Permit Roof 62 Ocean 2011 A r rr
CITY OF ATLANTIC BEACH
t s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
"' INSPECTION PHONE LINE 247 -5814
Application Number . . . . . 11- 00002731 Date 10/04/11
Property Address 62 OCEAN BLVD
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 2250
Application desc
REROOF
Owner Contractor
ALVI TRUST LLC BILL SIMPSON ROOFING, INC.
62 OCEAN BLVD. 911 CESERY BOULEVARD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 744 -9238
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 2250
Expiration Date . 4/01/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 65.00 65.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 69.00 69.00 .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: ______624 kLr r '3 I Permit Number:
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.r't
Valuation of Work $ 2J 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
installed? an existing structure, is a fire sprinkler system nstalled? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product app orm
Describe in detail the type of work to be performed: c'U& t. 4 l4
,4- ever...
Property Owner Information:
Name: _ i , Y E L A•• ress:
City '/ /�,IgrL State ip �� 'hone
E -Mail or Fax # (Optional)
Contractor Information:
Company Name:13 r ‘ i. C' •,z '- o " 'N e.✓ e Qualifying Agent: 13
Address: ' 1( C. E .Sick T Vic City J4 Zip 3 IA- "
Office Phone 7 9 Z 3 4" Job Site/ Contact Number ' q 3 S .3 - b' ° Fax #
State Certification/Registration # CCC 1 3 2- 4a33
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 time after
work is commenced 1 understand that separate permits must be secured for Electrical - Work, Plumbing, Signs, Wells, Pools, F urnaces, 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 this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type 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
provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner "v`c az, Signature of Contractor z
i -
Print Name pn \ , S 54 ire '"'>t Print Name 1 0Q
(1- 9L 7(oSOSy645( 6
Sworn to and subscribed before me Sworn ,o . id subscribed 1 e
this ZZ- Day of , 20 1 ( th'�' ` Da of 6 C! G ld - 20/
t 2 (. ' ` :�; vas:►. - -
Notary blic ' �R ` �I8AVOL;'E -`-
# DD 627607 • (� E
* C MY COMMISSION * •� +_ MY oMMISSio 4 957760
EXPIRES: February 27, 2011 - cXPIRES: Feb : , 1 W1se 01.26.10
+
' -, §) Bonded Thru Budget rotary Services t� � ° Honded Thru Notary public Un erwriteis
1 4' of --
Page 1 of 1
NOTICE OF COMMENCEMENT
Penns No Tax Fel.o No
Stateof - lrlr.dc. County of T),, tir et i
To whom k may Concern:
The undersigned hereby Informs you that Improvements wits be mad* to certain real property. and In
accordance with Section 713 of the Florida Statutes, the following Information is stated In this NOTICE OF
COMMENCEMENT. y �} / �]
Legal descnotion of property keno improved Y' t T I ( C; '2 .2�(3 - 0 I 0 (j
2,1 — 2 5 - Z 9 E e e cr_ S I ci € cr4 1-1-1-/a ,k f • 1 c- P) et L c-k
cc, Ack,v1 +u 1%)WS
Actress of property Den emom,ea 1 72. C C C? y air. t ) c , L ,1 t' u . o.. V (.4 A + f , G fE'_c �_,, hi.1 / ` � C3C� 3 " ___a
General d/SCnp2,On of improvements P-e - v ' e1 4•
0.4net 5 • ,' i e_ ,. k --t- a. +, c. {]F c i t COride r ' )t-E.1111 5
Address ?2 Jett; Q., )(..: -A _v'(:rd1 ;" i 1 et eel, c- Or; , - h - rt.. 3
Demers interest in Nth 5 cf the imgrcvement r e...e S : i n t /
Fee Smtpte Talenolder re other than owner,
Nam*
Address
Convector ; V. �t yip � �� c 11 12 or , rt c 2'v
Adores: 11 C eSecy ,^t- yc". v` « (1 3, S0„%.11' E70ir dc.3221t
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j Phone No 04- - c{ 2 ..----). ( Fax N O 90`f- 744 - ' 1 aj2 so
�"` Surety Of enyl
Address Amount of bond S
Phone No. Fax No
Name an actress of and pe *so' maimn a :'Car fo :re constructor; of ire ernpro,tments
Name
Address
Phone No. Fax No
'' Name of person within the State of Fionda. otter than hmself designated by owner upon +:hem noteces or other
documents mai be served
Name
Address
Phone No. Fax No
In ad0R10n to himself cane( desygnales the fo 10 ng person t0 recei•.e a Copy of the Ueno(S Notice aS pf0 oe0 in
Section 7t3 06 <2r ;b: Paola Statutes tFi4 m at C her s Cp■on
Name
Address
Phone NO Fax No
Expiration date of Nobce of Commencement t the expx Avon date O one I I) yew from thee ate a recording unless a
coherent data es xpeuned t
THIS SPACE FOR RECORDER'S USE ONLY • ,1 / OWNER
L l l
bead✓. re S, `* '�Y ry � :•"% 4 ,
Canty ai Niro, 44 or Fero*, +w Aort nr ty .
