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Permit Roof 2350 Barefoot Trac 2011 i 1.4 tkp \\''‘. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD !ate ATLANTIC BEACH, FL 32233 ,y X11 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002491 Property Address Date 8/12/11 BAREFOOT TRAC Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 16700 Application desc REROOF Owner Contractor HOFFMAN NELIGAN CONSTRUCTION (ROOFING) 2350 BAREFOOT TRACE PO BOX 49249 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247 -3777 Permit ROOF PERMIT Additional desc . Permit Fee . . . 135.00 Plan Check Fee .00 Issue Date Valuation 16700 Expiration Date . . 2/08/12 Other Fees STATE DCA SURCHARGE 2.03 STATE DBPR SURCHARGE 2.03 Fee summary Charged Paid Credited Due Permit Fee Total 135.00 135.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.06 4.06 .00 .00 Grand Total 139.06 139.06 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. A NOTICE OF COMMENCEMENT ''� i F-K SK t 5684 i u Ndmber Pages: 1 Recorded 08 '2 2011 at 01 49 PM Permit No JIM PULLER CLERK C:RCUET COURT DUVAL COUNTY Tax Folio No. 4,9:--1/4( 00 9, z .t RECORDING $10 00 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: _r- �� ~ a `'" ls���L. , C1�� rC � 2.General description of improvements: � C �� `ca \t,‘ 3.Owner Information a) Name and address: a I%ti Cers 7 } r� b) Name and address of fee sim a titleholder (if other than owner) Mcq h L r �k �% c) Interest in property 4.Contractor Information a) Name and address: , . - r ,.w i „ , _ b) Telephone No.: ^ c _ 4 - < ' : - . L • ,� , -- i5c No. (Opt.) 3 , 5.Surety Information ) r- l i a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: 7. Identity of person within the State of Florida designated by owner upon whom l notices or other documents may be served: a) Name and address: b) Telephone No.: 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: 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 SITE 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.; (,) STATE OF FLORIDA COUNTY OFD, 10. D.A.V Signature bf\Owner or Owner's Authorizi;d Officer/Director/Partner/Manager Print Name The foregoing instrument was acknowledged before me this 5 day of C�C . r 20 \ \ , by as (type of authority, e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed). Personally Known OR Produced Identification Notary Signature k. Type of Identification Pr oduced Name • (print). 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 best of ins -. w r , ? • elief • . ►�iL� _ ELIZABETH A FoRMSmroc,rvsazoio e+. .* MY COMMISSION # p0973751 ' EXPIRES March 22, 2014 ig t ,/ Signature of�atural Pe son Signing (in # 10.) Above 'ape p .. Poic at ry vlos.aom Otk BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: ok f'P oc,i- MI.( P... A k k h C s Permit Number: Legal Description tta- \ OR— a-, _ :::7kE Floor Area of Sq.Ft. Parcel # Sq o Valuation of Work $ Vo 7), CO Proposed Work heated /cooled n •Ft non - heated /cooled Class of Work (circle one): New Addition Alteratio Repair Move Demolition pool/spa window /door Use of existing/proposed structure(s) (circle one): Commercial Residential If an existing structure, is a fire sprinkler system installed? (Circle one): ' es • o Florida Product Approval # . For multiple products use product approva f orm k. , �r� c��rY�P�I� - VII_ (p 7 2 . Describe in detail the type of work to be performed: © c 1: O Property Owner Information: Name: CcYLi ?. 1 - otV me Address: a 0 � -- \n c,_. City -0.kr\ ic, r'1- State Fl Zip.,,), 33 Phone c,`35- G? l5.`7 E -Mail or Fax # (Optional) Contractor Information: ',et a .. • - t Company Name: \,- . '� Address: p.p, k a „t 4 Qualifying A ent: jC" h \Ap \' Office Phone 9' City Aiican � c.kv State a �o_ � c i(i , Job Site/ Contact Number �Of ip of � � 3aF5�C�'� 5 b'� __ `' 7 t-1 t} F ax # 5 ?a- l a 1 State Certification/Registration # C Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address 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 certi that no work or installation has commenced prior to the issuance o, f 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 f 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 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 certify that 1 have read and examined this goplication 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 s. 'cited herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or loca t regulating construction or the performance of construction. lb Signature of Owner ll � ..: / - 'IP r Signature of Contractor /-"*"..-- Print Name p � c Print Name Sworn to and subscribed before e Swo to and subscribed before me J this 5 Day of t; 4 ,- � 20 this Day of ( t � r , 20 0 , , w i . ; •- 6ZcIik.n: 4 111 i 1 it O Nota 1'ubhc .F,, :. ELI ''3 NE w�,.T 1%.e01#*.%LPi ANNE i`o_ELA -� ",�r Ill: f_ : ., LANGILLE = LA: E LANOILLE ' ' MY COMMISSION # DDE737 '~ '�= MY COMMISSION # DDp7�7 EXPIRES M , 20�� �: EXPIRES March 22, 201lev .ed 01.26.10 348,01.1 Flory 08 30 Fbofdallo1s ..00111 �,00ni