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Permit 1250 Ocean Blvd (vault) uIEPARTMENT OF llillWINQ CtTY`O.I=ATLANTIC, OEM,H ,.. ..... ZNFt:i►R1IATION � it Nu* x�s 1 Addr 4s r 12 OCEAN SC?ULSI BIRD ��Pormit T}+.�a�� ,. RJl�` G� .. ATLANTIC B CS, '�".LORlDa - 32233 o' of .WOrki ADDITION ,.. .� _�..� �:. �EC�AIr DI~SC�dIPT"IIwll� --------- ;�Oft .,-:..., --- Or�i�tx. T' rp IACD `F 2AM l.c►t glock: aecytion a arapod a' . NI ate: FA �• "'nr + a► p: CR3 a Q ttll Surbdiv:�oto �,i�sted iprrv. � sts DD Tatajj. .t 2 .00 X17.;00 - I L AIR CONDITIONING IAII�AI _«- APP-L, ISIS wo f'IRMIT'"" 27I WATER `�RF,ACT FSE $0.00 T CR. "x.091 DA 2 S Iy 'A F *a. D I!?AI►II ",- 3AS-H. R.S. « , T ON �� .»„ %R 'JR GAS 5 C}. # 0 0. 60 *000 At;A ILLS " 32257 NYt�IaAU .IC SNARE 00.00 t3 Ty e ' ,0, 41R�-I CSPECT', FEE ,A�*,0.CIO 1 1PACT +C1"t`fCR ;-�ALLD4NIt t giMS,At+!©F4C1TtNGS MUST B>�t4 'E# BFfIREPt`�t3RIN�3 ll 77 77 PERMJT VO,,O SIX MONTHS AFTER DATE OF ISSUE S ' L!?It�IG MAT1rRI L,RUBBISH A14 DEBPUS FROM THIS WORK MUST NO T Be PLACED IN PUBLIC SPACE,AND MUST BE GL AREI?UP ANDiAULED'AIAIAY-E3YtTHER CCJNTRACT©R OR OWNER. �� ✓ - THE C+HANJ r',�`} ,r A� .T .91 ON VE y. Jyt� ;//fi�r* t 19+ ACCORDI 0 TOWFPAbvr:CI PLANS 1 RICH ARE PARI OF THIS PERMIT AND SUB,1 FtE1/C7CAfiF, :R�R ATI OF ApR:ICAILE PRC`�VISIQNS;OF LAW. #.I ATI.,,; TIG BEACH E ItC?ING DEI?ARTME.NT` Ex BUILDING AND ZONING INSPECTION DIVISION' CITY OF ATLANTIC BEACH ATLANTIC a[ 5ACH. FLORIDA 3!X33 17 S-J APPLICATION FOR MECHANICAL- PERMIT Y cai�aN NUMBER IMPORTANT -- Applicant to complete all items in sections 1, 11. 111. and IV. LOCATION Stec$# Addrasr l o.50 oj/ � OF . Intersecting Streets: letweea And BUILDING sub-46W001- 11. ub•dbh;on11. IDENTIFICATION — To be completed by all applicants In conuderst;on of perm;# given for doing the wort as described in the abevo statement we hereby Ogre• to pe•re— sa;d wo•a .,fh the stfacVcl plans and specifications which are a part hereof and ;n accordance with the City of JocksonwWo wd;namces a^a s`e-^18.16 of good practice listed therein. Name of use"niCal 5c10-�t �Cl�rL � MastContractors nn�� 5512 Coekactw ►riaf �� Master �1 L�3 Nacre of h*Perty owner J2,b 6 L°4d PP- s4asturs of Owner Signature of w Authar;scd Agent Architect or Engineer 111. fit WERAL. INFORMATION A. typo haat;nq ire,: e• is OTHER CONSTRUCTION $ZING OOH[ON ��11 jzr [iacle;e THIS BUILOINO ON SITE 1 N V D Ga—D V D Nafrrel D Central Utilify IF Yes, Give NUMBER or CONSTRUCTION O Di r PERMIT r D Other — Specify IV. MICHANICAI EQUtPMSNT TO Of INSTALLED NATUJIE OF WORK (Pm,;de complete Get of esn,po waft en bed of this fam) [i-; Rasidentfal or f 1 Commercial O Nese D Soso O ltscessed O Peaffel O Hew CJ Jdew Building ( Air Coetdrtioatay: ' O Rosea @' GMrelvReplacemont ,./ isling Building O Oeet; System: Mefewfat Tblci�.�„�.,...,—, of existing system Maetasraf capacity 4JAN ❑ New Installation(No system previously Instaltedl C7 Ealeigwefies O Extension or add-on to existing system O Other— Specify Q l,.selisg Nwr: capacity R�� Q life grtaUM: Nember of W& ... ... O EMwter D Msaliff D Escalate laelabe.) THIS SPACE POR OPffCi Ulf ONLY Q Goselise pumps -lataaber) IR"WW+dI (3 Tasks #swab«) 20"As D Lis css000M .