Permit Roof 347 Skate Rd 2013 j ti ��
�" s CITY OF ATLANTIC BEACH
0 800 SEMINOLE ROAD
" ATLANTIC BEACH, FL 32233
,- INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000384 Date 4/05/12
Property Address 347 SKATE RD
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 4500
Application desc
REROOF
Owner Contractor
WILES, ARLENE GREAT WHITE CONSTRUCTION INC
KAREN J MINOR 4320 DEERWOOD LAKE PWY
6357 JACK WRIGHT ISLAND RD JACKSONVILLE FL 32216
ATLANTIC BEACH FL 32233
Permit ROOF PERMIT
Additional desc . REROOF
Permit Fee . . . 75.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 4500
Expiration Date . 10/02/12
Special Notes and Comments
NEED RECORDED NOTICE OF COMMENCEMENT
PRIOR TO FIRST INSPECTION
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 79.00 79.00 .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: 3fl ��,c_ (� l.c.:&.h 84,333 Permit Number: 42 — 3
Legal Description Ai %,, "pe0,,r c, -- 2 a Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ ‘1 Proposed Work heated /cooled t.oc�Q n 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 fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval # l0% Zq.1(
For multiple products use product approval form
Describe in detail the type of work to be performed: \�e,roeC
Property Owner Information:
Name: f rkei'e Address: 3y, v...c.m_. vE'
City W mac) State t°i.Zip a3I-2-3 3 Phone 90 4. ' 51 - 3, 4 - , 1
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: Girer 11- C -T41., Ccx1,4.c -cx Qualifying Agent: $Ac.,t4.cr*
Address: tt31U tlervco•u . le,k c, City ).to State Ft. Zip A
Office Phone ypy f'3 E Job Site/ Contact Number q0,4 f-3 a -1 455 Fax #
State Certification/Registration # 1 ?,2565 7
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, Boilers, Healers,
Tanks and Air Conditioners, eta
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.
I hereby certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified 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 e!'( )JAI U Wb
Signature of Contractor a 4,
Print Name (Arlene. W; t-ej Print Name \ 'irCkulz
Sworn to and subscribed before me Sworn to and subsc ibed -
this . Day of Apra I , 201 this S D. • - r 1 ( 2_
?f �*°:; 7S8LM1AHTFR ! �� . � � �� CpM � EE � �15 4 11
Notary Pu v.:�,..4.• . .,.
* e . MY COMMISSION a EE 162194 ota � Two Naar
'. a EXPIRES: January 22, 2016 ' ~✓ ,
4 4 cR Banded Thu Sahel L ? -
oFn Revised 01.26.10
APR - 5 -2012 15:19 FROM: CLERK OF COURTS 904 270 1512 TO: 92475845 P:1/1
NOTICE OF COMNIENCEMENT
Stag of _
^�� Tax ,Folio No.
County of �-VVwA
To Whom it May Concern: 3 S 14
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 ty being improved: ' revs .)
Address of property being improved: 3!4:1_ & � f .} ri j� eth r3 X3.3 a
General description of improvements: p.CYOO+
Owner: t (dent' (Af i V 1 Address: ....3 J (blG! •�..i 1, P Br An 3
Owner's interest in site of the improvement:
Fee Simple Titleholder (if other than owner):
Name:
o( Contractor: CHAT,
Address: ' 3alti �Pi tir WOOCI I,1_y_e Ik Ls6n o 1 I �D
Telephone No.: 9, 3cr t (k; g Fax No:
Surety (if any)
Address: Amount of Bond $
Telephone No: Fax No: • - - -
Doc # 2012075005, OR BK 15903 Page 2270,
Name and address of any person making a loan for the construction of the imps Number Pages; 1
Recorded 04/0512012 at 03:39 PM,
Name: JIM PULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Address: RECORDING $10.00
Phone No: Fax No:
Naive of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served Name:
Address:
Telephone No: � ...T Fax No: _.
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed Date: * i
*�::'% TRAVIS SLAUt3MER Before me this ; '" day of ; { S Z.
in the County of Duval, State
'' � * MY COMMON SEE 162194 Of Florida, has personally appeared 15 _
* T EXPIRES; January 22, 2015 Notary Public at Large, State of Florida County of Duval.
%wo g' BARMAN MAP Ndal swilw My commission expires_
Personally Known: or
Produ y I tificatio
rs�;�:L`Jf
*I` • Permit Inspections
s
°7111Pr City of Atlantic Beach
Permit Number: 12-00000384 Description: REROOF
Applied: Approved:4/5/2012 Site Address:347 SKATE RD
Issued:4/5/2012 Finaled:4/11/2012 City,State Zip Code:ATLANTIC BEACH, FL 32233
Status: FINALED Applicant:<NONE>
Parent Permit: Owner:ARLENE WILES
Parent Project: Contractor:GREAT WHITE CONSTRUCTION INC
Details:
LIST OF INSPECTIONS
SEQ SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS
ID
BD ROOF
4/6/2012 4/9/2011 SHEATHING Mike Jones APPROVED
Notes:
late pm 8381659
4/6/2012 4/9/2012 BD ROOF DRY IN Mike Jones APPROVED
Notes:
late pm inspection requested contact#8381659
4/11/2012 4/11/2012 BD ROOF FINAL Mike Jones APPROVED
Notes:
Printed:Wednesday,20 November,2019 1 of 1 �"