870 Hibiscus St 11-00002854 Roof v
CITY OF ATLANTIC BEACH
1 j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002854 Date 11/07/11
Property Address . . . . . . 870 HIBISCUS ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4800
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Application desc
reroof
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Owner Contractor
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MARCH, JOSEPH TOWNSEND ROOFING &
870 HIBISCUS STREET CONSTRUCTION SERVICES
ATLANTIC BEACH FL 32233 2771-29 MONUMENT RD #338
JACKSONVILLE FL 32225
(904) 645-0796
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4800
Expiration Date . . 5/05/12
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 79 . 00 79 . 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: $ -7 f �'I5 L�►S S"r Permit Number:
Z 151
Legal Description 15-D39 3�'Z7'Zig }l I '"'1` S�` l�` `1 ys `Parcel# 1 �7 _S-/ C C
0 0 oor Area o q. t. Sq.Ft
Valuation of Work$ `b0' 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 esidenti
If an existing structure,is a fire sprinkler system installed? (Circle one): es No,,,. N/A
Florida Product Approval# FL I C, f Z `i
For multiple products use product approval orm
I% PIS« s 11,x,(mss -7f
Describe in detail the type of work to be performed: � � � ����tK � I—�
GA-F- L;kxtil 15 4 9zw �Ll k
Property Owner Information:
Name: M qct,k I J 0 1 C P1. Address: %7 C
City AA+ L State Zip 32. 33 Phone 01. Z-Ltl- 55 1,-1
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: I C SZ Kd, '• 5 � 5OeML!' uali ing Agent: f-A h)j
Address:lG`118 N��►�cr�4h �d ( S City e��: State �C Zip
Office Phone `10'I - b`f S-5 g R7 Job Site/Contact Number"vis q 0-j-y-7 Z-L1 LM Fax#
State Certification/Registration# 6t,(- 1 S Z-�,Z-0
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 a_period 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, urnaces,Boilers,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 here b certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type oVIwork will be comp ' with whether specified herein or not. The granting of a permit does not presume to give a riry to violate or ca the
provisions of any other fe eral,,state, or local law regulating construction or the performance of construction.
r
7
Signature of Owner ���" Signature of Co ctor
,(�/� ( /� Print Name .... . ......N...............................................................
Print Name . ,5 ...........M ' .....`-.... `'.r Y.�+�' .. .
Sworn to and subscribed before me Srn to and subscribed before me
this `fit'" Day of g!e 20 t s �Day 20
11
NO u ' �`'� Notary Public-State of Florida ;a b lCtary Public-S to of Florida
•'My Comm.Expires Mar 25,2011 • My Comm.Expir s Mar 25.2�1� sed 01.26.10
'••; �,�1� '�• commission#E DO 974821 '"'�','�oF.� ,r Commission#E DD 974849
Ff
NOTICE OF COMMENCEMENT
02REFA.RE 1%CUrLICA Et
Per-it No Tax Folio No.
State of Ic c,,.ti County of ? AV-A
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.
Le-g3' description of property oe ng improved:
dei- H N 4uel- Df $ 1+511T Lr G IL I5`I -L7"7
70t7— 2- of
Add'ess of property being improved: 7 �' r S t�\S 5 f..-
(hh+i , ` 3LL'3-3
General descrption of improvements: G - LAI
O•uner /11 1 A rL �, J ��-P`••�
Address `x'74 1j,���st.t4S S-f �}+(k`rrtic nr.�•, 3ZZ3.3
O.:ner's interest in site of-he mprovemert
Fee S--ple Titleholder(,f other than owner;
Name
Address
contractor_ Townsend Roofing and Construction Services. Inc
Address_ 10418 New Berlin Rd#115 Jacksonville FL 32226
b Phone Nc. (904)645-5887 Fax No. (904)645-5442
Surety(,f any)
Address Amount of bond S
Phone No. Fax No.
Name and address of any person making a loar for the construction of-lie.-provements
Name
Address
Phone No. Fax No.
Name of person.,,hhin the State of Florida,other than Kmse'f designated by ownoer upon w1rom notces or otne•
documents may be served:
Name
Address
Phone No Fax No.
In addit on to himse f,owner designates the following person to receive a copy of*.he'_ienor's Notice as provided in
Secton 713 CF,2 j(b),Florida Statutes. (F, in at O..ner s option;,.
Name
Address
Phone No Fax No.
Expiration date of Notice of Commencement(the expiration date is one 11)year f-o-- :he da:e of recording a-Iless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLYWT ER
Erf�ettsd is ^3y of r tie
^runtyof u•�i.S
hir7selfr 3,'wi
3re true aid acG,r tOt'BZ JEW salidx3:vua0 An
Doc## '201124'1 71-1,OR SK 1 57762 Page 883, appold to emS-ollgnd,tJeioN
Number Pages:1 ON3SNM01 SINH9 II'•;�nd Al1v;°`',
Recorded 11/07112011 at 08:28 AM, ""t
JIM FULLER CLERK CIRCUIT COURT DUVAL tI.taryPuL4cat Orge State of
COUNTY b'y corn fission r•:area: t
RECORDING$10.00 Perssia'y 4"-'an X
Frxluc�J d.�•tt5cati+-n