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Permit Roof 1923 A Beach Ave 2011 r h` \ CITY OF ATLANTIC BEACH A-4 ii , p , s 800 SEMINOLE ROAD J� ° r : ATLANTIC BEACH, FL 32233 `" INSPECTION PHONE LINE 247 -5814 ' Application Number 11- 00003011 Date 12/15/11 Property Address 1923 BEACH AVE A Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 2800 Application desc re roof Owner Contractor CACHE CO LLC 633 W 46TH ST JACKSONVILLE FL 32208 (904) 304 -0952 Permit ROOF PERMIT Additional desc . Permit Fee . . . 65.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 2800 Expiration Date . 6/12/12 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: 1923A Beach Avenue, Atlantic Beach, FL 32223 Permit Number: Legal Description Lot 51, North Atlantic Beach, Unit 2 Parcel # Floor Area of Sq.Ft. approx. Sq.Ft Valuation of Work $ $2,800 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 4 rIME II MINW If an existing structure, is a fire sprinkler system installed? (Circle one): Yes o N /A Florida Product Approval # see atttached For multiple products use product approval form Describe in detail the type of work to be performed: Reroof the existing roof. Property Owner Information: Name: Melanie & Richard Hastings Address: 41280 Rue Jadot City Temecula State CA Zip 92591 Phone 951- 676 -8850 E -Mail or Fax # (Optional)_ socalmelanie @msn.com Contractor Information: / Company Name: Cache Company Qualifying Agent: David Williams/ C i TOCK Address: 633 West 46 Street City Jacksonville State FL Zip 32208 Office Phone 904 - 887 -7663 Job Site/ Contact Number 904 - 993 -5014 Fax # 904 - 765 -9689 State Certification/Registration # CCC1327143 Architect Name & Phone # William A. Leuthold 904 - 389 -5456 Engineer's Name & Phone # Chris Kathe 808 - 322 -9494 Fee Simple Title Holder Name and Address same as owner Bonding Company Name and Address N/A Mortgage Lender Name and Address N/A 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 aperiod of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical ;York, Plumbing, Signs, Wells, Pools, Furnaces, 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. I hereby 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 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 otherederal, state, or local law regulatin. construction or the performance of construction. Signature of Owner A_ _ _ _ _ �� / ntractor Signature of Co 74,1. 1 G� Print Name Print Name Ciwd) t ,d ( uirT Swoca,t and subsc ' ed bef e e Sworn and subscribed befor me t is Day of — , 20 this / D ay of DG°:GL , , 201/ Nota Public No a ry Public "-• KELUE FULLER o` ". - .. 7 TERESAmums Revised 01.26.10 ' ' , ,,_,' Vi Coo 9 1941865 ,A r mo • R to ^S-,e. ,;� �� • NOTARY PUBLIC - CALIFORNIA vs , f � y * MY COMMISSION +# DD 901787 RIVERSIDE COUNTY IP - r MY Comm. EBP. SEPT. I, 2018 N, ,. EXPIRES: June 23, 2013 • ''Fa F,oP` Bonded Tlxu Budget Notary Services OCT -12 -2011 11:21 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1 /1 is • - - - -- cowl Doe # 20$1227202. OR Sri 15730 Page 355. Number Pages: 1 Recorded 1 Oi t 7/2011 et 11:3e AM, JIM FULLER CLERK CIRCUIT COURT DUVAL NOTICE OF C01wIIV�ENCE1 COUNTY (t RECCORDING $10.00 Permit No._ I o'�'? Tex Folio No. TTIE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. I ,Description of property (legal dsscrfpliion): Lot 51, North Atlantic Beach Unit 2 a) Street (Joh) Address: 1923A Beach Avenue, Atlantic Beach, FL 32233 2.Gencral description of improvements: Remove and replace the windows, doors, siding, and exterior trim. All work is to the existing structure. No new foundation or work outside the existing footprint. 3.Owner Information a) Name and address: Melanin and Richard Hastings, 41280 Rue Jadot, Temecula, CA 92591 b) Name and address of fee simple titleholder (if other than owner) c) Interest in property: Fee Simple 4.Contractor information 1,1 un) Name and address: The Gellntly Company (William R. Gallatly), 1515 Penman Rd., Suite B., Jacksonville Beach, FI, 32250 ta V"' b) Telephone No.: 904 - 246 -9080 Fax No. (Opt.): 904 -246 -9200 5.Surety information a) Name and address.: N /A b) Amount of Bond: _ c) Telephone No.: _ - _ Fax No. (Opt.) 6.lendcr a) Name and address: N/A Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: N/A b) Telephone No.: - Fax No. (Opt.) 8.1n addition to himseil; owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(I)(b), Florida Statutes: a) Name and address: N/A b) Telephone No.: Fax No. (Opt.) 9.Explration dato of Notice of Commencement (the expiration date is one year from the date of recording lulus a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 71 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTI E OF COMMENCEMENT. • STATtt OF MAMMA COUNTY OF DUVAL, 10, .c 4 _ Sireaure of Owner or Owner', Authorized OIDccr . tnar d es .4. ,-. 0 G S Pint Name �v 1 r Th - 11 instrument was acknowledged baf'e me this al day of l CCU y� 0� , 20 11.. , by fie-' } .... as . &u1r - f uatbority, e.g. officer, trustee, attorney In fa ) for (name o 472 - !. ,� If of whom Instrument was executed). Personally Known OR Prod dentification Notary Signature ," " — Typc of Identification Produced ) ame (print) MIR !TAI [ _• if ' OR Verification pursuant to Section 92.525, Flo . • S ,, Iii i jk nder penalties of perjury,1 declare that i have read the foregoing and that th tot stated r ho bestof m •, y., - - • - _ 111111 1111■ e) lanueviammazoio Stratum or Natural Person Stetting (m arc M 10. 1, 01 . 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