05 -14 -2011 212
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NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No.
State of Florida, County of Duval
•
..THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commence..nent
I. Description of property (legal description of property and address if available):
` 3 A G J S 1 l a c e i / } - 7 l* & C i r e ; r3t.f.4 cc,. (fS ' 34 1 7 • -
2 . GenerAl Description of improvements:
K..e_ f
3, Owner Information:
a) Name and Address: AP 1 42r ( ) 11 Ic4 /45oN 8 i3eRGsIOIt9 kN jam,/ F) 322.'- 14 -?1' -t /
b)
[merest in property. F-e a 51 M
c) Name and address of simple titleholder i
f other than owner):
N / fY-
(1 4. Cont -actor Information: BRC High Tech Roof Division, Inc. Suite 113 Box 335
a) Name and Address: 13820 Old St, Augustine Rd,, Jacksonville, FL 32258
b) Phone Number 904 -911R -0411
‘0 1 S. Surety Information:
a) Name and Address: J") 14-
b) Phone Number:
c) Amount of Bond: S
6. Lender Information:
a) Name and Address: N1/!- D
b) Phone Number: n n
F-
m CC
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as z
provided by 713.13 (1)(a) 7, Florida Statutes: C)
a) Name and Address: 1111 yY J
U a v
r> ,-
b) Phone Numbers of Designated Person: - n _�
— LY
8 . In addition to hiruselfiherself, Owner designates of
a copy of the Lienor's Notice as provided in Section 713.13 1 to receive r m
a) Name and Address () (b), Florida Statutes. -' s ' o
b) Phone Number of person or entity designated by owner: b ° � �
9 Expiration date of Notice of Commencement The w z
different date is specified.
( exptnt d ate is one (I) year from the date of Recording unless a n. �, 21 ��
it N U J a 0
0 E U r D
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE o D N z U 1.0
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART r o/
1, 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 J08 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR UNDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
SOUR NOTICE OF COMMENCEMENT.
iC Signature of Owner or Owner's Authorized OfficerlDirector/Parmer /Manager Signatory's Printed Name & Title/Office
The foregoing instrument was acknowledged before me this I e day of I l 1-/ , 20 l k , by
(Name afPerson) as T. for 1
(Authority Type, in Officer /Afro ty) (Name of Jnstrufnen was Executed for)
el" "of, Notary Public State of Florida � ,LN
Sonia M Marvin NOTARY PUBLIC, STATE OF FLORI A
47 My Commission 00961884 Print Name:
'►or r4el Expires 02/15/2014 � /
'! 'PersonaEy Known
0 Identification/Type:
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the
foregoing and that the facts stated in it are true to the best of myll � -r
/�� belief.
A l ?te 1\``\ •.dal . .`,. -�, .. ;.:1). 4-1,..,:y5..----
Signature of Natures Person Signing Above
Rrvi.ted 10/1/2009 0
1111 03:34:44 05 -14 -2011 1/2
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: _ ¶ Wes rs { " S 72c c r Permit Number:
Legal Description IS ..3y 17 45 -air s ec H 11-710# 7• t. 13 e q Parcel #
�
Floor Area of Sq.Ft. 1 Lizio Sq.Ft
Valuation of Work $ 3 1;0 Proposed Work heated /cooled non - heated/cooled
Class of Work (circle one): , Addition Alteration Repair Mov- Demolition poolls.pa window/door
Use of existing /pro osed structures) (circle one): Commercial : es'
If an existing structure, is a fire sprinkler system installed? (Circle one): es l' o N /A
Florida Product Approval #
For multiple products use protect approval form
Describe in detail the type of work to be performed: liv~` 01) /rzec.,
3 701, t6i.A.44, 5 he "7E4
Property Owner Information:
Nam AN10 Nca,2 /e r,JI hu satv Address: V1 83 /3eizesFo Ls) gttle, F+ 3Lti4 - 7191
City ,t Vk.( u ll a Stater.--' l Zip322 cty Phone 3e 7 - 7 93 7
E -Mail or Fax # (Optional)
Contractor Information:
•
Company Name: !3Y-C H y h T�c4.120 f a , ,7A/c. Qualifying Agent : - Tel y a 4 --
Address: 13ffio c' J S'7 ll4ayusr, s4,7c/t3 .d 33C City .Tuc-l( Su") !1t State ri Zip 32-Ts'A
O f f i c e Phone a `;K - 3( Job S i t e / Contact Number '-(e, 3 -z 4 ; >- Fax # 1 f } - I? 3 26
State Certification/Registration # C cas. 051,3c/ s'
Architect Name & Phone # N A
Engineer's Name & Phone # F91
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication is hereby made to obtain a permit to do the work and installations as indicated , 1 cert 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 for a period of six (6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo 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 ertify that 1 have read and examined thisplication 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 herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany other federal, state, or local law regulating construction or the performance of construction.
Signature of Owne .. h-J` - \ \ \-`,y - c 4 - v - Signature of Contracto
Print Name c\ - i
Na m � �� 4� Print Nae J i_ L � ur -�-e—
Sworn nd sub; rived 1 , ed before me Sworn to and scrib - • . efore me
this t tDa of 1 '►1 20 r I this Day T 20
No Public 1.R •tQ ot a M u M- IC in a - O Y p
�' y P � S oni Notary Pll. e p �►" 4r� Not ubli. State of Florida
g M Commission DD961884 Sonia M Ma In
? Expires 02/15/2014 1 My Com ! s96il°.h.10
ito %, Expires 0 �� • •