(auf iew) O Ualiwd pes"M e.Ma O fail«+ PoRoif /lpprowd by ON- (? Ofhee— Spec* Pentlft�-- UST ALL EQUIPMENT AM CONDITIONING AND REFRIGERATION EQUIPMENT cilpselbg N%Mber Vulva Dseerlpgoa Mede!Number Aftnutsaturer (TOM)w rr°t►y i / HEATING % FURNACES. BOILERS, FIREPLACES Gp�q 7ftnber vafto erlptloa Ma"Number waanrtaftilly r (>Pt'tt) Dee TANKS . • . Dow many xorrtaN comeity Type Ltgtdd Name at serial Ap row►` + aad t*RgoNone Contained mmuhatww No. ency CITY OF- fQ* it C 'Oeac A- ''--"_"� . � Office of Building Official REQUEST FOR INSPECTION Date �p Z— Permit No. Time '~ A.M. Received -2- � _P.M. District No. Job A ess Locality Owner's f P NameContractor' O le _ BUILDING CONCRETE ELECTRICAL PLUMBING —ME_CH ANICA ' Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ �.-g- Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. T S. y WC. . Thurs. Fridays _P.M. Inspection Made A.M. / Inspector Final Inspection I< Certificate of Occupancy Date 00029403 . 13EPARTMENT OF BUILDING 4TY OF ATLANTIC BEACH `+t 'Vyp a � "ltY�U�tt.' AY't.Al "1<' ` tl�:AilCict� !r't.�CfrRttbA , cl oft x yWork IL t lkftAEl!!t t '. Tpprrt s t ! lEA1f� La "vat x,# °' ' # Ufp1!`x f, N�Ll !r A!'JItLII Ttav9r,R�sh1p z I!+MOs C3 DV, l i ,galIke, S �CtvQe s +C! tetr v 3 t�1 C7ii i , i 11,0kY Iry» CONt t 00 t "� I1A'All TIM unt V11 ,y na r 1F � d �+, � d� �� .R.wrs•'+� '�;c i� Ar�Rw+#.JaA• Z0j# Volt" ......r *RL�[. • �y imp., 4q '!N'AIl�I� 0 111 fR�i7�4 '�Y� T Rh#LI '� i "tv�R" � {1 jy M a r. I�TI�,�h��4.711�a� '� A=.R i�4R bdc we.«.....+.yr ►1�6d'i�#E �wlf�`1.l �. �ly �1?U . ... t " itttYZ1l 't Irl: k tt k: WA Taft *Ar �l►C#�1pNE►' AdIrv, �Cf1Cf+! ' .1"� a 3"1'RIL�> "«1'L"1�t'tr4 TAP 9FCT.�C? ' . .w� .#4YC7�rl 'Y► a M•L# "J.°h'."I`«3� H'!rt!�lRA1UL C5 i !'AMlI �dst9.00 Yom" its_,11010 ftcT 'IFtem iad �a +, .�air � ..s 'aJ, ',;w'" �.T�I✓� ,.�✓� xa r� r 4,.: y ' ;;vee" � NO ,ES: .�i kC e its L Y NOTICE—ALL CONCRETE FARMS AMD FOOTINGS MUST BE INSPECTED BEFORE POURING k PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 6�E ILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT`BE PLACED IN PUBLIC SPACE,AND MUST BE EARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. fAILURE 'ATO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESU1 "[' IN 'HE PRO", Y, ERWFOR BUILDING IMPROVEMENTS.,WP 1 TUC; $519ar " l UEO ACCORVING TO APPROVED PIANS WHICH ARE PART OF THIS PERMIT AN CT TO MAMONFOR � LAT OF APPLICABLE PROVIS(QIS OF LAW. UsIMP Y A ANTIC BE H BUILDING 4 ` EIdT s S CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 1 r1S.L IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCO CE WITH THE ELECTRIC REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. LZ Ll-PVr LECTRICALIFIRM: A ERE ECTRICIAN S TURE JOURNEYMANNAME GJ-Oif4' 1A DDRESS: &ZL RFD BOX BLDG.SIZE BETWEEN: RES.( APT. ( ) COM4. ( ►Y"- PUBLIC( 1 INDUS. ( ► NEW( 1 OLD ( 1 REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP.