Permit 113 4th St 2011 roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
�ak ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00003032 Date 12/22/11
Property Address . . . . . . 113 4TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2900
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Application desc
reroof
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Owner Contractor
------------------------ ------------------------
HAMMILL TIMOTHY AND MARY J. TOWNSEND ROOFING &
341 6TH 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 . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2900
Expiration Date . . 6/19/12
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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 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: 110.) ��"� �• � 0 —Permit Number:
Legal Description Parcel# 02- 41
w Floor Area of sq. t. Sq.Yt
Valuation of Work$ 21 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): ddition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed strut ure(s)(circle one):. Commercial e4=es
l
If an existing structure,is a fire sprinkler system installed? (Circle one). o
Florida Product Approval# rL.In16% ft
For multiple products use product approval form
Describe in detail the type of work to be performed: t-&napAb'w dt r 4 ti,601faep
Property Owner Information:
'i th
Name: �`en y �eamf RCtMM� ) Address: ��3 `t.lh f-
City fiA L0*,c. &"V, State ELZip 2 33 Phone
E-Mail or Fax#(Optional)
Contractor Information:
-Tbt�l�► QZ l►.S Ar►.��
Company Name: Qualifying Agent..
Address: ity �¢�G• State Zip
Office Phon - Job Site/Contact Number Fax#
State Certification/Registration# 05
Architect Name&Phone# Ron Id jamah if 5
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 cert 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 commencecL ]understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and.9ir 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.
l hereby certify that I have read and examined this application and know the same to be true and correct. All provisions aw an ordinances governing this
type o1 work will be complied with whether sped ted herein or not. The granting of a permit does not presume ve t i olate or cancel the
provisions ofany other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contra to
Print Name Print Name �►q
....................................................... ............................................................. 1.......... ................................
Sworn to and subscribed before me Sworn to subscribe fore me
this Day of .20 this 'ST of 2011
Notary Public P
`�..,• 0 SUIUNGER evised 01.26.10
Notary PuD •State of flortds
•=My Comm.Expires Mar 25,2011
'• ��N .a' Comrnbsba!DD 974019
Graham Shirley
From: Griffin, Michael
Sent: Thursday, December 22, 2011 8:29 AM
To: White, Debbie; Graham Shirley
Cc: tim hammill
Subject: RE: roofing and heating/airconditioning permits
Debbie and Shirley,
We will take this as Owners authorization to do work on 4t"street. Mr. Hammill will provide a notarized signature when
he returns.Thanks
Mike G.
From: tim hammill fmailto:timdhammill@hotmail.coml
Sent: Wednesday, December 21, 2011 1:08 PM
To: Griffin, Michael
Subject: roofing and heating/airconditioning permits
I am the owner of 113 4th street Atlantic Beach. I authorize the following contractors to apply for the noted permits to
allow their work on the extension being constructed on our third floor:
1.Townsend Roofing roofing permit
2. Schneider Heating and Air Conditioning heating/ air conditioning permit
1
NOTICE OF COMMENCEMENT
Permit No. &—cVf 0 � 6 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 w
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description ofropers legal de sri t}' ofTonoperty a address if available):
2. General Description of improvements:
I Owner Information:
a)Name and Address: / i ro► -q' Vic?,n nI vn rn'e } ) j 4 S-1 , A >.
b)Interest in property: r;, ;. g,-\e r 5.
�y}, c)Name and address of simple titleholder(if other than owner):
4. Contractor Information:
a)Name and Address: v G F
b)Phone Number: .S o V
5. Surety Information:
a)Name and Address:
b)Phone Number:
c)Amount of Bond $
6. Lender Information:
a)Name and Address:
b)Phone Number:
7. Person within the 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:
8, 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 Nrunber 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
different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONS.I.DERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART
I, 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 COMMENCEMENT.
The foregoing instrument was acknowledged before me this -2'V qday of. C-,i 0 be f 20_jl
oe
Doc#2011267/367,OR BK 15794 Page 1118,
Number Pages: 'I ,
Recorded 12/13/2011 at 10:28 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL Print Nam
COUNTY
RECORDING$10.00 1� Personally Known
❑ Identification/Type:
Verification pursuant to Section 92.525,Florida Statutes. Under penalties of perjury,I declare that I have read the
foregoing and that the facts stated in it are true to the best of my knowledge and belief.
