Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit Roof 1104 Hibiscus 2011
64 ri : '' 7 `; CITY OF ATLANTIC BEACH A s) 800 SEMINOLE ROAD ► v = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 J.r3 Application Number 11- 00002106 Date 5/19/11 Property Address 1104 HIBISCUS ST Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 5100 Application desc REROOF Owner Contractor VELASCO ARNULFO A JAX ROOFING 4248 STRATFORD WAY 496 HILLSIDE DR JACKSONVILLE FL 32225 ORANGE PARK FL 32073 (904) 434 -7346 Permit ROOF PERMIT Additional desc . Permit Fee . . . 80.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 5100 Expiration Date . . 11/15/11 Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 80.00 80.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 84.00 84.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERNIIT APPLICATION � pr; �N 6 CITY OF ATLANTIC BEACH V 800 Seminole Road, Atlantic Beach, FL 32233 o 4' S - D gS,(,' Office (904) 247 -5826 Fax (904) 247 -5845 . ob Address: © S (Sc us �l D Permit Number: ,egal Description Parcel At Floor Area of Sq.Ft. Sq.Ft Taluation of Work n 5 ICI 0 Proposed Work heated cooled non- heated/cooled :lass of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door - se of existing /proposed structure(s) (circle one): Commercial Residential an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Lorida Product Approval # or multiple products use product approval orm Iescribe in detail the type of work to be performed: uZ.fd roperty Owner ormation: ame: Pra . #3,3 C e+ d . 4 Z 1 • v :. .1 ` 322 Z( A fires. ity - esvtvc. State F Zip 322 ZS Phone % C 3 a - O daniiill •Mail or Fax # (Optional) o ntr ado r Information: pmpany Name: vQ f: r - Qu. ' ' , g Agent: y►C- r�-- idress :. _ - .l L. , 4- i - City It cP-/ , State - Zip 2673 ffi ce Phone' `/ t47, - 7 3 -IC, Job Site/ Contact Number - • Fax # cG 1 2 — ci ate Certification/Registra # . j.C Z.21. 6 'L7 3 q c, 7c hitect Name & Phone # igineer's Name & Phone # ..e Simple Title Holder Name and Address :nding 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 uance 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 irvoid (work is not commenced within six (6) months, or if construction or work is suspended or abandoned fora_perzod of six (6) months at any time after rk is commenced. I understand that separate permits must be secured for Electrical - Work, Plumbing, Signs, Wells, Pools, F urnaces, Bo Heaters, nks 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. areby certfy that I have read and examined this placation and know the same to be true and correct. A w .All provisions of laws and ordinances governing this e 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 'visions of any other federal, state or local law regulating construction or the performance of construction. / 1 nature of Owner • v, f '4 „ Signature of Contractor glo nt Name yI S c� Print Name t- l Yt'1'( f C 2 F • CO35 - - 'i3g- 7$ 2Z7 -O 'oaq. to and subscr . - d before me Sworn to and subscribed before me ; ilik Day of 1t ' +, , 20 1 this 1$ Day Qf li 1. _ 201( ij1 / /I/ tary Public - Notary Public ,, r•" sg, BRANDON IWLING ., GI , , . 7 , , . ; i ., CO' rn nisi DD 7454 1*; ° ': . rte n aisistariett A512 re Expires January 2 2012 t...;„; . Expires January 1,a , 2015 .• •" Bonded Tint Trop E a n I ro an •e ■500 385 '019 ' Re , Bonded Thu Troy Fain Insurance 900 .38&101A . s NOTICE OF COMMENCEMENT �► (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State cf 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. 4egal description of property being improved: t� 1 1 04 (41 S t S rhS f T (14, LZ (� ee.ei 3 Z 2 <7) E. it Address of property being impr ov U C 1 S (0 c 5 / (.c�'� • General description of improvements: e. ( v Owner A if \le 1 ` Address L i 2_4 5 ir"2) f i.J c 3 2 Owner's interest in site of the improvement e L►-- "JC. -- Fee Simple Titleholder (if other than owner) Name Address rp Contractor } /k,+ l \ Address ,2‘) l I k.+ G.. . \ Lk14nA 3 Z . 73 J O Phone No. Y ° * - 1 7 — 5 21 Fax No` 0 Sao / ' Surety (if any) Adaress ! 414. Amount of bond $ Phone No. c to f 1 Fax No. Name and address of any per3on making a loan for the construction of the improvements. Narne 1\ Address I I Phone No. i Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name J (ikca„t.vj Address 1 . ) 6 )1/0-5 ( + p — O /,u f- 1" : r:- f . 3A • Fnone No. q L . 9 - , " ,4` f yG Fax No. (-1/Li `1- 7' addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as rovided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of record' g unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY 0 N, R Signed: `.I ` DATE " Before F = this d of c.: r* in the Count of Duy , State of Florida, has personally appeared f' n LA cl t) erein by h N om u ' v i .i i ? /41, U N I� Fl 'i SfiUti Page 74/ m self/ herself and affirms that all s ecl h in Number Pages: ': hi lf d ffi tht ll ta U� � . -a,. �, W ° ,... . are true and accurate , , t Recorded 05,19 2011 at 12.40 PM JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 Not • •lic at Large, Sta o , County of c% • mission expires: I �� , /J ; 1 rsonally Known or Produced Identification F : 'S ! ° 7,-4( )