Permit Roof 154 156 Pine 2012 . ` �' CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
44-/ f li INSPECTION PHONE LINE 247 -5814
Number icat
Applion ber
ppicat Ad . . . • • 12- 00000152
154 PINE ST Date 2/07/12
Application type description ROOF PERMIT
Property Zoning ,
Application valuation To BE UPDATED
- - - - -- -------- - - - - -- 5900
---------------
Application desc ------ -------- - - - - --
------ REPLACE DUPLEX - - - - -- -----------------
------------------------------
Owner
_ ____ ____ _________ Contractor
LINK JEANNE - - -- ------ - - - - -- __________
154 PINE STREET WHITES ROOFING
ATLANTIC BEACH FL 32233 14262 PLEASANT POINT LN
JACKSONVILLE FL 32225
--- _ -_ -_ -_ -_ROOF PERMIT---_-_-_ -
Permit _ ___ _____________
Additional desc . REROOF
Permit Fee .
Issue Date 80'00 Plan Check Fee
Expiration Date . Valuation .00
------- ---- -- 8/05/12
---- 5900
-- - - - - --
Other Fees -------------------------------
STATE DCA SURCHARGE -
2.00
STATE DBPR SURCHARGE
2.00
Fee summary Charged g Paid Credited
Permit Fee Total Due
Plan Check Total 80.00 80.00
.00 .00 .00
. . .00
Other Fee Total
Grand Total 4.00 4.00 .00 .00
84.00 84.00
.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: 1 - 6 I r
Legal Description 0. c, i 4 FL Permit Number:
Parcel #
Class of Work Valuation of Work $ o e
Cls Wor (circle one): � � o � •
Use s existing/proposed Wor(cicle o tructn New Addition Alteration
Han existing structure, is a fire sprinkler one): � -- demolition pool/spa
Florida Product structure,
# ) COmmerrpool/spa window /d oor
P er system installed? (Circle one): Yes
F �' 15S
For multiple products use pro' uct a No ('N / Describe in detail the approva orm
type of work to be performed:
Remo 4 c . e . -is; Ni
xc Rea
Pro rty e Owner Information;
Name: JPCt nl toe, L
City
State fi Q N Address: / S 1' + �+ I
E -Mail or Fax # (Optional) i N Gcnl ,`�
�- Z p Phone _ 13 - e • - _
7
Contractor Information;
Company Name: 1 c .5 1 or, c /1\1 •
Address: 4,. „J ea SA ni f P L V 1 N G
Qualifying Agent: I % _
Office Phone°i o _ •'� W h ; Fr__ ° � `9 L Job Site / Contact Numbers 1&k
State Certifi cation/Registratio n State 'PI Zip - � a
Architect Name & Phone # Fax #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
3onding Company Name and Address
vlortgage Lender Name and Address
ca
! pplition is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no
• pl i c t of a permit and that all work will be performed to meet the standards as laws regula er c
nd void if work m is not commenced within six (6) work or installation has commenced prior s o the
Omonths, or if construction or work is sus ended or abandoned fora eriod of six 6 m
n is commenced I understand that separate permits must be secured or Electrical- o bing, tion in t his jurisdiction. This permit becomes null
arks and Air Conditioners, etc.
al -Work, Plumbing, _P r
g, Signs, Wells, Pools, Furna es, Boise s s
COMMEN RN IE G TO O RESULT YOUR FAILURE TO RECORD A NOTICE
�'T IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING,
YOUR LENDER OR AN ATTORNEY BEFORE RECORDINYOUR CNSULT WITH
NOTICE OF
COMMENCEMENT,
ereb cert that I have read and examined this placation and know the same to be true and correct. All provisions of laws and ordinance
'e of Y work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority
?visions of any other federal, state, or local law regulating construct or the performance of construction. to viola te or cancel th s grn'erning this
e
\....-
Mire of Owner ,e(Z4,
Signature of Contractor•., i
it Name ,J eaA) N C L• N J
k Print Name nn a c h y \A ` ` i--
Sworn to and subscribed before me
DTs] to and subscribed before me
" "(\ ' ; ��° 2 ' > E J tl�"'IIthis; �+'' Day of F cQa.�,� , 20 l.).
\k4\411 11 . +: irk *: COMMISSION # DDti201
gill, Itolkiv ':, • , - ., _....er 12.2. l!,.■ - :•_
P
I d �IN rra,c°m �I EB61E J RIT , - i sed 01.2 6.10
��' a . M� ,0,0 \SS \ON i , x A 0 •
�.•w∎ \ 153
N Ai
r hp11�s
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. •
State of • ' F • , , County of ... . u nt .1
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: • •
1 r_.) `1 d 6 S t • •• 1 lam i:.A.; ' ■ti FL- •
Address of property, being improved:
1 P / ■
General description of improvements: • •
i ,--6 c2 , 9 l� 1'i\s0-3•3 tl £-t)
• Owner . ._Sea w . L1 N K
Address t'JL P. S.I. Cctz u . Aa , F ( '
! O wner's interest in site of the improvement, •
1 .
Fee Simple Titleholder (if other than own • •
Name •
•
! Address �`
_
1 � , . Contractor . ■ ,s , . ► Li. c. •
I
Address 1y afa" . Pl€C.S,Arki 1 P - L ' • J x Fl ?.;?a3,
Phone No. ID LI AA 55 Fax No.
f Surety (if any)
Address Amount of bond .$ •
Phone No. 0 Fax No.
t
j Name and address of any person making a loan for the construction. of the improvements.
l' Name •
I , .
Address -
• .
`• • Fax No.
..i • Phone No. '
;r` i ' •
,, - •
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or, other
f ;;,. documents may be served: •
s 4.:44 Name ' •
'' F ; Address • •
4> Phone No. Fax No. •
, 3 ; - • ' In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided in
ti '
- pti , x ., - •
Section 713.06 (2) (b), Flo Statutes. (Fill in at Owner's option).
f. p w _
r ,
t} ,-.• Name
r S p �. ; Address ,
' >,, Phone No • Fax No •
•" ���.. .. ... _ -- _ _ . — - _ .._ r_... L. ...... /•t\ ....... frr.m the, Antra of ri-rrrlinr1 11(11(-?SS a