( ► SIGNS ( 1 SQ. FT. SERVICE: NEW( 1 INCREASE (L4'IGREPAIR ( ) FEE CONDUCTOR SIZE AMPS 0?(16 COPPER ( 1 ALUM. SWITCH OR BREAKER 6 AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH VOLT ? ACEWAY FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL ' 0-80 AMPS. 81.•100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT O.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES 4,4 fNil y>a +7 1442 �t Types" 1k A�Rh� 3 Y Vis q iA,l y4�1�T 99,s' or works uawt vivaLe PlIkOILroponvo ZwOrov. cost Total rw** 44 �'rtn1F�. �� % xx k qP � J � � ' ti„L '� �•} �M�I i�V ,� X @soflo A LAW cone 7 . �� e ��. � �f►+C1►. ► �� , . �; ... A - 41 et kyr emit 3 i 1.R'V'R ..7�A�1�`T.'r/iti,�w.i✓�!��' �rw ti7.F..rri�WF�!'4” � 'I�,�r ��'� ,y,�r. a`�` '��►yV��+Vy vlp 'p'ice''= p'�,� �` �-`:�'" _: �� ;'�.Y+x°r'�"��Nr#,":"Pe-'.X�.�� ' ;.r}wwn... � w ro '#r... r+�v�r�t �owr )� •a Tc t is Y ^:.pmt '" e Or 40 j " % g"U", M NOT10E-ALk.CON�,F�ETEFORM8ANt� OTINQ p�E � I POURING 77 d PERMIT VOIQ SI'T", ' xt.. ° '< �`oxo- #' •, � %�{ ^ BUILDING MATERIAL,RUBBISH,AIVD DEBRIS FRtJM 7` IS{N00 V JJ.�11, CED IN PIx1 LIC SPACE,AND MUST BE 4 CLEARED UP AND HAULED AWA' BY EITHER Ct NTRACTOR "FAILURE TO COMPLY WITH THE MECHANICS! ,L,IEN , CAN RESULT IN THE PROPERTY OWNER PAYING TWIQ. -0 U 11NG III + iOVEMENTS." poISSUED ACCORDING TO APPROVED PLANS VVFi4C1i'ARE PAF 1�VF 111 Eow�,,AN° CT 70 RE >W�ION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. M CITY OF 4&444'0 /3P.f�Cit-�f GQ�if+>Zd Office of Building Official //n REQUEST FOR INSPECTION lye) Date S Y6 42 Permit No. Time A.M. Received P.M. District No. Job Address Locality Owner's Name BUILDING CONCRETEPLUMBING MECHANICAL ELECTRICAL Framing ❑ Footing ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final �c�� Fire Place ❑ REAtY F %SPECN Pre Fab TIOA.M Mon. Tues. Wed. Thurs. Friday P.M.. n Inspection Made P. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF ATLANTIC BEACH FLORIDA Alwow"by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREON;AND 1N AGP,9:RDANCE WITH THE ELECTRICAL-*WLATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCE,.-- . �VIo s �►��: ELECTRICAL FIRM: bc9 TER L CT I IA NAME:-!P,CA-)R jr ADDRESS: RFD__BOX SLOG.SIZE BETWEEN: RES.y) APT.( ! COMMA ! PUBLIC( 1 INDUS.1 1 NEW( 1 OLD(� REW.( 1 ADDITION( ) TRAILER ( ) TEMP.1 ) SIGNS ( 1 SQ. FT. SERVICE: NEW I ) INCREASE REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER I ALUM. SWITCH O REAKER O I PH W �)30 VOLT CaSkCLAACEWAY EXIST.SERV.SIZE I 0 C AMPS PH Wl VOLTI RACEWAY FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 AMPS. SWITCHES , INCANDESCENT 1 FLUORESCENT&M.V. FIXED O•fOO AMPS. I OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE i PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA NO. IKVA NO.NEON TRANSF. N0. VA. MA. I I MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED Imo, $ TOTAL FEES e BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC 8EACH, FLORIDA 32253 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, IIf, and