Loading...
Permit Roof Repairs 2109 Beach 2011 .6 ,, CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD J '' ° , 'e ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 ).ri v Application Number 11- 00002749 Date 10/07/11 Property Address 2109 BEACH AVE Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 3000 Application desc REROOF Owner Contractor BLOCKER BARBER & ASSOCIATES, INC. P.O.BOX 330249 DBA:ROOF DECKS LLC. ATLANTIC BEACH FL 32233 1514 BERNITA ST JACKSONVILLE FL 32211 (904) 744 -4067 Permit ROOF PERMIT Additional desc . Permit Fee . . . 65.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 3000 Expiration Date . 4/04/12 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: 2 -1 09 13EC.1 qvE Permit Number: Legal Description is -G3 -o'9 -Z s - 'Zs a .3yo Parcel # )(o'flZZ --ooSo Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ 3,000.00 Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New Addition Alteration CM)) .. Move Demolition 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): Yes No N /A Florida Product Approval # C L (oi . E3 For multiple products use product approval form Describe in detail the type of work to be performed: gc OF-i ►-'(0 f?ePs t e. Q •r PA R Axr W,AvA Property Owner Information: Name: (Tv (tL( S. J3 L ©C 12 Address: 21.09 QEnO4 A City p 'L3EAC.E J State F Zip 3z7 2 .," Phone E -Mail or Fax # (Optional) Contractor Information: Company Name: 13A4.6E2 -At.a IASSOra nT S Qualifying Agent: O N xi W a A 2.3 —III' Address:15 See 10 1' 1 4 Sr City ZAC St)Outt State Zip "c2.2 I. 1 Office Phone Gt •1'l`I"l L(061 Job Site/ Contact Number gtfl`A -M- l 4Ob'7 Fax # 4 ) o.-j 14y '\2 State Certification/Registration # al-- 0S) 1`i 1 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 f 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 ElectricalWork, 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 : s 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 g 'e a horny to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. / / Signature of Owne 1 ./._, �,, � , , i (� 1zL. -- Signature of Contractor .. Print Name r G . 5 6 L .0 -K C Print Name "iv 4 N SKS A Swo . •. • - bscribed b- • e me Sw to and subsc 'be before me this a al Li , ' 20 / th' Day of r . - • igRA , 201 emesmolommum Nola ' ;,1 ' ' •' •• I I l" ^ .� / N Ty ' ' ic' O '' '' EXPI • ebr ary t 2014 I • / » "' j : m COMMIS t DD 8)3146 • ; ;onded r i 'e • •ub ,inderw _ _ ! / Nj 9 f6 p F I Fl OP�� Bonded I RE B udgetNo i v ised 01.26.10 Doc # 2011089337, OR BK 15579 Page 663, Number Pages: 1, Recorded 04/21/2011 at 12 :22 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT State of floe ; Jet Tax Folio No. County of Ua04' 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: Address of property being improved: .2 loci 'B a ack ,y .e General description of improvements: Rgc. ; r kn ex,'<•.:Al jTt ,,<} -4.6r. Owner: C) 5 i dy %looker Address: 2,loq t3.caek 44 a c Owner's interest in site of the improvement: Fee Simple Titleholder (if other than owner): Name: Contractor: 5inw ce E r . - 1Rla-. Address: 423 0 Pablo of a 410.'0,4 C f i). ).,% \ Telephone No.: 164 4 237 - 95'63 Fax No: 9 oY �� - J /i9 Surety (if any) Address: Amount of Bond $ Telephone 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: Telephone 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 Statues. (Fill in at Owner's option) Name: Address: Telephone 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 0 ►' •i l Sty IF �•.i J. / _/ / Date: /— ^ // Befo J , e this / :y of in the County of Duval, State il 4it . ary Pub 3 :. i..0) i A . iorida, County off uva1. ` •