` Signature of Prope Owner ,, �y'1
FILE COPY
Revised 10/1/200
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address:II$) 41—* �C• t'► TIG t Permit Number:
Legal Description Parcel#
/�
a• Floor Area o q. t. q.
Valuation of Work Sq, V10 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): ddition Alteration Repair Move Demolition pool/spa window/door
Use of existing/prorosed struXure(.)(circle one): Commercial esidentia
If an existing structure,is a fire sprinkler system installed?(Circle one). es o
Florida Product Approval# rL,1O't6-123
For multiple products use product approval form
Describe in detail the type of work to be performed: aep
ti'1TAw G&C tlk�0+Twe1,Q OL-49 ,)3fi
Property Owner Information:
Name: T in V �ea 1 rtGMtn,I I Address: 113,h ')4 k 61. /
City A460.1- State Zip 32x.33 Phone
E-Mail or Fax#(Optional)
Contractor Information:
'Mk,X- Va-V 2GIC7 113 farwl�
Company Name: Qualifying Agent: Pw.t0�i1�4�,�}p1413N�J
Address: ity N-l". —�—State Zip
Office Phi'n - Job Site/Contact NUmber Fax#
State Certification/Registration# t'tJPjv2 151
Architect Name&Phone# Rnn ems_MAs>`lt5
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 l understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,em
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.
/hereb certify that/have read and examined this a tion and know the same to be true and correct. A!!provisions L
s governing this
type of work will be complied with whether s red
he 'in or not. The granting of a permit does not presume te or cancel the
provisions of airy other federal,state.or loc aw re tng construction or the performance of construction.
Signature of O Signature of Contr to
Print Na Print Name �q,
......................._..._..._....._......_.............................................................. \..........
wo ' d subse ' Sworn to subscribe fore me
Day of 20 this of 2011
Notary
SHIRL GRAHAM 3• NAY P 00 8U8tib 1 FbrfOa ER evised 01.26.10
*; :+ MY COMMISSION t:DD 957760 ="+ My COMM.F VIMS Mu 25.2014
a CDMM#Is oa I DD 974819
EXPIRES:Februa 14,2014 "'
?'q'd Bonded Thru Notary Pub Underwriters ��
White, Debbie
From: White, Debbie
Sent: Tuesday, January 31, 2012 12:57 PM
To: 'timdhammill@hotmail.com'
Cc: Graham Shirley
Subject: FW: roofing and heating/airconditioning permits
Mr. Hammill, We need you to come into the Building Dept. and sign your
application and please bring a picture ID so we can notarize it for you.
Any questions, please call me. Thank you, Debbie W
Debbie White
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
(904) 247-5826
MIMI) 247-5845 FAX
From: Griffin, Michael
Sent: Thursday, December 22, 20118:29 AM
To: White, Debbie; Graham Shirley
Cc: tim hammill
Subject: RE: roofing and heating/airconditioning permits
Debbie and Shirley,
We will take this as Owners authorization to do work on 4th street. Mr. Hammill will provide a notarized signature when
he returns.Thanks
Mike G.
From: tim hammill .[mailto:timdhammill@hotmail.coml
Sent: Wednesday, December 21, 2011 1:08 PM
To: Griffin, Michael
Subject: roofing and heating/airconditioning permits
I am the owner of 113 4th street Atlantic Beach. I authorize the following contractors to apply for the noted permits to
allow their work on the extension being constructed on our third floor:
1. Townsend Roofing roofing permit
2. Schneider Heating and Air Conditioning heating/ air conditioning permit
1
White, Debbie
From: Griffin, Michael
Sent: Thursday, December 22, 2011 8:29 AM
To: White, Debbie; Graham Shirley
Cc: tim hammill
Subject: RE: roofing and heating/airconditioning permits
Debbie and Shirley,
We will take this as Owners authorization to do work on 4t"street. Mr. Hammill will provide a notarized signature when
he returns.Thanks
Mike G.
From: tim hammill (mailto:timdhammill@hotmail com.j
Sent: Wednesday, December 21, 2011 1:08 PM
To: Griffin, Michael
Subject: roofing and heating/airconditioning permits
I am the owner of 113 4th street Atlantic Beach. I authorize the following contractors to apply for the noted permits to
allow their work on the extension being constructed on our third floor:
1. Townsend Roofing roofing permit
2. Schneider Heating and Air Conditioning heating/air conditioning permit