IV. LOCATION Street Address: 1r w Intersecting Streets:. Between And OVILDING Sub-division It. IDENTIFICATION - To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a,pert hereof and in accordance with the City of Jacksonville ordinances and standards of good-,practice listed therein. Nome of Mechanical Contractors CFntrector (Print) " Master ` Neon of h.Party Owner a S4paturo of Owner Signature of or"JI►u"I"d Agent Architect or Engineer 1111",; 69*M INII'ORMATIOhi A, Type of Meting fuel: ' IS OTHER CONSTRUCTION BEING DONE ON . C THIS BUILDING OR SITE? ❑ Gel ❑ LP ❑ Natural ❑ Control Utility If YES.;GIVE NUMBER OF CONSTRUCTION Q OR PERMIT 13 0" - Specify tV MECHANICAL.SqUIPMENT TO fE INVALL90 NATURE OF WORK (Provide complete Ust of components on back of this fora) 0 Residential or 0 Commercial V. Haat C) Space C3 Rowed O Central O Noor` [3 New Building �r Condrtimsing: 13Room �Gatw t,�/E�xisting Building ❑ Duct Sydem: Materia � Thick"51 U---Replacement of existing system o f-rn. ❑ New Installation(No system previously Inatatled) Mesimum apecfty ❑ Extension or add-on to existing system Q Refrighe4ion ❑ Other Specify ❑ Cooling to~: capacity 9-P.M. ❑ P"ire eprinklen: Number of hoc. Q Heveter ❑ Menlift ❑ Escalate (number) THIS SNtCE PQM ONIUM USE ONLY Q;easoline pump* (number)'13, ( di TenkL (number) Remarks' ❑ LPG oontaf-.ors' .__(number) { Uefired pressure vessel Permit NppwvW by e.a. [] loam' Other Specify Permit ;ffr ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Nttadlbae;Jatls D"atpuAa. Medal Number momdaatur , yp�" 'IWATING- FURNACES, BOILERS, FIREPLACES ter � 1lwmba>e'Vnlf a Dearlptloa ][octal Number li t»atiaabnraar C(�1'tJ} ► TANKS Capadityp� HIs111r Many DIDLIOodam co taquid N=W i �'ar A DEPARTMENT OF BUILDING T CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO.- fa T PERMIT TO BUILD 1512 1 A ?/1 Mal THIS PERMIT MUST BE POSTED ON JOB a 16 / )CAC Date Feb 17 19 87 111'(T i jValuation$ Fee$ 20.M This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that N&L HOZ' IG & AI' 111MIXIONINH has permission to mid INSTAL BM & AC / R'T.•AM SYS'S Classification I'SFKSIMT17AL Zone Owned by MBM CRIPPS Lot Block S/D C � 84UT.IiVAm House Na Accorajng to approved plans which are part of this permit = NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE G O Building material,rubbish and debris -zi from this work must not be placed j in public space, and must be cleared I up and hauled away by either con- i = trat ,!!tOryt owner._ , Bd g Official. j FOR OFFICE PERMIT DATE CONTRACTOR ' USE ONLY NUMBER PLUMBING 1 f ELECTRICAL SEWER ` WATER i ; +... AIS.. s, CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dentf�coab.us Application Number . . . . . 08-00000099 Date 1/22/08 Property Address . . . . . . 1250 OCEAN BLVD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 12000 ---------------------------------------------------------------------------- Application desc REROOF FL 2533 . 