Permit Roof 2248 Barefoot Trac 2011 \11. CITY OF ATLANTIC BEACH
0 800 SEMINOLE ROAD
`� a '" ATLANTIC BEACH, FL 32233
x °.. INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002746 Date 10/06/11
Property Address 2248 BAREFOOT TRAC
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 14939
Application desc
REROOF
Owner Contractor
STERNFELD INTEGRITY ROOFING SYSTEMS
2248 BAREFOOT TRACE 5570 FLORIDA MINING BLVD
ATLANTIC BEACH FL 32233 BLDG 300 STE 310
JACKSONVILLE FL 32257
(904) 260 -1372
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 125.00 Plan Check Fee .00
Issue Date Valuation . . . . 14939
Expiration Date . . 4/03/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 125.00 125.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 129.00 129.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Doc # 2011215810, OR BK 15731 Page 1012, Number Pages: 1, Recorded
10/05/2011 at 01:36 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
NOTICE OF COMMENCEMENT
Permit No.
Tax Folio No.__1�
THE I'NDERSIGNED 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 CO>VIMENCEIVIF.NT.
1.Description of property (legal description): � Q
a) Strcct (job) Address: �k n): aj_ _ -_ 'S °9� 1�9�1 .5_' a ] -„7S �trjE A.,- �& /jg
2.General description of improvements. /f �*' 13
3.Owner Information
a) Name and address: `� _ / ? ad? i 8 ,a>x�
b) Name and address of fee simple titleholder (if other than own . � � 2
c) Interest in property l
4 .ContractorIrriormatio n •
a) ?Name and address: . R • ■ ' •
.� - - • — .- • j „ ,� ,�
S.Surety Information 3 — Fax No. (• rt,) Jk — ZS�
b) Telephone No.: — p
a) Name and address:
b) Amount of Bond _ - - - - --
c) Telephone No.:
6.Lender _Fax No. (Opt.)
a) Name and address:
7 Identity of person within the State of Florida designated by owner upon w omnori es or other documents may be served:
a) Name and address:
b) Telephone No.:
B.LI addition to himself, owner designates the following r.� No. (Opt.) —
7 :3.13(1)(b), Forida Statutes: g Person to receive a copy of the Lienor's Notice as provided in Section
a) Name and address: _
b) Telephone No.:
9. Expiration date of Notice of Commencement (the expiration date is one year from t e date of recording unless a different date
is specified):
WARNING `Il` G TO O ;,'Ni ANY PAYMENTS MADE BY THE OWNER AFTER TIDE 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 RECORDF,D AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTALTN FLNAVCL'NG, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDL'NG YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA ✓�? '�
COUNTY or PINELLAS -
1 ().
S enamre of Owner or Owner's Auo Of iccr "' ector /ParttncrManage:
Print Name
The foregoing instrument was acknowledged before me this y 1��1 20 ;
�{ day of , l. , by
(type of authority, e.g. officer, trustee,
attorney in fact) for _ oz, y _ c �
(name of party on beh of rim in was executed).
Personally Known �R Produced Identificat /
} i Notary Signature �' ; —
Type of Identification Produced y
Name (print)
OR ,: " ` s KEM
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare t Notary Puie ' State at Florida
the facts stated in it arc true to the best of my knowledge and belief. J �� r@�d 3t 20T5
` --7 ,� A i
:` Commission • EE 4542Q
! ( �� j- ISr : or rte -
FoxtsTOC�,a otc Bonged Through Nalional Notary Assn.
.S of Natural Person Signing (in line;` 10.) Above
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: L27 e, frG c-XGs6' i.3 Permit Number:
Legal Description <,4), ' f -a.; J U 9 a; s -a9 E Parcel # /6 1 y, 3 - (i5 - '7,2 1 ■
_ Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ /`/, Proposed Work heated /cooled non - heated /cooled // 7
Class of Work (circle one): New Addition Alteration Repair Mo - • emolition 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): - - ' o N /A
Florida Product Approval # C /o/d c
For multiple products use product approval form
Describe in detail the type of work to be performed: tee./t. � r* . %
Property Owner Information:
Name: 6 Address: 0? 03 c4' 6/9/2-e 7:6fr! e-
City -ntl 7c- e -Ga State / Zip,3 - Phone U V' a9G - ��3J
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: Integrity Roofing Systems Qualifying Agent: 3 osE KPH sp mPr. .Es
Address: 5570 Florida Mining Blvd. #310 City Jacksonville State FL Zip 32257
Office Phone 904/ 260 -1372 Job Site/ Contact Number Fax # 100 ILO- 1355
State Certification/Registration # C' CC. 13. 7 S4S
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 certi6, 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. I understand that separate permits must be secured for Electrical !Fork, 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.
I hereby certify a 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
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 regulatin: co truction or the performance of construction.
Signature of Owner IMO Signature of Contractor
Print Name dri Print Name , ,o
Sworn to . d subscribed befo e me — — — — — 4• - end subscribed before me
this 4( ii ay o I) _ 1t / D \_ Erma KEN R. Stdtis _ Day of Cl C77s • , 20 /t'
/ Notary Public • State of Flor d a r
• • • 4 My Comm. Expires Jan 9, 2015 Z
Notary r'7`ffF';`jli s ,,," ► �;E Commission A� E l v Y � �►srer �.T..-
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Bonded Through National Notary ssn. n. • Notary ubliq Statep F
:pi Joy MaCI V�.M10
My Commissio, EE007576 ir
or no Expires 07/08/2014