Permit Roof 600 Levy 2011 ,fi
✓el
N. ' ' ` � CITY OF ATLANTIC BEACH
) 800 SEMINOLE ROAD
O ' ; ,.� =' ATLANTIC BEACH, FL 32233
" INSPECTION PHONE LINE 247 -5814
X7331 9'"
Application Number 11- 00002531 Date 8/23/11
Property Address 600 LEVY RD
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 6890
Application desc
reroof sanctuary
Owner Contractor
FIRST COAST CHRISTAIN BRANNEN ROOFING, LLC
P.O.BOX 1027 1024 PEBBLE RIDGE DRIVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32220
(904) 813 -4967
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 85.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 6890
Expiration Date . 2/19/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 89.00 89.00 .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
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: tI 019 L LU y ed Permit Number: % f( ,-.3
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ (o 1 'W •c Proposed Work heated/cooled non- heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing/proposed structure(s) (circle one): MMI Residential
If an existing structure, is a fire sprinkler system installe 1 . r e one): Yes No N /A
Florida Product Approval #
For multiple products use product approve orm
Describe in de it the type of work to be performed: qe. (e-Oc 4 1102 ` �f�'NC1"b t f k) 1 -1 oa
�J�11v} e S - BEA
1wclu.�i ,i z,1��wTs a.,ot �� va ,�,
ep � Ile, �� � 1) �I+aGL�� t4c� 6 40.6
Property Owner Information: 11; ?i e D AT c..c> blb Li 'le . S e_ k u . c -1 ' (I'D. B. 4
Name: Su RISE VII o2S „o C ENTER) I t C
600 Address: >G� oA-b '
City 14-1 State Zip 3 ' - 1 . -5 '3 hone ((e atli 4 -1 67 ST
E -Mail or Fax # (Optional) Son r~1seat(' a be-li sv • , ne r
Contractor Inform : tion: d
Company Name: i . .� m -, N , 6°--C1 4 LL , .
Qualifying - :ent: e /I I t \ 10 Fro
Address: 0 BIASIT CAL E' l City ' .r u State Zip ZZ
Office Phone Job Site/ Cont et Number C I& , Fax # c''
State Certification/Registration # e. CC 13� ( 1s -
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. I certify that no work or installation has commenced prior to the
issuance of apermit and that all work will be performed to meet the standards of all laws regulatin construe ion 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 J�or o 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, W ells, 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.
1 hereby certrf that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this pe
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 provisions of any
other federal, state, or local law regulating construction or the performance of construction.
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Signature of . •'p er ��� , , — Signature of Contractor
Print Name Print Name
Swo and subscri . ed before me Sworix4 and • - .` J w! , d before me
this _,ay of t • this ( 9._)D t7. .y. ® f
+�► i _2_222_
Notary Public ta i . y P e �� , „ ..
S � .�, ,
O�it C N A. EELING
-- %� ' 'wt.. • y � •RRRR►►►► r MY OM i� DG 957760
c -State of Florida 1 � ' "' EX • RES• Fe� y yy� y�/�1 �^ � 10
Notary ;, -tjt-le: r. U fiJ 2
My Comm. Expires Dec 7, 2013R& Fhb' Bonded Thru Not• :u. is
— � • •
�, �� ��F. Commission � DD 944840
Doc 7 .1'01 ! OR BK 5692 Rage 308,
Number Pages 1
Recorded 08,23 2011 at 09 42 AM,
CULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.0Q
NOTICZ OF COMMENCIKENT
State of Florida =MT/
Canny of.
The Todersigned herby lams ail canannel that itmonnemodo wit be made to antle
real property, sod in accordenee with sadism 713.13 of the lklierita Mittrati the billisming
• informer= is shard in the NOTICg CODIDINKNOCINENT.
Description of property tt; . — f
Gemara desetiPtiegoi of h•Pavrealellis —1119101:11.--
owner 4 (L bii1r" 5 Oki.44,1, I I) a/4 c C.00■
Address
Ouner's imbue* is site Oen inprowenont$111114
Pee Simple Title holder (if saw than owner)
Nano SAMS
Addles SANK
(Id? Contractor BRAMIIA01 ROOFING LLC
(‘‘I Addams 1110401/2/BUIERIDGRD113Y214014011VILIALIL01111ht37220
Surety (if any) PONIC
*ens NIA .111111111111114 of Dowd SM.
Nana of want W I ia the It of bloolda dolinatail hy ounoar apes whom asroce or other
docurneuto any be
N ame rt, E
N..
Adams t km()
In eddies= to hin/boosel4 emir drolgran lie foilhodos penes lie maim a copy Otis Linairls
No** as progrided in Seam 713.13 (1)(0), Via is at Onnoes option).
Name SAMS
Afar's, MAME
TIM SPACERS FUR zaccoluares 1 01411.Y
My Cummon Rspins:
4 1.
owrinies PRINT= NADIR
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EN A—KEE,
_ 4c11 ‘V .ti Notary F - State of Florida
i d My Comm Expi s Dec 7, 2013
s----\.■=.% 16 V Commissi OD 944840