1 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CRIPPS, ROBERT ATLANTIC COAST SALES & SERVICE 1250 OCEAN BLVD. 1008 LORING AVENUE, STE 14 ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073 (904) 3 96-4005 ---------------------------------------------------------- -- -------- -------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1'2000 Expiration Date . . 7/20/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 .00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ^ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08_ n OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US Ftap BUILDING PERMIT APPLICATION } �� DUVAL COUNTY ttM'•2v ' . ,&,'(8;C�.M.3 } re Z5C) CJ C PQ{7 1 V tlantic Beach, FL 32233 12-10606* /6- ti 6-n NS : &, �J ❑NEW BUILDING ❑DEMOLITION WESIDENTIAL LOT BLOCK SUBDIVISION Z AU ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7N{#fQt#E ?F �1CG Ii =, , `+tA.i ,i ,.{ n, ❑p ALTERATION ❑ACCESSORY BLDG. diL ;., F� 1 ,2-5-531112-5. 3,z Z 5 3 34.3 REPAIR ❑ PA ❑YES ❑N/A O F ❑MOVE ❑OTHER UK0 911 w RfYOY1fNER -1101111011; '<i', rha, 9h y," ,..iP, ^:',iI7 QAfTRACTOR � ,.I! �; ° E�ICa1 9.NAME:D r t'S C r j op 5 15.COMPANY NAME: 3.COMPANY NAME: ATI6/J-1.. �' S 16,NAME: 24.L1 NSEE NAME: ir � r , C'Lw 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STAT PF FLORIDA LICENSE NO.: i25C DCPan Ave-, to to A t hui+,'r 13ch FL 3Z Z33 18.ADDRESS: 5 04 26.ADDRESS:`, T ,4�u5T//✓ R D, z TAY Z©7 11.@"ZE PHONE: 14 Al 12.FAX NO. 19.OFFICE HONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 2dl - Z3S'Z IVIA 376- 0 - / 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: /V/04 9 7 - f 9 14.EMAIL ADDRESS' 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: n a� ��0 ?, a.� iIi 3 ii s i IW d ) "�) 1i�N�i�I �' 'lll� - �i".,i,-+, ��,4 t e�. 4 ," r i?iil,:; (t° :F1 ,..l i,,.W i "4hM1h rr t2W M1 *r*- F �ti =u ;kr vi tyr-,�- i�RP .v, a.��, 31.NAME: 33.NAME: 35.NAME: N A 4..4 32.ADDRESS: / 34.ADDRESS:'^ 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I 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. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 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 BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. µ D Signed: Date: Signed: Date: Before me this day of ,2007 in the county of Before me this day of ,2007 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of ,County of Notary Public at Large,State of ,County of ❑Personally Known ❑Personally Known ❑Produced Identification- ❑Produced Identification- Notary Signature: Notary Signature: COAB FORM BLDG01:REVISED:1/8/2008 Atlantic Beach,rL 37133 2 GenemWaserlIAlon of Improvements: Re-Roof 3. Owner Information: a. Name and Address: Doris Cripps 1250 ocean Blvd. Atlantic Beach,FL 32233 b. Interest in Propertr 100% c. Name and Address of Fee Simple Title holder(if other than Owner): 4. Contractor. (Name and Address) Atlantic Coast Sales&Service,LLC }" d/b/a Atlantic Coast Roofing&Construction 5909 St.Augustine Rd.,Suite 2 Jacksonville,FL 32207 5. Surety(if any) a. Name and Address: b. Amount of bond$ - 6. Person or Lender making a loan for construction of