Permits 2345 W Oceanwalk Dr (vault) CITY OF ATLANTIC BEACH
i� 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
x,;31
Application Number . . . . . 08-00001361 Date 9/30/08
Property Address . . . . . . 2345 W OCEANWALK DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 20600
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Application desc
reroof
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Owner Contractor
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CLARKE BLALOCK ROOFING, INC.
2345 OCEANWALK DRIVE 10737 NEW KINGS ROAD
ATLANTIC BEACH FL 32233 SUITE 106
JACKSONVILLE FL 32219
(904) 766-6190
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Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 133 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 20600
Expiration Date . . 3/29/09
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 133 . 00 133 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 133 . 00 133 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT--- __._
Permit No. Doc#2008249116,OR 3K 14653 Page 1820, _
Tax Folio No.1,'�y 16C Number Pages 1
Recorded 09/30/2008 at 02:11 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
State of Florida COUNTY
County of Duval RECORDING$10.00
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in
accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of
Commencement.
1. Description of roperty legal description of property and"address if available):
2. General Description of improvements:
3. Owner Information:
a)Name and Address: y'n o t,r 1s A A n�b a a114-,y(tea(k- 0c, (A) 4AV':�-&eb fl D}3
b)Interest in property:
c)Name and address of simple titleholder(if other than owner):
ew"
4. Contractor(Name and Address):
)1e
5. Surety Information:
a)Name and Address:
b)Phone Number:
c)Fax Number:
d)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 713.12(1)(a),Florida Statutes.
a)Name and Address:
b)Phone Number:
c)Fax Number:
8. In addition to himself/herself,owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b),Florida Statutes.
9. Expiration date of Notice of Commencement(The expiration date is one(1)year from the date of
Recording unless a different is e
J`
Signature of
Sworn and subscri day of"!La& 2056�.
FR16own Personally ❑ ID Shown:
Signature of No ry: '
•� Noktty>au�I to o FFronde
My commission expires:
My commisa m D0610671
Ez 1 11011-010
Llr� CITY OF ATLANTIC BEACH
°
1 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08-1
I
r OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
R BUILDING PERMIT APPLICATION DUVAL COUNTY
M"f-MM,
X15(k)04-e0f, 1 QC
Atlantic Beach, FL 32233
KiI, STRUCT'tJlk
❑NEW BUILDING ❑DEMOLITION RESIDENTIAL
LOT BLOCK_SUBDIVISION - til ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
R SCRiRTIONQF .w ilk b aip!I ri' r 5'a" '',i ❑ALTERATION ❑ACCESSORY BLDG. ''�00 �'RINKILSAM
{p 1 t\ ❑REPAIR ❑POOL/SPA [3YES ❑N/A
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9.NAME: 15,COMPANY NAMrnL� 23.COMPANY NAME:
.irv►►1 -1cc Bi 1 tr'k
16.NAME: 24.LICENSEE NAME:
An3oz,a RS (:(A t k
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
fTZ,G rYt t C. ' 1C.1r1 t f L 3 aa.3 18 ADDRESS:�V 1 31 W 1�•/1C S IGS,
5w-
-1
26.ADDRESS:
LJ )Q
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
1oy--1 - tSU 5v4-�
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE:
ii Ut1- 8 1 Lt- 1 i dtl
14.EMAIL ADDRESS: 22.EMAIL ADDRE S: 30.EMAIL ADDRESS:
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31.NAME: 33.NAME: 35.NAME:
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 ATTORN Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
h„�,�ee�i r �adi�i o:✓il.i:ir„i ii,.°:��. �,, ! 'yy!��w n'"Rebt �, '�rE A � "?=tfi�i���'�i ill��pI
IN)
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Sign ed• ate: Signed:(,,�,,h/hY Date:
Before me this �per.sonaAy
,200'Un the county of Before me this�—day of 200%in the county of
Duval,State of FloridaDuval,�tate ofrlorida,h s personal ap a red
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-, - A-County of Nota lie at Large,State of rt County of
❑P ally Known Personally Known
roduced Identification ❑Produced Identification-
Notary Si ature Notary Sig ture:
MN ry u w e'ofi`briiie` PublicSta'ofFlorida
E4OU
J P Karen J fhompson
My C1om slen DD61Q671 My Commission DIX10671
COAG FORM BLDG01:REVIS
Expires 11161/2Q1t1 or='° X(jires 11/U111Ulo