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Permit Roof 990 Camelia st 2012 N S CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD J .. `" ATLANTIC BEACH, FL 32233 r' INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000394 Date 4/09/12 Property Address 990 CAMELIA ST Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 8700 Application desc REROOF SHINGLES FL8642 Owner Contractor CHRIS DANSER AAA ROOFMASTERS INC 121 7TH STREET 5355 LENOX AVE NEPTUNE BEACH FL 32266 JACKSONVILLE FL 32207 (904) 713 -7663 Permit ROOF PERMIT Additional desc . REROOF Permit Fee . . . 95.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 8700 Expiration Date . 10/06/12 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 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 , C. gu33 Job Address: O C %1 ST, mi4n1,'._ 8c6. Permit Number: ii Legal Description If � f e -s r l # /1 q7. © 9'So c2 Floor rea of q. t. SgJt Valuation of Work $ g7 0 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 fires rin er system installed? (Circle one): Yes No N /A Florida Product Approval # R-.55 cr For multiple products use produc approva old m Describe in detail the type of work to be performed: Z.20 i A, - 7 1 4 (2 /L m 4 s, / S Property Owner Information: Name: AI y a) 8' in. Address: q tO (Amt° /A S7' City ,3T /.4., /lc e il eLi State Fe Zip 322 33 Phone 9 - 6/6 3633 E -Mail or Fax # (Optional) Contractor Information: Company Name: AZ4' gooI/MiSkA 2WC . Qualifying Agent: Address: g3 CS Le /7a4 Ace . City S'Rx State F' _ Zip 3 Office Phone q0!/ -')13 -7.5 Job Site/ Cont ct Number qoV- 7S fi 3 - 7(63 Fax # g- _ 6'32 -7067 State Certification /Registration # C /3Z 0,341 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 fora eriod of six (6) months at any time after work is commenced. 1 understand that separate permits must be secured for ElectricalWork, 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 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 construct or the performance of construct r Signature of Owner C, . Signature of Contractor s Print Name AC\NA 1 • lik,1 8 " . f Print Name i i 1 af __Irvin Swor� and sub c ibed before me �J Sworn to and subscribed bef e me this Day of ail 2? 2- this 1't Day of N1,, Z 20 / Z - . CHAEL DEGUTIS __�,� Notary P /oT"�l —— .' "� "'.a' y Notary ____,01111 V(Y EX COh1M ' 04 2015 _ � ..� s,a,� 1 �' NO I' (F +J January MMISSI # EE 0 52 8 4 ' �•� Flo�ida ervice.com _ (407) 399 -oi ._ ___. -., a •� Jan 04 �� 1. Flors , ' 6.10 -� EX PI RES ea • {d Serves 407) 38'0153 Notary NOTICE OF COMMENCEMENT Number # 2 012076055, OR BK 15905 Page 86 Number Pages: 1 Recorded 04/06/2012 at 04:04 PM, . JIM FULLER CLERK CIRCUIT COURT DUVAL Permit No. COUNTY Tax Folio No. RECORDING $10.00 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property (legal description): /':35' - 3�' -2.S - Z.4 , 11 7 a) Street (job) Address: q �y C 4 A s ; , 3Z.2 33 2.General description of improvements: kppf 3.Owner Information a) Name and address: An v �u, ,h 9 Y 0 64. -e %;1 s 7 . ,47 r3c 4 _ ,' , S ZL51 b) Name and address of fee si le titleholder (if other than owner) c) Interest in property /6O 0Q 4.Contractor Information J a) Name and address: , V , 4 4 � 1 1 ' ' P S / e r 5 ..bu _ 5;555 L e n o x Aue . �l\x f . 3 ' , ' - " 5 b ) Telephone No.: 9c4- 7/3 1663 Fax No. (Opt.) s J n ' ' S ' - 6 3L - q oc j 5.Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: 7. Identity of person within the State of Florida designated by owner upon whom noti es or other documents may be served: a) Name and address: b) Telephone No.: Fax No. (Opt.) 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, 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 INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA ■ COUNTY OF PINELLAS 10 1 ; Si • wne a wner's Authorized Offi a /Director /Partner /Manager Print Name The foregoing instrument was - acknowledged before me this 9.4 day of a4d∎ , 2i) by /OiJi 1 as o#�' ,, t �� // y W t/( , (type of authority, e.g. officer, trustee, t attorney in fact) for, l �� mp (name of party on behalf of whom instrument was executed). Personally Known XR Produced Identification _ Notary Signature ' Type of Identification Produced Name (print) _ +'_ „� - :_- _i . - • - OR r ION MICHAEL : GUTIS Verification pursuant to Section 92.525, Florida Statutes. Under penalties of per ,,� - ''�81 1 h 4 g the facts stated in it are true to the best of my knowledge and belief. : = and that "" EXPIRES RES January 04, 2015 FORMS/NOC.rvsd2010 007)398 -0153 florideNotaryService.com Signature of Natural Person Signing (in line # 10.) Above