Permit Roof 1668 E Park Ter 2011 A
° ° � , CITY OF ATLANTIC BEACH
. , -
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002085 Date 5/16/11
Property Address 1668 E PARK TER
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 12110
Application desc
reroof
Owner Contractor
MARVIA, SONIA BRC HIGH TECH ROOF DIVISION
1668 PARK TERRACE EAST 6372 GREENLAND ST STE 6
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 115.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 12110
Expiration Date . 11/12/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 115.00 115.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 119.00 119.00 .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. 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 Commencement.
1. Dgscription of property (legal description of property and address if available):
L CI L S 1 l aZ K "7 0 GL i - ut ,.."-- -5, , 04 S -•t , i a ..c.( vu 14 ,. t2.! Lt/i' 1 A i) '7
2. General Description of improvements:
3. Owner information: '
a) Name and Address: 5OJM 'a PI aft u , N P c, (r cz 0!a -lac' 1c - ref tp...14 ct A-7tiu,✓.4. - t e- c- 1-• t I_i
b) Interest in property: i -C.-c. S r i
c) Name and address of simple titleholder (if other than owner):
� ( < 9 4. Contractor Information: BRC High Tech Roof Division, Inc. Suite 113 Box 335
a)Name and Address: 13820 Old St. Augustine Rd., Jacksonville, FL 32258
w b) Phone Number: 904 -288 -0491
5. Surety Information:
a) Name and Address: J r't"'
b) Phone Number:
c) Amount of Bond: $
6. Lender Information:
a) Name and Address: PI 11
b) Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as ..,
provided by 713.13 (1)(a) 7, Florida Statutes:
a) Name and Address: I J 1 n
b) Phone Numbers of Designated Person: �, f
m 7
; 0
8. In addition to himself/herself, Owner designates N / 1 of to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. ,ll H-
a) Name and Address: PHI
, � -
b) Phone Number of person or entity designated by owner: c..; o ,n cc
9 Expiration date of Notice of Commencement (The expiration date is one (1) year from the date of Recording unless a j "' v O
CG o
different date is specified: a
4 ° w
per; °v w) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE ? Q,ri z
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART "" "' `0 w
n. v _ � Ct
1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR ' s.-. T , ->
tt A LL n
IMPROVEMENT TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND o E o - - 0
PO ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, ,° z r.r ? 0 It
CONSULT WI i YOUR LEND R RAN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOURNOTIC)X F COMMENC
�t r,'�. � ,� �'t t_ r - 1 /V/
Signature- Of Owner or Owner's Authorized Offi:er/Director/Partner /Manager Signatory's Printed Name & Title/Office
1
7t ay foregoing instrument was acknowledged before me this /is " �da Y of / //,4 ''i , 20 /1 , by
,5- , ,lam/✓! . ^J ii,s t as /14- he ki for .5"A/ /A j 7 1E' V /.4) .
(Name of Person) (Authority Type, i.e. Officer /Attomey) (Name of Party Ins . ment was Executed for)
�` %? hia. ^ "I�'S OARY' IC, S V LORIDA -- ++��� '' MY COMMISSIOl �a # DD9 7 Print a ), ,� l'7 .) , `' 1lI�
Tt41, EXPIRES December 17, 2013
k dentification/Type: (407) 398 -0153 FloridallotaryServke.00m ersonally Known
r
Verification pursuant to Section 92.525, Florida Statutes. Under pealtie o perjury, I e It I ave read the
foregoing and that the facts stated in it are true to the best of my knoWle ge d belief. e i
C - `�',.- --
X Si are of Natural Person Signing A e
Revi 10/1/2009
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job I G G t Palk re it Permit Number:
Legal Description ,39- 5a o q -2 5 -2-,e.- Floor of Sq.Ft. o 7 Parcel #
3 9 Sq.Ft
Valuation of Work $ /a I t to v ' Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): 6e , Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing /proposed structure(s) (circle one): Commercial c Resident>a1
i
If an existing structure, is a fire sprinkler system nstalled? (Circle one): Yes ■o� N /A
Florida Product Approval # ( Y$ G - 3 `7 ? ,, 3 /ie vll� 4 �-0 -
For multiple products use product approval form
Describe in detail the type of work to be performed: I294Nnvut to 3 70- - ti� P,e' ", S
a/a 3 0 02. -cA Qc 5 -e, )714, ! 5'S COO a‘igge 5 ys7e-i-►
Property Owner Information:
Name: Sonya Nt cut vio Address: l (ofaS l= PA- 2 k idt12124 e - e-
City k / owl( - ►3 - uL. - Stater( Zip 3-2433 Phone ot `l q - g'S? q
E -Mail or Fax # (Optional) S0w3■0- - t-tavtvi) () , y'r g • (."'
Contractor Information:
Company Name (-(ic/A 7:ea, p f -Onn •e,,rl . 0.44. • Qualifying Agent: Tehrl f.
Address: 13ssav oki 57 Auir,,,Zti 5cctie it 3 '' 33 S' City ,a ,- Kso)v StateF( Zip 3273
Office Phone ? 92 - 15q(0 Job Site/ Contact Number Y 6 - -2-45 Fax # ag ? 3Yo
State Certification/Registration # cc- c (, '3 20
Architect Name & Phone # ,) n.
Engineer's Name & Phone # N/
Fee Simple Title Holder Name and Address t / P
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. 1 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 months at and
work is commenced. o menced. of I understand that separate permitsn if construction
be secured for Electrical Work, Plumbing, Signs, aperiod
Wells, Pools, Boilers, time
rs, 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. ORA YOU INTEND TO OBTAIN
ATTORNEY BEFORE RECORDING YOU WITH
R NOTICE YOUR LENDER O
COMMENCEMENT. ,
I hereby certify that 1 have read a examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type 01 work will be complie wi whether speciaed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other feder. , t, t :, or loca law e_ , lati g construction or the performance of construction.
C Aty`
Signature of Contractor .,:'.4441,
Signature of Owner ` �- N �
Print Name S R l �" ► ( �) C.k e) L r ' \ Print Name >°✓LRi C lzo we-
Sworn t and subscribed before me Swo to and subscribed before me 20 � l
this /( Da of it/ 4 )' 20 l this . of
�.�.- /� _ a, S. BRIAN HYNES -- — _ 4T.►
otary P • 1" i ' , ' r - - 7 c� MY COMMISSION # DD947Ad7 `O ary ' - •
� � � � ° tiY COMMISSION # DD947667
/� ` ° ° ' ' EXPIRES December 17, 2043 ' <. Pr 17, 2013
..,:t;; ' °' 1D ilO
(101) -( FlondaP ? teal, , 153 Floridallotary: . e.com