Permit Roof 357 Sherry Drive 2012 e ` 1, CITY OF ATLANTIC BEACH
jl 800 SEMINOLE ROAD
J 7 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000358 Date 3/29/12
Property Address 357 SHERRY DR
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 8595
Application desc
reroof
Owner Contractor
POPPELL, RICHARD R TAYLOR CONSTRUCTION CO
357 SHERRY DR 3617 CAPPER RD
ATLANTIC BEACH FL 322335349 JACKSONVILLE FL 32218
(904) 710 -8946
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 95.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 8595
Expiration Date . 9/25/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 95.00 95.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 99.00 99.00 .00 .00
PERNIIT 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
rr Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: ? 5-1 Permit Number:
Legal Description Parcel #
-,. Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ DL TS - vci Proposed Work heated /cooled 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 Residential
If an existing structure, is a fi ppri sys em installed? (Circle one): Yes No N /A
Florida Product Approval # F — (-� r
For multiple products use product approval form
Describe in detail the type of work to be performed:
Property
-7 Owner Information:
Name: i 2-1 G�''� ` r v 990 Addres • W7 �1t
City riVE:drg State I .4. Zip 2-- 'hone
E -Mail or Fax # (Optional)
Contractor Information:
Company ► . me: � 1A W & Quali ing Agent: V Oin t'-
Address: -' M&vv A Ci
Office Phon; " , gy —� x l ,a�J State -,l�- Zip '?2Z
Of
�i � Job Site/ Contact Number �� i ,/� Fax #
State Certification/' egistration # Ce 1 Z
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. 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, 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 certify that 1 have read and examined this application and know the sane to be true and correct. All provisions of laws and ordinances governing this
type of work will be conzplied with whether 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, state, or local law regulating construction or the performance of construction.
Signature of Owner F=-e- /t,Qe Co Signature of Co cttor
Print Name g t ' e , P, i' Print Name ! 71Z 4
Sworn to and subscribed before me Sw• u; • and sub • -. befog
this f 1 • fi r . 0 - t . ' ' 70 ay a , f . i re Zak C / 20 2i
C" -- 11111 r t111, MI
en
, I MN O. L ri .. I w!!! Iffri
Nota Pu.lic it t ! � 11 Alle•NO ; :. �;,�11 o � o WANK Beim Aus 1.10" ' , . _ i R ISSION D 60
le EXPIR Febnz 14 014
011161•110111 • 114711 : Bonded Tniu Notary Pumicunaerwnters , evised 01.26.10
MAR -29 -2012 11:14 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
Doc # 20120t18511, OR BK 1 5895 Page 512,
Number Pages: 1
Recorded 0312)/2012 at 11:35 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
This Instrument Prepared B : R
P Y REECOCO
RDING $16.00
Name: TAYLOR CONSTRUCTION CO.OF JACKSONVILLE INC.
Addiess:3617 CAPPER RD JACKSONVILLE, FLORIDA 32218,
Tax Folio No 169825 0175
Permit No.:
NOTICE OF COMMENCEMENT
State Of FLORIDA
County of DUVAL _
THE UNDERSIGNED hereby gives notice that Improvement(s) will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement_
1 Description of property (legal description of property and street BLOCK 5 LOT 32,36 DISTRICT ATLANTIC BEACH
NORTH 5 - 69 16 2529E .063
2, General description of improvement: REROOF - _
3. Owner Information:
e) Name and complete address: RICHARD R POPPELL 367 SHERRY DRIVE ATLANTIC BEACH FLORIDA 32233
b) Interest in property: FEE SIMPLE
c) Name and address of ee Imp e e a r a erThan owner): NIA
0,.)
Contractor Information:
a) Company name and complete address: TAYLOR CONSTRUCTION CO. OF JACKSONVILLE INC.3617 CAPPER RD
1/411 JACKSONVILLE, FLORIDA b) Phone number: (904) 710 -8946
8 Fax Number. (904) 924 -8257
5. Surety:
a) Name and complete address: NIA
b) Amount of Bond: $ - - • ""�'
c) Phone number:
Fax Number
6. Lender:
a) Name and complete address: N/A
b) Phone number: _ _ Fax Number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by in Section 713.13(1)(a)7., Florida Statutes:
a) Name and complete address: NIA
_ b) Phone number :Fax Number: • ._.
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lterror's Notice as
provided In Section 713.13(1)(b), Florida Statutes:
a) Name and complete address: N/A
b) Phone numberFax Number.
9, Expiration date of Notice of Commencement (the expiration date Is 1 -year from the date of recording, unless a
different date is specified); N/A
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHPATER 713, PART 1, SECTION 713.13,
FLORIDA STATUTES, AND CAN 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 fNTENO To °STAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
,
Signature of Owner or Owner's Authorized
Officer /DirectorlPartner /Manage r
Sign pry's Title /Office $i r F
The foregoing instrument was acknowledged before me is _ + :y of , 1 1/60) 20 2
of authortty,..e.g. officer, trustee, attorney in fact) for 1 k I _, IS - (ICJ � �
whom Instrument was executed). tr , i 'e,;i: DENNIS W. CURTIS. JR