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Permit Roof 871 Plaza 2012 ( 4, ,,,,„L' :› ie fir- til, CITY OF ATLANTIC BEACH ff, s) 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 r j3 Application Number 12- 00000421 Date 4/12/12 Property Address 871 PLAZA Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 5000 Application desc reroof Owner Contractor EMANUEL AAA ROOFMASTERS INC 871 PLAZA 5355 LENOX AVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 713 -7663 Permit ROOF PERMIT Additional desc . Permit Fee . . . 75.00 Plan Check Fee .00 Issue Date Valuation . . 5000 Expiration Date . . 10/09/12 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. NOTICE OF COMMENCEMENT caEp' E 'N _.. =L - -T_ Permit No. State of "ax ■oi'o 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 p g rovec gIL Address of property being improved ' 7/ KIVA I T RC4 ; 293 General description of improvements. - F_-'R a f Owner tOger - 1 Fi"Ot1i";.1E1- Address Z 71 ,PI4ZS R') ? 2 733 Owners interest in site of the mprevemen: Q 0 Po Fee Simple Titleholder (if other than o'. ner Name Address Contractor 4 16 Q Q U i.S Address 0 ' ' 0 p ` ', L Z Z Q Phone No. e, / : O 'c S rif any, ' 32' 9 0 7 Address Phone Nc. =ax r-..ount of cond. $ Name and address of any person making a loan for :ne - dns:r;.c: or of the - m- 'd:emer:fs Name Address Phone No Name of person '.v thm the State of Florida other than n mse f .es gnate: c, :.. tier upon ..:horn notices or other documents may be served. Name Address • Phone No. =ax , .c, In addition to himself. o:•:ner designates the follc..!no perscn tc rece:.e a zoo of :tie - s Not'ce as prcAdded in Section 713 0642i ib;. Flor :ca Statutes. n a: 0 . - er s rrt . Name Address Phone No. Fax 'v.: Expiration date of Notice of cmrrencer y ^ n. ^.q c &c •a: ate one e ea ' r •, •-e sate cf recording unless a different date is specified THIS SPACE FOR RECORDER'S USE ONLY WNER y -e' — at �2 u . � e Doc # 2012080372, OR BK 15911 Page 120, Be'cro a ;�+s z C a ��T n the iy3 Number Pages: 1 r ' , . ' ' e na:';. zooeared Recorded 04,'12/2012 at 01:15 PM, - •,� . ..; .. � JIM FULLER CLERK CIRCUIT COURT DUVAL e = =`' "` •= COUNTY MISSIO RECORDING $10.00 a! EXPIRES January 04, 2015 4021 388 pt01 dallo __.w... ryservbe.com z? - _— e S a:e c r ete - - - - -- — ' •- -_ S'h or BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: g P 4, Legal Description 0 1 I I r Aj Permit Number: or _ Ai. Parcel # 30-60 3 - oor � rea o q. t Proposed Work heated /cooled q. t Valuation of Work $ _. non _ Class of Work (circle one): New • ddition Alteration Repair Move Demolition pool /spa window /door Use of existing /pro osed structures (circle one): Commercial Residential If an existing structure, is a fire sprinkler system installed? (Circle one Florida Product Approval # ) Yes No N /A For multiple products use product approver orm Describe in detail the type of work to be performed: I Pro r e Owner Information: Name: & 1 .' City � � ��_ Address: �' • / f IL 1 E -Mail or Fax # (Optional) Statef Zip 2?%3 Phone �- - 4 Contractor Information: Company Name: / � IL - r T Address: V' i nnii�A Qualifying Apra: i Tf- Office Phone City ` d v State C ertification/Registration # Job Site/ Cont t Number 7iS_7� 63 State —� Zip,. . Architect Name & Phone # �`�Z80`3 Fax # 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 cert that no work or installation has issuance of a perm jurisdiction. it and that all work will be performed to meet the standards of all laws regulating construction in this and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperzod o f six f6) m at work is commenced. o understand that separate permits must be secured for El ectrical Work, Plumbing, Signs, Wells, Pools commenced prior to the Tanks and Air Conditioners, etc. . This aes, Boilers, rs, Hea ter null , WARNING TO OWNER: YOUR FAILURE TO RECORD rna c iany time after lers, H COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR YOUR PROPERTY. IF YOU INTEND TO OBTAIN A NOTICE OF YOUR LENDER OR AN ATTORNEY BEFORE B TAIAI N FINANCING CONSULT WITH OR IMPROVEMENTS , COMMENCEMENT. YOUR NOTICE OF ' hereby cert that I have read and examined this a placation and know the sane to be true and correct. All provisions o laws and ordinance" a te governing' cancel o work will be complied with whether speci zed herein or not. The granting of a permit does not r esume to give authority to viola 'roviszons of any other federal, state, or local law regulating construction presume or the performance of construction. l this of Owner 7(74/46/ 61-114.41.4.t / / / Signature of Contractor rant Name �...eri -- Print Name Zeal i worn o and subsc ' •ed b - fore me i � tis Day of ���,0 __I y Swe to and subs- 'bed r e ore me 20 a this Day of � / otaiy Public ... .yrr.- �?r_e..,--- i "!� .e• Notary Pu � • -a` o , ; • XPIRES January 04, 2015 � - - (417) 398-0153 Florld January (407) 39 � © MM�S$I�N EE052841 �" 8 -o1 F ` EXPI J8 �d28152 0.10 8.0183 -� lorldallotaryService.com