Permit Roof 362 Sargo 2011 .s j �..-1,`j -
'� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
t) , _ '� ` Z ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002225 Date 7/01/11
Property Address 362 SARGO RD
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 8500
Application desc
reroof
Owner Contractor
ZAPATA, PABLO TURNKEY CONSTRCUTION AN MAIN.
362 SARGO ROAD 9838 OLD BAYMEADOWS RD ST 322
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(904) 407 -3634
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 95.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 8500
Expiration Date . 12/28/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 95.00 95.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 99.00 99.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
IG _OA BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
II --rr�� Office (904) 247 -5826 Fax (904) 247 -5845
Job Address:3ll�af Sao ikarilidch a 32� Per N umb er: Legal Descriptio 2
Floor Area of Sq.Ft. Parcel #
Valuation of Work $ . Proposed Work heated /cooled t
non - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing/pro osed structure(s) (circle one): Commercial f esidP
enti
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use prod pt acu proval form
Describe in detail the type of work to be performed: re, — nDOP
Property Owner Information:
Name:a D 2.' _ Address:,31pa o Road
City ;Li I ay; :_' 1. J State(. Zip322$33 Phone
E -Mail or Fax # (Optional)
Contractor Information: ��!!
Company Name�tlY( NK. Qual A gen t h ��t Jalr Q S
Address: c{�3� Dkj y me ad ow s �cd Cit Tacko 1 I it . w-mi l State
Office Phonegpq - '4o 1 — 3(p3' Job Site/ Contact Number T� Zip 322.5(0
State Certification /Registration # "417 3Ct 3 �( F ax # gOtF_ a
Architect Name & Phone # P
Engineer's Name & Phone # NjS
Fee Simple Title Holder Name and Addresssc.-e— c.,)0 J -C., CcE 1
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 for a�period of six 6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical 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 have read and examined this a plication 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 speci d herein or not. The granting of a permit does not presume to give author to late or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner t< , - z 1-7 ' —
Signature of Contractor
Print Name P/* 1, 0 ?A-/ o9Tt1 Print Name
Sworn to and subscribed before me Sw+ri to and subscribed before me
this 1: ' of )4(A—it , 20) l
tit'. l II Day o ZtA✓\ e_ ,20 t(
4 l%
i RUB DIONISIO LAVARIAS
Notar ' U 11C :: • r o N # 00947868 a .. Mj ,.,: � : �; h : 1 ► 1 r
: �~r`• EXPIRES December 17, 2013 N +tary Public , NAY COMMISSION OEE}2067
T..1 EXPIRES: Msdt 09, 2015
007) 399 - 0153 Fbrid+NouryS.rvioe.com
er:
,� : . 4 4, i ;4 ; ■ 1 i .'rj Dieoo+ee
Doc # 2 0111451/4, OR t3K 15645 Page 16 I ,
Number Pages: 1
NOTICE OF COMMENCEMENT Recorded 07(01,2011 at 12:39 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10 00
Permit No.
Tax Folio No.
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property (legal description):
a) Street (job) Address:3 (Dg. &Lop road f4fictrth c, Ar r)) PI— 32233
2.General description of improvements:
3.0wner Information
a) Name and address:Pablo 2ap4j 31() &Ad /Leah , a ,-3z23-3
b) Name and address of fee simple titleholder (if other t an owner) n
c) Interest in propertee.
st.Contractor Information
cc4( a) Name and address: IUM reepli n riEryinejn C, (gafaci _
0040(125Eokd of.--r14
\o b) Telephone No.:q.■ -3 4
Fax No. (Opt.)
urety Information
a) Name and address:
h) Amount Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6.Lender
a) Name and addressnl
Phone No.
7. Identity of person within the tate of porida designated by owner upon whom notices or other documents may be served:
a) Name and address: 1 c
b) Telephone No.:q044 iq - Ligq Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes:
a) Name and address: f. \--)
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, 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 JOB ME BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
s7 """ r ""'" 1 "" • klifi. 4 RUBEN DIONISIO LAVARIAS -
- C
MY COMMISSION # DD947088 10.
Signature of Owner or 11 er's Authorized Officer/Director/Partner/Manager
EXPIRES December 17, 2013
(407) 398-0153 FlorideNotaryService.com
Print Name
The foregoing instrument was acknowledged before me this „ day of , 20//, by juh167
6■1 as 1 i..4 C (type of authority, e.g. officer, trustee,
attorney in fact) for (name of party on b eylf of o instrument was executed).
Personally Known OR Produced Identification Notary Signature 11„--,/
Type of Identification Produced Name (print) a :?)
OR
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 my knowledge and belief.
I
Signature of Natural Person Signing (in line # 10.) Above