improvements: (Name and Address) 7. persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided in Section 713.13(1xa)7.,Florida Statutes(till in at Owner's option: (Name and Address) S. In adder to t>trnsetf,Owner designates the fotbwing person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Stattites(fill In at Owner's option): (Name and Address) 9. Expiration date of this Notice of Commencement is one year from the recording date unless otherwise stated: MMber 3 . Sworn to�day of 2�i subscribedd (Si re - of r) This 77 Owner's Name: Doris Cripps Owner's Address:12j'O pan Blvd Notary'Commission Expires: Atlantic Beach,FL 32233 Doc#2008016132,OR BK 14353 Page 348, K.CUNNiNGHAM Number Pages:1 NOW Putft.$t*Of Florida Filed&Recorded 01122/2008 at 09:37 AM, -b4Corti ionE*mFeb28.2010 JIM FULLER CLERK CIRCUIT COURT DUVAL =� Corm*slon#DO 523638 COUNTY RECORDING$10.00 '•...,;. ,, � ` ,,. Bonded By National Notary Assn.a SEP-20-2007 12:35 PM FORD SHEET METAL INC 904 398 9782 P. 01 NCMCE OF COW-- PWAPARE N OUPUCAYM Permit NO. C?'I- C L•C /�l' Tex Foto NO. State of F-1' r,Si A County Of V LVA L To whom it may concern: The undersigned herby khforms you that improvements will be made to oertein rpt property,and in a000rdMoe with Section 713 of the Florida Statutes.She fOUWI irhg"risrrtadort is stated in this NOTICE OF COMMENCEMENT. Legel description of Property bel Address of property oeft improved: •SZ) �i CE'ti�t f 71a.,rt4;d, A Fu r4 General description of in pravenentr. /V F-W Jt&V Owner / rr-i z5 Address ( s 113 44— Alll,-L Owner's interest in site of the impivAmnent Fee Sin"Titleholder(it other than owner) . Neme Address Contractor ro A D 6 If;R_/[. jWc. {t' � Address z S► 7 y( :S" �4Q G. K D Phone No. T(;'f - 3916 ?M?l Fox NO. 9oY" Surety(if any) Address Nnow_nt of mond i Phare No- Fax No. Nerne and address of any pin onsidng a lop for the oorratrucl3on of tis tmprovenertb. Name Address Phone No. Fax NIL Nerve of person within the Stats of Florida,ollm than hinnaM.dssiprated biroesmr upon whom rhOe, or oder documents may be served: Ns"__-_Dodi? /ioe 1'iIdc- 141C Address 11tAddress I-7 7 4Y ? Phone No 3 9 Fax No. C -39 In addition to himself,owner designsise On foeowing parson to recsfve a copy of the UwWs Notice as provided in Section T13.00(2)(b).Florida Ststnues.(IV in et Owners option). Name Address {/ Phone No. Fax No. i Expiration We of Notice of Commencernent(de exokation dM is one(1)year from Ye date of r-cc dig unless s different dab is spedrieM. THIS SPACE FOR RECORDER'S USE ONLY OWNER Q Sigr�� ' �_Citi: f•,a. Beim me this tjW day of r in the Or s i3Di 30f 37�.C:R taro 4:93 ?3ge e:+ County of 0".StM of Florida.ha pwooniNy appeared Eaumb�F'agea F. sHerNaas Y°a�ez t_: sato -Dori 2�,-J . Cwt OR—& JV FULLER CLtRk.CkRCU:T C`>-;R i"'DUVAL cc•v�lT± Notary Public at Large,Sudo Of Ftorihs.County of Duval RECORDING SMOG �i My oom mission oxpirem &b.a2&,dg0/0 Personeuy Known— —or Produced Identification T KPS N13 U Y Oft or Fichte I i I*cConririoe SOD ti b 2t (1-11-'- ------� .:- rt.r.e.r+.r. ars.