Permit Roof 1805 Sea Oats 2012 ,�� j ,
' � ° I � CITY OF ATLANTIC BEACH
r 10 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
.4 013 9''
Application Number 12- 00000223 Date 2/27/12
Property Address 1805 SEA OATS DR
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 9395
Application desc
reroof
Owner Contractor
WACHOVIA ALAN TAYLOR ROOFING LLC
1805 SEA OATS DRIVE 4170 HALL AND BOREE ROAD
ATLANTIC BEACH FL 32233 MIDDLEBURG FL 32068
(904) 365 -4017
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 100.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 9395
Expiration Date . 8/25/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 100.00 100.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 104.00 104.00 .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 y4)
800 Seminole Road, Atlantic Beach, FL 32233 �
Office (904) 247 -5826 Fax (904) 247 -5845 I
Job Address: 1505 Sea U'dt5 k*1zxic . L 32233 Permit Number:
Legal Description Usk 2Z . B lod41, Savo Mavi na , U I+ No , c 1 Parcel # \12. O S S4
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 9 1 ; 39 5, Oo Proposed Work heated /cooled 3f3 Sys, non - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial evidential
If an existing structure, is a fire sprin £ kler system installed? (Circle one): Yes No N /A
Florida Product Approval # f/ /oily. In
For multiple products use product approval form
Describe in detail the type of work to be performed: 1e.rc,,C 5
Property , Owner Information:
W
Name: bcklovta erg€. Address: 4to \/■L■set -�►-N �\V
City SbYN kv� io State X Zip '1 c+251 Phone 341. - "1 S lc — (x 200
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: A /L... i as y/t) e , , c; � S Qualifying Agent:
Address: goo mr,u , tee. era, City in.,UAlob,,r5 State F./ Zip ?,o6
Office Phone 29t. ,za z g Job Site/ Contact Number ,S 9/- v2/ 9 Fax # 79J- i',g r
State Certification/Registration # cc r n5 '73
Architect Name & Phone #
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 aperiod of six f6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters,
Tanks and Air 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.
1
hereby certib that 1 have read and examined this a placation and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied wi •ther speci zed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, st. • or ; cal law regulating construction or the performance of construction.
Signature of Owne111111111111611 Signature of Contractor
Print Name ( 4J N `S a "'.� Print Name , J �., r ,. 7 'y /or
Sworn to and subscribed before me Swo an subscribelt er re me
this l+ Day of "Feloruavm , 20 1 , is 1 Da o /t�.•� I 20
a (A)1�aa� � _. /
REG W. URi_lK �� 7R! '�,1;,r�l
Notary ' ', lic NOTARY PUBLIC N r' " '' a' � 4 1 MY CI MISSION # to • '7760
01114
5. STATE OF FLORIDA , •�� d: EXPI • Febru•1 2014 I `
Comm# EE045443 o yd Bonded ru Notary Pub ' nderwrite,R ised 01.26.10
ve Expires 11/28/2014
roc : 201.7.-10400 C :R BK. E:;t:i(il1 Page 15t= =
NLiriter Pk1t --s 1
NOT ICE OF CO .N :I +:MENT Recorded 02 , ?u1 .2 at 10.1:i AM
Jim Ru1.!_CR. hi: K GI' C.uIT C(",t)P r
,.;liNTY
l-Fi:ORDING "Fiit1 . %0
Permit No. _
Tux Folio No. i :12.0 — 0%'.
THE UNDERSIGN I'.I) hereby gives notice that improvements will he made to certain rctti property, and in accordance with Section
713.13 of the Florida Stanates, the following Information is provided in this NO'l IC.'E OF ( :OM' f FAC
I .Description of property (legal rleccriptiun): `c,d• 4 7 ,'i lock 1 S :.Iva IAa ri r U hr;k No.
.I) Street (jnb)Addreat;:_1 SO 4, _f_. km Uh.i OR kit. 1‘t■111G $ elk t'1 .hL 3 2 233
c:4(f 2;0eneral description of improvements: _ 2erQmc
2,
1.0wncr Information
a) Name and itddrecs : \Z,C41o orl .4-k WI t-r al1 \Yd * nlcn :7 . "1`5z.''> 1
h) Natue and address of fee simple titichol er (if other than owner)
c) Interest in property _L
?,Contractor Information
a) Naine and address: ALA. --r").., ' .1.1_,2_ tk LI a,, r_ee 3. A :AA elfb N 132.0 _
b) Telephone Ni).: . cii H'f3'3 Fax Nu. ('()pt. _ 2 I • Bow
-. S .5uri ty information
a) 'Name and a.ddress:
b) Antntmt of .pond: —
c) Iel.ephone No.: _ Fax N. (Opt.) --
b.Lettder
a) Name and address: . .
Phone No.
i . Identity of person within the State of Florida designated by owner upon whom notices or otllct ducuntcnts may be served:
a) Natne and address: _
b) Telephone No.: Fax No. (Opl.)
S.In addition. to hintse]f, owner (le`,ignatt:s the following person to ioccivc u copy of the Lienor's ktic.e as provided in Section
113.1 3(1)(b), Florida SIattttcs:
a) Name and address: .
h) Tckyhone Nu.: _
Fax No. (Op �
').h :xpiration date of Notice or C'urnmenceulent (the expiration date is one year from the date i f recording unless ;t different date
is specified): ied): _ - —
WARNING TO OWNER: ANY PAYMENTS MATE BY 'tIFF OWNER AFTER THE l± 'PRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHANTS 713, I'ART 1, SECTION 71113,
FLORIDA STATUTES, ANT) CAN RESULT IN YOUR PAYING TWICE FOR TMPRO%7MEN'['S TO YOUR PROPERTY.
A NO'T'ICE OF COMMENCEMENT MTJST BE ItF.CORU)':)) AND POSTED ON THE J H SITE BEFORE TAIE FIRST
'INSPECTION. IF YOiJ INTENT) TO OBTAIN FINANCING, CONSULT YOUR L1•:.NDE • OR AN AT'T'ORNEY BEFORE
COMMF.NCWG WORK OR RECORDING YOITR NOT OF COMM :FMENT.
STATE OF FLORIDA +.:.i..
C011N'I'YOFP{# tti A : ,. • ;1,',r.ry''''' '.3: -.l•:: 10.
`dal %a - - . Si 'ature f owner n • ,unr's • 'or'cd otr.:cr /Iliiccter /Pinner /Manager •
'''''' ..- • ,,' " -:::Ii;it:::1'• 71 3-ro-iLi.1 1...1t 46_ . } ' ` : '„, :. i= k,:,,,€'• 'i f ! :'.h`2r _ Print N,tni
Tile foregoing instnlnacnl was acknowledged befot me this VA-l-6, day of V vitr'uo:s , 2O ■1�, by .l -e4ke -vv--
∎ti�tt lt.) iae-e `-' _ as L:Ca Tell �Q;� V '
SS le �r — (type of • uibority, e.g. officer, trustee,
attorney in fact) for 14c lls } v'r4t �'r,k (name of party on behalf of whom instrument was executed).
I'ersonttlly Known ✓ OR Produced Identification _ Notary Signature _ Q6.1A
Type of identilica.tion Produced _ _ _ Name (print) .t`�■1.�44 ikid 0 \IL. OR
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare mat I h ove reed the foregoing. and that ` ` I
the facts slated in it are true to the best of my knowledge and belief- �
row!, NOC,rv„ asst 1 U
Signature ta Natu.nl Penton Sibming (`n line(' 1(1.) Above
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