Permit Roof 315 5th St 2011 r
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002924 Date 11/21/11
Property Address . . . . . . 315 5TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6545
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Application desc
REOOF
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Owner Contractor
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FLYNN MULLIGAN CONTRACTING, INC
315 STH STREET 6380 PHILLIPS HWAY ##103
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 838-9868
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6545
Expiration Date . . 5/19/12
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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 85 . 00 85 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 89 . 00 89 . 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: 319 SrllS7, .MZ117/6 /.TL-r/�k /G 3�i2.TS Permit Number:
Legal Description 69 16 XT,l,d/✓iG -loCII Parcel#
Floor Area of Sa.Ft. --Sq Ft
Valuation of Work$ 5.0o Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repai Move Demolition pool/spa window/door
Use of existing/proposed structures) (circle one): Commercialesiden ''
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No <10>
Florida Product Approval # 0't:1-2'5_0,6 ,�,r/DL?zl�irlll�l«T /No!✓i6�w�iP�Gr� #%L 249,2 d
For multiple products use product approval form
Describe in detail the type of work to be performed: "' Z-L15711✓e "OY 60LIZIEZA6
Property Owner Information:
Name:,W11 //1 �LZZe Address: 5/6- 21
city Statev e Zip 3z233 Phone X 70 f - s'3 6 d> c>7
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:A1 11-ZIA4* GDA/l/1n,'-ri*6l- 1416, Qualifying Agent:
Address: tri L S s 3721 d City %A-f_ Stated Zip
Office Phone 9 e( Job Site/Contact Numberd2t) —5;"3P-gFXf Fax i 70-0105-
State Certification/Registration# CCG ✓3.2 7,113
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 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, Furnaces, 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.
1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of aws and ordinances governing this
type o1 work will be complied with whether specs ted herein or not. The granting of a permit does not presume to e a hority to violate or cancel the
provisions of any other federal,state, or local taw regulating construction or the performance of construction.
Signature'of Owner Signature of Contract
Print Name Print Name/J
.......... ........................................................................................................................... ....... ...c.. ........................ .�r�L.......G ...................................
Sworn to a s- ib r e oSworn t and subscrib fore e
this 2 I y o 20 /L is ay of D VA 20
Notary Public 6
y PURI
Revised 01.26.10
NOV-21-2011 12:59 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P: 1/1
NOTICE OF COIVMNCF3-m Kr--' .---. .
Ooc AE 20,1 1252289,OR BK 15775 Page 61 D,
_ Number Pages; 1
Stare of �;�G9/c%f��f r Recorded 11121/2011 at 12:15 PM,
,r� JIM FULLER CLERK CIRCUIT COURT DUVAL
Cqunty of .f!��i�✓'� COUNTY
F.ECORIJING$10.00
'l'o Wbcvm It May Concern:
The undersigned hereby informs you that ibprovetnents will be made to certain real property,and m accoraancc w1m �ecrlon, 11.5 01
the Florida Statutes,the following information is staged in this NOVICE OF CON EV NCFMENT.
Legal,Description of property being iuiproved: ,9 / -.� - q /I TL.C�III �'�/1l�'✓ -
Address of property being improved:
4eneral description of improvements:
Address: ' .ZL—
r'�
0"er's interest in site of the improvement: Cd/Gx
Fee Simple Titleholder(if otber than owner):
Name: �y
Contractor
Address: // liV�l L/ /✓J1 �//'-� 1! S� !
Telephone No.:(fCi� 5 _.-_ Fax No: )
Surety(if any)Y
Address: _ _ Amount of.Bond$
Telephone No: Fax No:
Naaenc 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 drat himself, designated by owner upon whom U06COS or other documents may be
scricd: Name: — —
Address:
Tel ephoue No: _ Fax No:
In addition to bimscl� owner desipates the following person to receive a copy of the Lienor's Notice as provided in Section
713.46(2"),Florida Statues. (Fill is 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
gpccificd):_�
TH,tS SPACE FOR RECORDER'S USE ONLY OgVNE
Signed- Datc:
Rcfor�m this ay of in the County of Duval,Snte
.tv.. SHIRLEY L ORAHA i v a
of F] has personally ed
3 Notary Public at.]..arp_,e'Stat�f Flo d y of Du
b MYOOMMISS:QN'QF)R.1TrG0 z
y EXPIRES:February 14,?014 My commission expires:
t$�h~ 9aed+tlTNNNoIaeyPublkUntlervrtter
Personally Known 7
Producc-d Identification: