Permit Roof 299 S Nautical 2011 4 Ait-
CITY OF ATLANTIC BEACH
ti 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
-- VII A
Application Number 11- 00002695
Property Address 299 S NAUTICAL BLVD Date 9/27/11
Application type description ROOF PERMIT
Property Zoning
Application valuation • TO BE UPDATED
• 5900
Application desc
REROOF
Owner
Contractor
CASTLE CORP .
RON RUSSELL ROOFING INC
299 NAUTICAL BLVD.
4419 HUDNALL RD
ATLANTIC BEACH
FL 32233 JACKSONVILLE
(904) 636 -9909 FL 32207
Permit ROOF PERMIT
Additional desc
Permit Fee 80.00
Issue Date . • Plan Check Fee .00
Valuation . . . . 5900
Expiration Date
3/25/12
Other Fees STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2.00
2.00
Fee summary Charged Paid
Credited Due
Permit Fee Total 80.00
Plan Check Total 80.00 .00 .00
Other Fee Total �00 .00 .00
4.00 4.00 .00
Grand Total 84.00 .00 .00
84.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
ob Address: Z f? N O Tf e-A- iSj.Vb. 3 . Permit Number:
.egal Description Parcel #
Valuation of Work $ S 900, e-o
lass of Work (circle one): New Addition Alteration e • - ) emolition pool/spa window /door
use of existing /proposed structare(s) (circle erne): Commerb • I esiden. .
t" an existing structure, is a fire sprinkler system installed? (Circle one): ` es
lorida Product Approval # • $ , , 3
or multiple products use product approva oral
lescribe in detail the type of work to be performed: Rorof Ov &Xe5Ta1/41C,. s fi (t LL 5 (.4.) 3O y �
w (re L. 5f t ■k <CS
ropertty Owner Information:
ame: eAS1r4E (JV? f q Address: Z ? Ni41Jr /c#L Bt. 0. S.
ity !7,t) P C $ State EtZip 3 233 Phone e ¢
-Mail or Fax # (Optional) 3 3 3 ' 64,0 7
ontractor Information;
amp any Name: Rs S Roof-WC,- Wc, Qualifying Agent: l a- L) I�vSS -C L
ddress: 44(? pop Nil -C.L �D.
City State r t Zip 3 Zk O '7 ffice Phone0 040 �►� •F - /9 p '7 Job Site/ Contast Number (7c ZOO 1(1 a Fax # (9p f) G. 3 & - qqe 9
ate Certification/Registration # CCG /3 Z 4 g
rchitect Name & Phone # ti,
igineer's Name & Phone #
;e Simple Title Holder Name and Address ek &i 'sr l )CKSONvk . E
)ncling Company Name and Address
ortgage Lender Name and Address N/
plication 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
uance 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
d void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned fora eriod of six (6) months at any time after
irk is commenced I understand that separate permits must be secured for Electrical Wong Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters,
nks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
CO1VI ENCEMENr 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.
reb certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
e 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
'visions of any other federal, state, or local law regulating construction or the performance of construction.
�I \
nature of Owner Signature of Contractor
nt Name 0 L U E12- KiLe r Print Name (111 OC D 7 i)$$ eti—
rorasio and subset- =. be or me Sworn d subscribed before . e
s Day of ,..- 20 this ,11 of Seelemi, - , 20 /
tary 'ublie Notary Pub' O Mp,� - v ,2.aa"
, :e$ tis O y3. 1
_a. ‘` C CS wL 4y` evi d ®1.26.1®
3 6 tiy'a ocoasNos
____ �� rmum CLERK OF COURTS 904 270 1512
TO :92475845
NOTICE OF COMMENCEMENT
P:1/1
+��a�.NCEMENT
(PREPARE IN DUF'Lit:A TE)
Permit No.
State or_____ �'°f
.F [ �„ },� Tax Folio No.
To whom it may concern:
.tllAct
The undersigtred hereby of p
acdonia with Section h y of the y � im rovemardS will be made to certain real property. and in
COMMENCEMENT. Florida Statutes, the following information is stated to this NOTICE OF
Legal desctipt of property being improved: r,�G 1
q iv •
Addrt a ,. of property being improved: 2.Qq A 141
'
:t1 .. L--1 2,:)... 2,:)... +:19 $f � ArNTiit
General description of Improvements
Owner ` '�( .z.>
•
Address - �`
.t . t. .l _ t r 7 _ M
Owner's interest in site of the Improvement I 2
Fee Simple TitIshi (if other then owner)
Name
Address
Contractor - n1 R.
Address _ `__ � .� � A c � � r �
Phone Neap* ? ti t t 8 . • • "�"— .. ' T
Suety (r[ any) - --- Fax No. .— • a.
Address i ►:
Phone Na Amount of bond $
Fax No.
Name and address of any person maldrtg a loan for construction of the 'mplouements-
Name a ..1
Address
Phona NO
Fax No.
Name of person within the State of Florida, otherthen himself; designated by owner upon who notices or ether
docUmentS may be served:
Name ' • ' 0SSet,C POOP/
\ Addn�ss / • r1/ • .
Phone No- 4 Q4 " � .GO — I f ► `` - .
Fax No.f.gpAll
In addition to himself, owner tlesignetes the following person to receive a copy of the Uenor's Notice as
Section 713.08 (2,) (b Flo Statutes. (Fill in at Owners option), provi(fad in
NOM* 1
Address { "' r.
Phone No. �~ fax Na
0
dlt Tr date of Notice of Comma .. n (The expiration data is one (1) year from the data of f e unless a
dgferent ent d date is specified):
THIS SPACE FOR RECORDER'- USE NL'Y OWNS
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Number Pages: 1 are hueand axurate
Recorded 09,2612011 at 09 :,35 Am.
1!M FILLER CLERK CIRCUI COURT DUVA1.. 'i . c��
COUNTY
RE=CORDING 510 .1L1�
Notary Public Large. stew or � �/n',t ti' r . �
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