Permit Roof Bldg 8 1085 Atl Blvd 2011 `S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
0 'm : ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002730 Date 10/04/11
Property Address 1085 ATLANTIC BLVD
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 19000
Application desc
REROOF BLDG 8
Owner Contractor
HOWARD CONSTRUCTION LLC (ROOF)
580 WELLS RD STE 3
QA HOWARD RAYMOND CUMMINS
ORANGE PARK FL 32073
(904) 541 -1112
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 145.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 19000
Expiration Date . 4/01/12
Other Fees STATE DCA SURCHARGE 2.18
STATE DBPR SURCHARGE 2.18
Fee summary Charged Paid Credited Due
Permit Fee Total 145.00 145.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.36 4.36 .00 .00
Grand Total 149.36 149.36 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
RECEIVEd
BUILDING PERMIT APPLICATION SEP 3 0 2011
CITY OF ATLANTIC BEACH HoWPRd CO NSTRUCTION
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: loss-- . Pt i U I')h G i\vok Bo. Permit Number:
. 6-ZS- 2 , 7g 13 D E Cfr ,$Te0 `l r eae Vi- C:PP
Legal Description r i .. r 0 I y R' 3 3 — ii' 0 k Parcel # 11 3 9 -- C)
0 0 0
Valuation of Work $ /1,n DO • F 1 loor Area of Sq.Ft. 5 t
Proposed Work heated /cooled n - 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 spr system installed? (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: V({ roo 3O , j d t to o g
Property Owner Information:
Name: e t(Y C P \ nit si" Apt"S tO Address: 1 400 B ,St10 4V(, XZZ
City I dl A State Zip?ZZO<5 Phone 9014- 3 g B - 2225
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: 1"t () IAp vt"� (`�) iil,5``"((t�i C o r L L . ( Qualifying Agent:
Address: E - 3 \A. e I I S YLA Ci i, A • State
r L, ,Zip 31t)1
O f f i c e Phone 1 !0 ( . 1 - $ .,1 I - \ l L 2. Job Site/ Contact Number r' ' um -, , �., 4 ax #
State Certification/Registration #
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. 1 certify that no work or installation has commenced prior to the
issuance of a permit and Mat all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This perntit becomes null
and void f work is not commenced within six (6) months, or if construction or work is sus ended 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 Electrica - Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters,
Tanks and Air Cenditionets, 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 I have read and examined this application and Icnow the same to be true and correct. All provisions of laws and ordinances governing this
t pe of hereby 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 ofany other federal, stale, o local l construction or the performance of construction.
Signature of Owner it. '` ' Signaure of Contractor /
Print Name 9^ /Y-7--17)-02- I Print Name QQ V 0 •
Sworn to and subscribed before me Swor to and subsc ibed bef9re me
thist30 4- Day of l S5d.fi r c q, .P , ,�/ , 2011 this t� Day of , O{ f 0 b( , 20 (1
•
N f ary Public Notary P is 1"
�� JANET M. MEDEIROS Revised 01.26.10
I. I ii i ;�' � i = Notary Public - State of Florida or Any ft,. Notary State of Florida
My Comm. Expires Jul 17, 2015 ?" Jennifer Mic _ Commiaaion 1 EE 7!3847 <+ my C Pu blic k as'on DD928560
�� Bonded Through National Notary Assn. < o, aA Expires 10127!2013
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Florida County of Duval
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: 38- 2S -29E B DE CASTRO Y FERRER GRANT PT
RECD O/R BK 3373 -608
Address of property being improved: 1085 Atlantic Boulevard, building 8
Jacksonville, FL 32233
General description of improvements: re roof building 8
Owner Atlantic Arms Apts LTD
Address 4000B St Johns Ave #22, Jacksonville FL 32205 -9345
Owner's interest in site of the improvement owner
Fee Simple Titleholder (if other than owner)
Name
Address
Contractor HOWARD CONSTRUCTION, LLC
Address 580 -3 WELLS ROAD, ORANGE PARK, FL 32073
Phone No. 904 -5 41 -1112 Fax No. 904 -5 41 -110 3
Surety (if any)
Address 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):
THIS SPACE FOR RECORDER'S USE ONLY OuNE _
Signed: L .0 L. 1174-4-4-4-1, Q � 441 "— 11±1 DAtE
Before me this t30 'l-clay of tL Sr�.t t 1g in the
County of Duval, State of Florida, has personally appeared
herein by
himself/ herself and affirms that all statements and declarations herein
are true and accurate
'HOC rt LU1 ?,i1404,3. OR Et< :.‘,7 29 Page 499.
Number Pages '.
Racorried 10 042011 at 10:49 AM, Public 1 St�� '1 A C?)<
M FULLER CLERK CIRCUIT COURT DUVAL N ryPublicatLarge, State of L c
CO FUL My commission expires: sZTvly I'I ?, ,�,t,,
Personally Known v"" t l ;,d. s t i " o JANEL M. MEOEIROS
RECORDING $10 00 Produced Identification `i c: : notary Public - State of Florida
tie � c
• • c My Comm. Expires Jul 17, 2015
............. .F-+ Commission 0 EE 76847
Bonded Through National Notary Assn.