Permit Roof 726 Vecuna 2011 ff,
?� �,1 CITY OF ATLANTIC BEACH
. j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
4- - 4 ,011 t
Application Number 11- 00002753 Date 10 /10 /11
Property Address 726 VECUNA RD
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 5929
Application desc
reroof
Owner Contractor
ADDISON, NITA BEACHES HABITAT
726 VECUNA 1671 FRANCIS AVENUE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -1222
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 80.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 5929
Expiration Date . 4/07/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 80.00 80.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 84.00 84.00 .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 4.00
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 721 Ue Cu (Raab Permit Number:
Legal Description Parcel #
,„ Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ S � A 9 Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration • epair Move Demolition pool /spa window /door
Use of existing /proposed structures) (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): o N /A
Florida Product Approval # cA H/C /Es FL ;6613 - F r PI it q/,-
For multiple products use product approval form
Describe in detail the type of work to be performed: S 7 AH l Re Roo P t 6'se S 7t 0 Pa- a N PafdcA /fee0 2
J TTei 1 4 1 0, 0 is Re RooF
Property Owner Information:
Name: , 7 /Z? b i c l Address: 7.2 Le 1Je CU, rit Po
City t 191 - 1./4-1/tTc g e State flip ?,2233 Phone
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: 41kile 13 ei4ci es #441 7 6' 7" #i 64141 "1 Qualifying Agent:
Address: /6 7/ F/ 'tins ALA City /7TL4 N>~t`c 3eseA State FL Zip g 2 232
Office Phone ?ay AP Job Site/ Contact Number lay a38 5'17 / Fax # q -2 y / - y3 le
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. 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 p
ended or abandoned for aeriod of six (6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical 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 thisplication 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 /7010?-P-cliv-v- Signature of Contractor all / .
Print Name /V/ J d i S a Il Print Name NGL.O off
Sworn to pnd subscribed before me Sworn to and subscribed before me
this o2 � Day of S�. i-n "..,� , 201 \ this v.7.^ -' of S em io , 20 1
fi t � i _ ..... , , � ''\ JOYCE M. FREEMAN /f/ /..:.., ., ", ,,,,,•,
4 • Ty •. ' ublic 4 Notary Public - State of Florida • fit Pu • 1c
It,' M Comm. Expires Jun 1q, 2013 1 OrkIff‘'
£Notary Public •State of Florida ' -- � e e Commission # DD 897794 ` ^• dry�s q �rp{1Jun 1Q Y013
•
'a Ye Comfit iron N DD 897794
OCT -10 -2011 10:08 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
•
NOTICE OF COMMENCEMENT
..ttnit No. Tax Folio No.
State of Florida, County of Duval,
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property (legal description of property and address if available):
ecclrt+ MpAP p rk4 ref' S A4lr, FL
2. General Description of improvements: r�
U'cepI97f 5of`F3L /79et'9 � 1i ,rM 1.4-0010 00c.4
1 Owner .information: e 12 4W
a) Name and Address: ,N/ 1"A , ,:s oiv
b) Interest in property: O wtfrR
c) Name and address of simple titleholder (if other than owner.):
4. Contractor Information:
a) Name and Address: ta 9,4k:A s 11A6, i or Tom hiu iv,R
b) Phone Number: qty y/ IAz X
5. Surety Information:
a) Name and Address:
b) Phone Number:
c) Amount of 13o.nd: $
6. Lender Information:
a) Name and Address:
b) Phone Number:
7. Person within th,e State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7, Florida Statutes:
a) Name and Address:
b) Phone Numbers of Designated Person:
S, In addition. to himself /herself, Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a) Name and Address: _
b) Phone Number of person or entity designated by owner:
9 Expiration date of Notice of Commencement (The expiration date is one (1) year from the date of Recording unless a
different date is specified:
WARNING TO OWNER: ANY .PAYMENTS MADE BY TH.F OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART
L 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,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMM..1 NCEMENT.
The foregoing instrument was acknowledged before me this . 441b day of ?beg.. , 20! 1
1 ,I
.44 4 ' JDYC M. FREEMAN M WOTA Y PUBLIC, STATE F FLORIDA
4 ' ¢' rw Mori Public • State at Florida
J ` } I Mr C Expires Jun to. tots i Plitt Name: i�t.. + ,D
• "S:� Commission ODD 897794 t
t NV • _ : . --
tr . ersonally Known
❑ Identification/Type:
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.
Doc . 20112157)6, 5K 15735 rage 788, Signature of Property Pages 1 perty owner
Recorded 10/10/2011 at 10:23 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RkCQRDINc3 $10.00
Revised 10 /1 /2009