Permit Roof 556 Beach 2011 t CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
��� INSPECTION PHONE LINE 247 -5814
"+X an +„r
Application Number 12- 00000029 Date 1/09/12
Property Address 556 BEACH AVE
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 6000
Application desc
REROOF
Owner Contractor
BARRON JEAN H ET AL ALPHA CONSTRUCTORS LLC
556 BEACH AVENUE 1922 PHOENIX AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32206
(904) 469 -0668
Permit ROOF PERMIT
Additional desc . REROOF #FL7006 -R -3 FL 12477
Permit Fee . . . 80.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 6000
Expiration Date . 7/07/12
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.
&owe st
/ - l9ov
NOTICE OF COMMENCEMENT
State of f'l`.G2•t p4
Tax Folio No.
County of IX; ∎JA-Zi
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.
Legal Description of property being improved :, • _
�N PLM j PAL be) OF 1144 wrzpetlr pt,iuu R6aaa.D', eF
Address of property being improved: 4c(. p y1.1 � ' A . 1 - uySIG pA
i � f4 1
General description of improvements:. a _ - 1 N
I•B'S
Owner: 40 14.gs,00,0 Address: OW I LVrP P P P • Ati fAv •MiAl f, r/
Owner's interest in site of the improvement: 100 %. p
Fee Simple Titleholder (if other than owner):
Name:
A Contractor: .9e ) 6 A )1,6 /1 4 947 5' - --rt t' _ f 1 tiG••
Address: P.O. 1307e 4 i .140.4.4e-Afrt,.lS/i t c. - l lr14.(
Telephone No.: ' G"f : %4( .' cf; Fax No: '4 '24 • ql.
Surety (if any) J»,..
Address: Amount of Bond $
Telephone No: Fax No:
Name and address of any person malting a loan for the construction of the improvements
Name: - /d„
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: t,Ei4 p-D G (T. .! I •
Address: Pe • soV 41437.42> J Do 73,494T 1 Ft,. 37-241-'c,
Telephone No: ejPef: °f 4511, , Fax No: Vat _ 2. 41.5-e=3
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. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
�'tLE DOPY
Expiration date of Notice of Commencement the expiration a l
specified): ( xpiration date is one (1) year from the �r:�� `of recording unless a Jere, date is
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Una le
giggled: ���� Date:
Doc 201 OR 8K 1577 u Page 1671, efore m s
Number Pages 1 Q daY of /1�oV . Qt") in the County of Mows State
if has Recorded 11/162011 at 10:06 AM, Personally appeared Tp.n 1�
JIM FULLER CLERK CIRCUIT COURT DUVAL (otsry Public at Large, State of Alo,Etas( q
COUNTY ty commission cxp
RECORDING $10.00 ersonally Known: Q., or
roduced Identification: -wives..
BUILDING PERMIT APPLICATION
CITY OF JACKSONVILLE BEACH
*Pursuant to F.S. 553.721 & F.S. 468.631, a surcharge fee will be collected on any permit regulated under the FBC. *
Job Address: 556 Beach Ave, Atlantic Beach, Florida, 32233 Permit Number:
Legal Description 5-69 16-2S-29E ATLANTIC BEACH
Project Valuation S 6000 • 00
Clam of Work (eirde one): ONew OAdditionQ4lteration QR ,r. QMove
Use of existing/proposed struetare(s) (circle one): +, ,+„ Resi n ; : ✓
U an existing structure, cture, is a fire spnnkler system installed? (Ciro e): Yes E No N /A 0
Roofmg Materials: Main Material FL Approval # FL7006 - R3 U ,'" ayment FL Approval # FL12477
Describe in detail the type of work to be performed: Re -roof eidating root
Property Owner Information:
Name: Jean Barron Registered Agent (If Applicable): N/A
Address 2855 Rarer Bend Rd. City Auto • .
State County tp 36003 Phi , ,r' E-mail ' LL 41_44% :.._ '
Contractor Informs • : f
Company Name: AlPha Constructoni, LLC Name of License Holder. Yevgeny Morozov
Address: 1922 Phoenix Ave City Mlle State FL Zip 32206
Office Phone 904 Office E -Mail or Fax # alPhaconsinvziorsCIPmailcom
State Certification/Registration # CCC1329751 Job Site Contact/Number 90 -0668
Architect Name & Phone # N/A
Engineer's Name & Phone # N/A
Application is hereby made to obtain a penmt to do the wont and insmllationI as indicated 1 certify that no wont or installation has commenced prior to the
issuance ofapermitanti + t t al/ workwill beperfonnedto meetthestandonlsoja /llaw sapcowt u lanmthisiyriadicawa Mis permit becomes md / and
void ifwork is not commenced within sit (6) months, or if construction or wont is or fora penod of am (6) months at any time afterwork is
commenced I understand that separate penults must be secured for Electrical Work, Phnnbing, Sfg,u Weft, P Furnaces, Bailers Heaters, Tanks and Air
Owner'sAfdavit Thereby ccerrtt�rf�,, that I have read and examined this application and know the tame to be pue and correct. All provisions of laws and ordinances
cornic orning this ofworkwill r e complied with whether herrm or. not Themming ofapnnit does not preswne to give authority to violate or cancel
ng oa ny otherfederal state or local law mel �w nstnnlJ n ce g
the pe,Jbrm ante of e eons truct on
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY 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 BEFO ' RECORD 1 G YOUR N ?TICE OF COMMENCEMENT.
Signature of Owner / i i .a im ' G Signature of Contractor
Print Name S " : Print Name Ye Al y rat a2.o i/
STATE OF ". ` A, COUNTY OF l4- v-I-Au 7 A STATE OF FLORIDA, COUNTY OF
ffi
Sworn to (or armed) and subscribed before me Sw r affirm : d subscribed before me
this (a Day of Sa ..� d — . 20 t z this of 20
Notary Public Signature (Print or Type Commissioned Name Below) N ,; blic Signature (i rorTypeco®,aonearramcsaow)
(,k Seel Below)
•
❑ noe xnavd ❑p , , , xaKnown/ e
Idaeeiba Type , 1., •
DO NOT WRITE BELOW THIS LINE: OFFICE USE O: ,?4�. i PIKES: Ma 21, 2015
e 44 : 1'1 or', , : u1 .. ng • , w B,. , :, N 'T • , " a d
Result (circle one):
Approved Disapproved Approved w/ Conditions Review Initials/Date:
Development Size DCA/DBPR Surcharge$
Habitable Space Non - Habitable Impervious area Total Area
Miscellaneous Information
Occupancy Group Conditions/Comments:
Type of Construction
Number of Stories
Zoning District
# Parking Spaces
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
1 1 NORTH 3 STREET, JAC soNva,t E BEACH, FL 32250 PH (904) 247 -6235 Fax (904) 247 -6107 REVISED 10/1/10
NO C—