Permit Roof 365 Sargo 2011 t , .
r CITY OF ATLANTIC BEACH
r-4 A 800 SEMINOLE ROAD
0--c, s ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002645 Date 9/19/11
Property Address 365 SARGO RD
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 5200
Application desc
REROOF
Owner Contractor
KIERSTEAD ELIZABETH B/E DAVID MERRITT CONST. CO.(ROOF)
365 SARGO ROAD 108 FLORIDA BLVD
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 993 -1697
Permit ROOF PERMIT
Additional desc . REROOF
Permit Fee . . . 80.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 5200
Expiration Date . 3/17/12
Special Notes and Comments
NEEDS RECORDED NOC PRIOR TO 1ST
INSPECTION
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
PERNHT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
2011 -09 -19 11:38 Building Dept. 247 5845 >> 2202573 P 1/2
Du 1LJJIIN tr r L+ K[V111 AYYLILA 1 ION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247 -5845
Job Address: 314' ' o /2 - Permit Number:
Legal Description Parcel #
Floor Area of Sq.Ft. Sq_Ft
Valuation of Work S 5wo 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): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval # Pi 1 C( •(p • 1 / 5 - /' 1 1 9 L 9
For multiple products use product approval form (,
Describe in detail the type of work to be performed: l�� ro
Property Owner Information:
Name: Ki es Address: 343$T Ste -,79 D Rd
City ,dl k. B (n State C(.Zip 372.33 Phone a 4 of —/ Q G , 3
E -Mail or Fax # (Optional)
Contractor Information:
Company i V I M
c &// ✓l & Qualifyin Agent: /14 ! s Sit �il e/�✓1 1
Address: f *S CZ (o City cJ , State (:- Zip 32 7 3-3
O ff i c e phone o 1 q 3- I k : . - 1 job Site/ Contact Number 3 - / 6 , 4 "7 Fax # e:Z:).O - R '/ 4 S/
State Certification/Registration # C CC_ 1 3 2- 5 `7
Architect Name & Phone #
Engineer's Name & Phone # ___,
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Narne and Address
4ppllcation is hereby ade to obtain a permit to do the work and installations a indicated. I certify that no work or installation has commenced prior to the
Issuance offa permit and that all work will be pc ormed to meet the standards of all l•ws regulating construction in this Jurisdiction. This permit becomes null
snd void, work Is not commenced within six (6J months, or if construction or work is suspended or abandoned for a_ period of= (6) months at any time after
work Is commenced. / understand that separate permits must be secured for Electrical Work, Hamburg, Signs, Wells, Pools, Furnaces. Bailers, Healers,
Tanks and ftlr Conditloncrs, de.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT ]N 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.
hereby, ecru.& that I have read and examined this application and know the some to be true and correct. All provisions of laws and ordinances governing this
ype 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
arovistons of any other federal, state, or local taw regulating construction OF the performance of construction.
signature of Owner Signature of Contractor,, /
)tint Name E�l 2�,I,, beik .ki er5]- Print Name A el <SSCf %vt elexei74
sword j 201 / and subscri ed before me Swoi subscri • e • b- % re m
his t Day of f . th' / Day of - .I • 20
Slo Public ` DD926677 • • my
' ` 1Rr 3 septem 20, 2013 Revised 01.26.10
407) 395-0153 "c, "2ry`civIcJ ccrm
Th o/7o
SEP -19 -2011 12:46 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
2011-09 -19 11 :38 Suitding Dept. 247 5845 » 2202573 P 2/2
NOTICE OF COMMENCEMENT
Permit No,1 ._ -. Tax Folio No.
States of Florida, County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commertcetnent.
1. Daxcrip of pro (Ie i dcacript' f p rp DKty and addreass if available):
2. General Description of improvements: IS
3. Owner IrzCvrrristion: � � ' .�V4 ��'� �( � . U f'i � � zi 2�
at) Name and Address: , 3
b) Interest in property:
— T
n) Name and address of simple titleholder (!f other than owner):
4, Contrtsctor Information: `� p
4p, m ) Na and Address: �# Vl'd CI g sal S 'i - CO 4-4? ( PO Ira •s- ?S--2(�, d i0 R 3 zzytS
" ) Phone Number: ( to q 7
k i ) 5. Surcty let rormation:
a) Name and Address:
b) Done Number: - --
c) Amount of Bond: $
G. Lender 1nforrnation:
rr) Name and Address:
b) Phone Number: ( - -
7. Parson within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7, Florida Stag:
a) Name and Address:
b) Phone Numbers or Designated Pers _ .
13, In addition to himselt /herself, Owner designates of to receive
a copy of the Lieanor's Notice as provided in Sccton 713.13 (1) (b). Florida Statutes.
e) Name and Address; _ / .. _
b) Phone Number of person or entity designated by owner:
9 Expiration date of Notice of Commenoemee(Thc expiration data is one (1) 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 ]N YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR. PROPERTY. A. NOTICE OF COMMENCEMENT MUST BE RECORDED AND
FO TEU ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOURINIOT10E OF COMMENCEMENT.
The foregoing instrument was acknowledged bcibre me this 19 "day of . 2 0 / /
4 �/ N Q ow
ARY PUB1,4C, STATE OF FLORIDA
Print Name: ._ i. CW 1_ cd ' k GWt. tt
' - EPersonally Known
0 Identification/Type: - —
Verification pursuant to Section 92.525. Florida Statutes. Under penalties of perjury, 1 declare that I have read the
6:Regains and that the facts stated in it are true to the best of my knowledge and belief. _ 1
L]Oc: # 2(YI 1203460 OR a K'15715 Page 311,
� . , �,, ,, ec a -; fi
Number Pages. 1 �� .`'"s $jyy 4(3A1I1k fi ` j492BroT
Recorded 09/12:2011 at 01:00 PNE _ ; :�^ FXPI =3 P m r 20, 2013 T
JAM FUI_L R Ct,ERK CIRCUIT COURT DUVALra,,.Y ,,�,
COUNTY ,,,na3s
RECORDING .
(10.00 Revised 10/1/2009