Permit Roof 1998 Brista De Mar 2011 t
° X5
`` CITY OF ATLANTIC BEACH
k1
, j 800 SEMINOLE ROAD
` " ° ' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002383 Date 7/25/11
Property Address 1998 BRISTA DE MAR CIR
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 15000
Application desc
REMOVE AND REPLACE ROOF
Owner Contractor
STRAUS, EDWARD HAGERTY CONSTRUCTION AND
1998 BRISTA DE MAR CIR ROOFING
ATLANTIC BEACH FL 32233 3749 QUINBY ISLAND CT
JACKSONVILLE FL 32224
Permit ROOF PERMIT
Additional desc . REROOF
Permit Fee . . . 125.00 Plan Check Fee .00
Issue Date . . . Valuation . . . . 15000
Expiration Date . 1/21/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 125.00 125.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 129.00 129.00 .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 uu
Office (904) 247 -5826 Fax (904) 247 -5845 /( � 2 �U
Job Address: 1 c ( D( 1.(STA 11 E 'N(, u `Z
Permit Number:
Legal Description 10 �4 SEL p
oor • ea o AA, `r� -(�O Parcel # f � �, (? — `(a i
Valuation of Work $ /S (9d q. t. t
l n. Proposed Work heated/cooled non- heated /cooled
:lass of Work (circle one): New Addition A e ration Repair Move Demolition pools a window /d
:Ise of existing /proposed structure(s) (circle one) p oor
San existing structure, is a fire s rinkler ) Commercial Reside
p system installed? (Circle one): es No N /A
?lorida Product Approval # _ R le 3 (. 7- F L 10 ( Z(e. 1 Ft, z 04 T
For multiple products use product approval form
describe in detail the type of work to be performed: re-Er-(1) Ut E xi-CI 4S NALT s ,4lN, G.La F.b01
A I tePt4(E LOIT14 NEU) U1[ pc Alle(-N ' Sttikk LeS 6 Ut1•
'roperty Owner Information: ii P$Z L in Gft " l EtititA'/UC
Jame: E:0 e CA - 14)L .Si ZA US Address: t RV) Mari ti MA.12 CCI.E
:ity At AA,3I1( BE4C4 State l L Zip ? Zi 31 Phone
? -Mail or Fax # (Optional)
:ontractor Information:
:ompany Name: k-I ntf Col.1mucrt01.14. -Tu IkV) Qualifying _ - 'j j
Lddress: (Z�b Lu t P COIF bt2. �g Agent: Q v l� �J . 4
)ffice Phone �pl � AZ City JkC! bb U(ui State L Zip LZZ
t¢D Job Site/ Contact Number r[b Fax # CL0 C Z itt i
tate Certification/Registration # C [,[ As"
►rchitect Name & Phone #
:ngineer's Name & Phone #
'ee Simple Title Holder Name and Address
■onding Company Name and Address
lortgage Lender Name and Address
suance
pplication 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
'avoid iif is cot and that all work
within six ix (6)�months or fconstruction worrk is susp ended or abandoned for this
_period ofsix months at any times f null
ork is co I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, Bo Hea
anks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
CO1VINIENCEMENT 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.
'zereb certify that l have read and examined this placation � F1, � i ti g e t t t t t � �FFFF l i n it �t r� / � j �
�e of work will be complied with whether specified herei p' . eo, be true and correct. All provisions of laws and
9e of ns of any other federal, state, or local law h tin ons •'�',' of a permit does not resume to ''' : this
P give authori� ttZ p , ,. this
9e
e
B symance of construction. / 4 � � p8/06/2 l re
1.. /0 6 /p /1 ^ / 0 '� ..�
afore of 0 - �� R ' v 012 S
gn caner _ ' 4 / P (/// Signature of Con. . _A • NOTARY PCB
< .. p i i . 1 - i . 1 ant Name ....
(. 0/' -1I sts retvu .cT u - Y� • ssi
. -61 �� I./ ' s--.0.--.: p a
int Name a s #
vorn to and se�bcr�bed before me ' %, rr F � � ���` SAN ` ' �� J '$'
FEQR D �L �,.
is ?...t Day of ZJll�l�' ®I I rr!!!kfliIIFFFFFF� t1Z1S to and ObSC ibea .':fOre me /i / / 'r r� ltf ►1 +li �, ,
.� ;� : " J l �_�.y...'� • -A Mary Public Notary �.n. ,
v'' 1 blic '
- Revised 01.26.10
f
NOTICE OF COMMENCEMENT
State of
C o u n t y of Talc Folio No.� 0 (� • ((
To Whom I May Concern:
The undersigned hereby informs you that '
the Florida statutes, the following information pro ements will be made to certain real property, and in accordance with Section 713 of
g is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
4 ,SQL
Address of property being improved: ( •
• G ►:411 2C-LE LI ''
General de4cription of improvements:
Owner: ■ _ilLo L L. p ' J t�
Address: l4 1— M ■ L L 6.•,
Owner's interest in site of the improvement: /4TL kIIiT IL t
Fee Simple] Titleholder (if other than owner) fL . Z 2 33
Nome:
Connector Ak-Gb. • 111 • C 04
L .' t kit- •
Address: L • S. -
N i) Telephone No.: lob [-- tn.
Surety etty (if any) Fax No: - �� Z gl �' X01
Address:
Telephone No: Amount of Bond $
Fax No:
Name and address of any person making a loan for the
construction of the improvements
/limn:
Address:
Phone No:
Name of Fax No:
Olson within the State of Florida, other than himself designated y
served: Name: b owner upon whom notices or other documents may be
Address:
i
Telephone No:
In additio Fax No:
� himsel f owner designates the following
713.06(2)(#), Florida Statues. (Fill in at Owner's option) Pin to receive a copy of the Lienor's Notice as provided in Section
Name:
Address:
Telephone No:
Fax No:
&piration date of Notice of Commencement
specified): ! ( the expiration date is one (1) year from the date of recording
���i� Gate is
an G, N
THIS SPACE FOR RECORDER'S USE ONLY OWNER �� :. 08/061 % r: '' r
sign -'.. � _.,:r _ : owl,. / pp�1
Refore me this == �B
Doc A
0i/ " I 60974, 0 13K 'I S6b4 Page 1005, !Florida, ___ day of ° 1 gl , . • t ,
Number Pages. ^
Mary Public 'a ,t , i fpvai; S
nally �PCBred ?, 4 ' , 1p
Recorded 07; 25!2011 at 09:05 AM, Large, State of Florida, County ofIhival• % ���
COUNTY
... �xpires: % ° F FL(Ak d � '��
RECORDING $10.00 oduoed Idathfartion:�`i , `. or
dist....irse.", ..
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