Permit Roof #36 2233 Seminole 2011 lel
d At N I CITY OF ATLANTIC BEACH
r , 800 SEMINOLE ROAD
0 ,, , .� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
4 1141SW
Application Number 11- 00002583 Date 9/06/11
Property Address 2233 SEMINOLE RD UNIT 036
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . 5600
Application desc
REROOF
Owner Contractor
NASRALLAH KAREN M. MULLIGAN CONTRACTING, INC
2233 SEMINOLE RD #36 6380 PHILLIPS HWAY #103
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 838 -9868
Permit ROOF PERMIT
Additional desc . REROOF
Permit Fee . . . 80.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 5600
Expiration Date . 3/04/12
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 PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233*
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: • s to , ' . r' Permit Number: // °? ST-3
Legal Descriptio I- o ^ ? 5. 0 9 &" ` e cce '
a,.d�,„�.f Parcel #
C�••av ' �1`,S� o tie
Valuation of Work $ S6�. F oor Area of Sq.Ft. S Ft
d
Proposed Work heated /cooled / 7e' 7 n heated /cooled �e,.."
; ?aeon f
Class of Work (circle one): New Addition Alteration Repa Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial '
If an existing structure, is a fire sprinkler system installed? (Circle one): N /A
Florida Product Approval #,C S3 3 t Aso 1 5 3
For multiple products use product approval form
Describe in detail the type of work to be performed:,('_ _ 2r„-s" e e)e G c, �,, f ) Q
Ac „ ,,�,`f� w► /...,t r,". e-4' use c...,.Z
Property Owner Information:
Name:`tigeAr�%r5Aeld Address: c2a 7 �3t c:P■y2,,„' 4 4 ..41 .74"
Cit • ,a7'/,o.,,f,L ,R04 Stated Zip ,3z 7_, Phone - z?
E -Mail or Fax # (Optional) ��'
Contractor Information:
Company Name: yyl(/ / � f Qualifying Agent: �r/,t� L7 el, M/Z //S J
,(o
Address: 3 igj' /f , e t-. s .�, u ,` ,�e State Zip z-z /�
Office Phone 9-3p �� j ...- City `i Job Site/ Contact Number
9 036Y Fax #
State Certification/Registration # Cr c, /.a cT y J3
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 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 aperiod of six (6) months at any tine a, fter
work is commenced. 1 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.
I hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisi aws and ordinances governing this
.type of work will be complied with hether s.eci aed herein or not. The granti on.. of ng of a permit does not presume . gi authority to violate or cancel the
provisions of any other federal, state r l, Nll'. w regulating constru ',n or the performance of construction.
Signature of Owner / ``
Signature of Contr. ��
Print Name ... vim/ .�. l ' ,1.. Print Name 4JJ"/?/Gk 4S d l /� //
Sworn to and subscribed before me Sworn b �ct`subscribed b ore i
�-` -
this(&P�' Day of X r 20 this Day of � , 20 //
D otaty Public / ;,, :, ._� ____... ~km—" !r �
* NOtary : "� n
MY CO # DD737032 „'' � �
:�• "�" � "�'' Y CO MM ISSION #2 p134• 15 rs
of itir XPIRSS November "' � EXPIR may 21, „�� e 1.26.10
' • 8•` er26, 20
40) 398 - 0153 plordallotarySenica , com •. � ,4 BOn ThN�
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No.
Tax Folio No.
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.
, .
Legal description of property being improved i - 4. '' ' ' e ' / ''''''
Address H77ty being improved; ,.. - 7 --'.1''---"'''-.-3--'---L'---.--- _, ,,,'" , t r i
General description of improvements: 1,
Owner ..,,<-`;,-;.. ‹.----- ,, ,- <, 4/
Owner's interest in site of the improvement
Fee Simple Titleholder (if other than owner) - ., •,,,,-
Name /
Address
C ontractor ,--,..,-, , , e , . , 7 ., e , -,
e i c i l
Address 1 '' -- - ,-, -, i l ,
V ti Phone No.. / .. "' ,
Surety (if any) Fax No. ,
Address 7.
Amount of bond $
Phone No.
Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No.
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
Address
Phone No.
Fax No.
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided 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 recording unless a
different date is specified):
7'
THIS SPACE FOR RECORDER'S USE ONLY ' - ;(e OWNER
CO
-
_ __ _ . 1/ i 6vL i ii
Bet
himser"eSignedime: DATE herse affirms that alt sta ' . ' . ...;:45,‘.. V. :P::%,,I: f :A " IC 0 . H nin y l.. i .. - - - - - E D 0 .
N S # TE DD P37E-;;;7
Number Pages 1 // 737032
C°4 St:Vtegef Florida, Ff t/i/a appeared
... -- - 10.-'41:pr,,,,,,....... ''l V\ P1REMSA4Niovember 26, 2011
are true and accurate
Doc g ZU I t lv,5673, oR Page 12 i 8
: is, • .
I
Recorded 09,08,2011 at 03 48 PM,
i d /
JIM PU1 LER CLERK CIRCUIT COURT DUVAL /
4 7 icr
COUNTY
My commission expires_e_
RECORDING S
Personally Know
or
Produced Idenftlicadon