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Permit Roof 466 Mako 2011 :''''' t; CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002726 Date 10/03/11 Property Address 466 MAKO DR Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 7930 Application desc REMOVE AND REPLACE SHINGLES AND TOURCHDOWN ROOF Owner Contractor SALEM RAMSEY R RON RUSSELL ROOFING INC 638 QUEENS HARBOR BLVD 4419 HUDNALL RD JACKSONVILLE FL 32225 JACKSONVILLE FL 32207 (904) 636 -9909 Permit ROOF PERMIT Additional desc . REROOF Permit Fee . . . 90.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 7930 Expiration Date . 3/31/12 Special Notes and Comments NEED 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 90.00 90.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 94.00 94.00 .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: 10 Ai' © De, 4-1- , dk_, . Permit Number: .. 3 IA Legal Description ■�J �p� 3� --,2..S--(9 9t /( // 9 0 f ¢¢ i /D�/4 / ' P arce l # / 7� '/ g -- Coo 0 oa Floor Area of Sq.Ft. / Sq.Ft Valuation of Work $ ` - 9 3�' l Proposed Work heated /cooled 9 / non - heated /cooled 3/ 4o Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door Use of existing/proposed structure(s) (circle one): Commercial Re ' a - , , installed? an existing structure, is a fire spr system nstalled? (Circle one): Yes No N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: e..2.Move. ;)6stifc rice t- r -v';ul 1tt •I2o\cc.CQ U.1i{ -() N - Shente s 8 /Y1 Uct PZ.ed - tort h d own f2cDoen p --S Ste 4n, Property Owner Information: 0 Name: !2t in ,5&1 6. ,S /e(Y1 Address: 638 (QUC,P,T)S tl4rb0/ ,6ivo( City L T —A-4C 7l State''-Zip , 49,& Phone a -7 - 5 ( E -Mail or Fax # (Optional) Contractor Information: Company Name: gin 12-14SSel / epo - , ? , . Qualifying Agent: /�1)G. Id �,c.�. kb, SSG (1 Address: Y</ /q .// dn4 /1 Rd. C I City JiQ, State I C/ Zip , p r ) Office Phone 9'DY -a co-- ///g Job Site/ Contact Number `3oy— 3o6--- 9405 - o Fax # g(06— ,V 9— 4, State Certification/Registration # C"h.0 /3c'7 ' 4 / Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address '7 (- 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 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 thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied w' hether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federa tate, r local law regula g c 1 struction or the performance of construction. _ Signature of Owner Signature of Contractor '70) Print Name QL(y1 St , (..L Print Name ,�C.,U cu p u S 5. , Sworn to and subsc 'bed bef e le Sworn t and sub • 'bed before me this �"�`` of c�L:�1 & 20 1 this3° Day of s ',o, .., , ' , 201 . _'7i,► — — — — — — 1 SHEREE tl 0%,,4„ , A 4 4 40i / , / II;�.Rr.'rt;(AL! '� I l � 0 � 7 ' . :. . - J. AMATO Notary Pub . c , '‘ ` ' f - . Notary Public - State o fl otary Pus i �� .,s tY Pu6tic - State w Fbr1a Art, ? My Comm. Expires May t , 20 s. " , _ � ¢; � R Comm. ��Expires� t tot S ■ %�.P,; ; laldn6E12S `'. '".- � � � Commission 0 EE !9125 I Oct 04 2011 8:35FIM HP LRSERJET FAX p.1 Doc # 2011213930, OR 8K 15729 Page 3e, NOTICE OF COMMENCEMENT Number Pages: 1 Recorded 10/04/2011 at 09 :43 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL � J 6 COUNTY Permit No. O oZ.. RECORDING $10.00 Tax Folio No. /71 4 /15; 1 )— Q o 0 0 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. n I .Description of prey (legal deaerkaionk3/ - 110, -3 S - c:)S O g l�P OF b1 e /� y. I P t tr9 S' a) Street (Job) Address: iiiao Ma /[ r) ! .,11760v 1}�i. -/:► 1c Ad , 2.General description of improvements: Z2-D 3.Owner Information a) Name and address: PAMS A. S$ /err (31 QLe 1S /'f p, e- , uJa 7JLX PL 322L'S b) Name and address of fee simple beholder (if other ihan owner) A/M c) Interest in property(Lbre -- 4.Contractor Information a) Name and address:40 eas<t it 't �Ic. 4 1li9 ,tA.rl ,d. ,TAX �L 3 t, g"7 b) Telephone No.: e l o y -Gn -- /// $ h! Fax No. (Opt.) 5.Surety Information a) Name and address: )(4/4- b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: �!" O2E1/, Phone No. 7. Identity of person within the State of Florida designated by owner upon whom 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(l)(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 Irons 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, CONS OUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF C 0 CEM T. STATE OF COUNTY of I , ti11Et1E13 10. : PaMle • $I*S 011 S of • , . or ' , en's Auth., ' ed Officer/Directa/Pertn�cr/Mennger vary LU,an Egl as Msy en e • IIIHN v Print sore The foregoing instrument was acknowledged before me this day of , ,('` , 201. ( , by i .a (type of authority, e_g. officer, trustee, attorney in fact) for ! dl . • 1 (name of p ; n behalf of who s . instrument was executed). Personally Known OR Produced Identification \) Notary Signature A.- l f AR � � Wt,11Pll■ <a. Type of Identification Produced ' 1/i S [ Name (print) & tt L t _ .[ t..7 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 are true to the best of my knowledge and belief. P08,165n40crvsa2010 Signature of Nit ura1 Parson Signing (in line # I0.) Above