ik Li theirs S Pti inn rr vi
haisad rani, and alarms e,a all Maemeres and
ire Inn r 3 aemee.
3OCA 201 I197363. t R bS'IS %Utj Page "i, \ � '-"\
Number Pages: d hntry tar SIAM Or WI
Id-t- Ck " x -,_.,. �.4
Recorded 09/03 %2011 at 02:54 PM, urre,,,,,wer - t
JIM FULLER CLERK CIRCUIT COURT DUVAL s Fm h, M,aon 'Z ii. -tv 0` .,.
COlfNT! C. Fite 3.. 4.- 3•i• -t- - It- rr -
RECORDING $10.00
MEUNDA FRIEDUN
f v - p ` Notary Public, State of Florida
; Commission# EE 106116
"" 2015
'' My comm. expires Ju 23,
Friday, August 19, 2011 AOL: Richardson7751
Pagelofl
NOTICE OF COMMENCEMENT
,aR[o,RE d+DUV.+: A7E.
Permit No. Tax Foho No.
State of I:-IoridA.. County d. riar&sin t
To whom 11 may concern:
The undersigned hereby Informs you that Improvements vial be made to (attain raM property, and In
acogdance wilts Section 713 of the Florida Statutes. the following information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property bemW improved' Q t # 1'7 C) .2.24) ' 0/0 g
2{ _ 2 c _ 2. E Spa S ■ I dR.- (-,-C A4-/antic_ 13erLc4
CD nelc NI i u 1 t) WAS (�
Address of property being m t
Krowed 12 e Ceato 1 (y 'di e J a. v c-
q +tai`* c (3ec c...L, g ior,'dc 3z2.-33
General description d inn rovemsnis' R.e - v 0 C
cmAse S- ft ' e-.,C M o +f c- 6ec�C L' Co.i&m, Lu i
'7 C
Address - - r, Idling 1 �, t Z
Owlet's interest in site of the nprcvement FLe ‘'✓ fn t �.
Fee Sarple Titleholder of other than mew)
Name
Address
Contractor ? ) ■ \k S t ryl 05 C Yl R- oc -r• et c h C_
AD6rfm eSLnr «Vi Rra .. ' .t1 - aldw3- I
`w�((( P1cneNo. ' O-7I4- rf2 r � C) Fax o g0 `f ?44_ Qj2 "S C�
Y 1 v 1
surety Address
,IJ Amount or bond s
Prise No. Fax No
•- Name and address d any person making * low for me construction of the improvements
Name
Address
Phone No. Fax No.
Name of person wane the Stall of Honda. outer than MmsMf, designated by owner upon whom notices or other
documents may be served
Name
Address
Phone No. Fax No.
In addition to himself. o«ner das+pnates the btloav+g person to receive a copy d the Liana's Notice ad provided t
Section 713 OS r2) (b) Florida Statutes !Fit m M O. her s Won
Name
AddreSS
Phone No. Fax No.
Exprabon date of Notice of Cemma +amen (the expiration des as one (1 t yew from the OM* of recording ides •
different date is speot+edi
THIS SPACE FOR RECORDER'S USE ONLY I ^ i A9,' ° ` Q ��
. • / .. -- OATS l _I 1 '
Neon 0141 Neon ere - l't+ .esrt' re
Caaay at • d fr*da. nw - .. .. Ailllir.
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Doc 7i 20'11197363, OR ti s "151 ub Page 243'1. 1.
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6
Number Pages. '! M �^ n
Recorded 09!09 %2011 at 02:54 PM, fay ';s^a"obb^a's'n► er
Jill PULLER CLERK CIRCUIT COURT DUVAL we re+ rL 0 ,
COUNTY Cc3(p'33�- 51-1V1 —o
RECORDING $10.00
MELINDA FRIEDUN
4' - P' Notary Public, State of Florida
I A Commission# EE 106116
l My comm. expires June 23, 2015
Friday, August 19, 2011 AOL: Richardson7751