The URL can be used to link to this page

Permit Roof 45 Donner Rd 2011 CITY OF ATLANTIC BEACH . r s s � 800 SEMINOLE ROAD ,. ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002999 Date 12/14/11 Property Address 45 DONNER RD A Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 5229 Application desc REROOF 10497 Owner Contractor HILL JOHN W & MATTIE MAE BEACHES HABITAT 45 DONNERS ROAD 1671 FRANCIS AVENUE ATLANTIC BEACH FL 322334208 ATLANTIC BEACH FL 32233 (904) 241 -1222 Permit ROOF PERMIT Additional desc . REROOF Permit Fee . . 80.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 5229 Expiration Date . 6/11/12 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 Office (904) 247 -5826 Fax (904) 247 -5845 Permit Numbeif / j Job Address: 1 -75 -- �onry< t2 �` °'` b Parcel # Legal Description Floor Area of Sq.r't. Sq.Ft Valuation of Work $ S 2 23, 66 Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New Addition Alteration pa' ' Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial Residential i If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # .fit in L[ 9 7 For multiple products use product approval form Describe in detail the type of work to be performed: g e Ot Ate P©eF a" 2.0192 Sac7'erI a 7:` -" / '`e Property Owner Information: Name: MAT Tie il t / i Address: yS 7) Gv'"rf R 0/96 City Art 0td it Gi/w .) State F1Zip 3.2213 Phone .14(6 '7G34" E - Mail or Fax # (Optional) Contractor Information: Company Name: t7c,WcAzi 11Ail),rAT F JJ A-1?), Qualifying Agent: Arz//ot A �" TA /-5-.0-/ City ATZA K �` /� +�-'A State (= L Zip 3 -' 33 Address: /67 / �'r,�rrC'S � Ile tY Office Phone % '24/ :2 h// 122? Job Site/ Contact Number q 'I ‘ ,10' s%?/ Fax # 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 the issuancee a permit nd made to otain that all b work will be to meet the standards of all laws regulating constru in tthiis jurisdi installation on. This permit be to becomes null and work void if mm enced. 1 understand N that separate permits must be secu t red for Electrical Plumbing, Sig a Wells, Pools, six Fu Boilers, time Hea Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF VEMENTS COMMENCEMENT MAY RESULT IN TO OBTAIN FOR CONS O ULT WITH TO YOUR PROPERTY. IF YOU INTEND YOUR LENDER OR AN ATTORNEY BE OMERECORDING YOUR NOTICE OF 1 hereby work w o crfthat 1 have read and ec specified this ie a id here or not. The granting of a his .application o the i permit and does does presume to give laws and authority v cancel t the type ill complied with provisilions ns o w of any other whether her federal, state, or local law regulating construction or the performance of construction. Signature of Owner rik ek,a+ --A 4-ee S ignature of Contractor aid---- /A Print Name NI, i fi/ i 'r;C. I. 1... Print Name (4i(2 Gus %AlspN Sworn and sub cribe b f e e Sworn • and subscribed before me ,� this y1, a�. 7 I this 1;3 t Day of Day of r ;;►�Y JOYCE M. FREEMAN °•► e�,� JOYCE M. FREEMAN I ► . ` r ° `� +: =. *4 = Notary Public • State of Florida I c. ■ fit ' . �' 1 - Notary Public - State Florida • o f: ry L� c ,u - ; .` _ , I •i a Public 1 a„'' i o ff , My Comm. Expires Jun 10, 2013 I :,,�� ,+ o ` y omm. Expires Jun 10, 2013 I 1 'y -, O �: ry Pus is ' %' ° Commission #t DD 897794 , ��•.' ,o �� ;; ° Commission # DD 897794 ,, •pnp�� I ■ ,– - 1 44 P ig _ 0 -■ — • DEC -14 -2011 10:30 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:2'2 NOTICE OF COMMENCEMENT State of ,�,,. Tax Folio No. County of To Whom. It May Coocem; 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: 4' 5" D4'''''' tR oR D /-)Td 0 /-Tie 60" A 32.2-71 General description of improvements: IR e e -i- Rae LA &..,_ tr, h-- Owner: Al A T 7 1. - Ai!J // Address: - l ig . 1De •a-Pra Roos Owner's interest in site of the improvement: .. - Fee Simple Titleholder (if other them owner): . Nam e: - ontracto a , ip .A4s A 6,. r�r Fez /1.L .l 9 r+. ' ) y A � Addrea it'.7" Ft- A ►rc�s i4 u ,2 A A ' -rc -0.1e -6 3 33 s tA V Telephone No.: 7G4 AV/ I - 2 2 2 Fax No: 2 41 .5/3/6 - Surety (if any) Address: Amount of Bond $ Telephone No: _ Fax No: Nano and address of any person malting 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. (FilI 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 spoificd); J _ ....- TWS SPACE FOR RECORDER'S USE ONLY OWNER Signed: _ 11 • 1Z•R• Date: 1 ? 1 6 .._ . - - lefore me this l3 - day of O, _ in Ale County of Duval, State ppc P 2011268315, OR BK 15795 Page 1 785, g Florida, has personally appeared fY1Q ' tt;. ! • 1 NurnbPr Pages: 1 rotary Public at Large, State of F r ,£olott.OWUYal, — _ — — , 1 Recorded 12/14/2011 at 09:46 AM, ty comtnission expires: JOYCE M. FREEMAN or JIM FULLER CLERK CIRCUIT COURT DUVAL crsonally Known: / )� •.� i COUNTY Toducod Identification: i.� Notary PltbI - State of Ronda RECORDING $10.00 s 7,_ ,r e ' y omm• 'MS m110, 2013 - m. ;C Commission # OD 897794 '7►1. tr... . __ . — •