Permit Roof 831 Begonia St 2012 •/ 4,w1 ffr�
e CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
0 ATLANTIC BEACH, FL 32233
") INSPECTION PHONE LINE 247 -5814
Application Number
12- 00000499 Date 4/27/12 Property Address 831 BEGONIA ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 4200
Application desc
REROOF
Owner Contractor
BUTLER JESSICA M RESCUE ROOFING & CONSTRUCTION
831 BEGONIA ST 150 HIDDEN RD STE 311
ATLANTIC BEACH FL 322331711 PONTE VEDRA FL 32081
(904) 923 -0359
Permit ROOF PERMIT
Additional desc . .00
Permit Fee . . . 75.00 Plan Check Fee .
Issue Date . . . Valuation . . . . 4200
Expiration Date . 10/24/12
Special Notes and Comments
NEED NOC
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: 33 ( )50-30i■A r1/4- V"..
\ q Pe er� rm (( it Number: .
Legal Description ?-' 34f-3? a - a`R e - 14- P -Parcel # V °7 09 1 — i nao
Floor Area of Sq.Ft. hpigTh.t.i. Sq.Ft
Valuation of Work $ -1-D . c Proposed Work heated/cooled non-heated/cooled
Class of Work (circle one): New Addition Alteration •.. Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial esidenti
If an existing structure, is a f sprinkler system installed? (Circle one : es No N /A
Florida Product Approval # 1� - 16 1..-•L 2-L
t _ i
For multiple products use product approval form
Describe in detail the type of work to be performed: N.. _) r
Property Owner Information: , �..p
Name: ,J, IC k u -� 1 - 1.... - Address: p 3I. b l A �.
City fk1 43rlC- Re-pc/4- State a. - Zip? _Phone
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: U o613 U- A Co ` t z s - Qualifying Agent: t 0 L l tr -
Address: 1 Sb HI L--b ' f 1 5 ! I City 00 OW \ie./ State f .3••. - `Zip .0 c /
Office Phone q 0 87),- `l5/ 3 7 Job Site/ Contact Number CIO 4 - ( 3a-3 --d 35 Fax # Ra1& /- 7507
State Certification/Registration # e_ C C U o 6 G 3
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 war* or installation has commenced prior to the
issuance of a permit and that all won* will be performed to meet the standards of all laws regulating consttuctton in this jurisdiction. This permit becomes null
and void Vivo?* 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. 1 understand that separate permits must be secured far Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, 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.
I hereby ertify that I have read and examined this a placation and know the same to be true and correct. All provisions of laws and ordinances gowrntng this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give autho • - violate or cancel the
provisions ofany other fe. -ral stag or local la eguiating construction or the pe ofconstructton. 4*
Fir '
Signature of O 4 I i�� 1 Signature of Contractor 0
Print Name 1 Q , . / 0 + - Name .......4..U„j4.1 t? 7E� .._,.............._.. ................._.............
Sworn t d subscribed before me Sworn to .and subscribed before me
this f v 20 ) -'- this � of .f..° (_ I
/� /t I t f r r J P • /s ,,A.,,* i _ •• +,e ,1447
.�, I My car ic I �" �I°II��6` May �, 2013
Pub ic F�(F ; 2013 I 4 1 • . f� tl Notary Public Undenditers
e ; i- wwdters sondlid
APR-27 - 2012 15:26 FROM:CLERK OF COURTS 904 270 1512 - -
TO: 92475845 P :1/1
Doc # 2012093155, OR BK 15927 Page 215,
Number ?ages: 1
NOTICE OF COMMENCEMENT Recorded 0412 r?2012 at 03,47 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
b UD OO e-(--CM RECORDING $10,00
Pcnriit No. , . *
Tax folio No. -
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 .13cscript) S of property (legal description I, : ?7 1J A - I .. , *' a i >--r 33 j ii
,vi a) Street (job) Address: 3> t:� t+ ‘-4,,e . -
2,Gcncral description of improvements: r — •
3.Dwncr a Nametion �S- J+A r 0i -- __
a) Name and address: ,
b) Name and address of fee simple titleholder (if other than owner) - YYtL
c) Interest in property - --
4,Contractor Information f $
a) Name and address: 'f , � _
b Telephone No -: " • -- a A # / . Fax No (Opt.) U ' - 7.a4 7
5.Surcty Info: motion
a) N Name and address: --
b) Amount of Bond: _
c) Telephone No Fax No. (Opt)
6.Lender „--
a) Name and address:
Phone No-
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address: ?..-- — Fax No. (Opt.) ,_ .
b) Telephone No.:
B.In addition to himself, owner designates th.c following person to receive a copy of the Lienut's Notice as provided in Section
7]3.13(1)('b), Florida Statutes:
a) Name and address: _ .
h) Telephone No.: _ Fax No. (Opt) -
9,Expirntion 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: ANN 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 VOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE .TOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCLNG WORK OR RECORDING YOUR NOTICE O CO1MIMENCEM T.
A w ` L
ATAT1t u PPIN ELDA 14 ►
cfiilsa1l f� rINr.ns 1 A ALL 111 �
Sign • Of Owner or Owncr' Authorized Officer /DirectorfPartnetltvtanager
PrintN . l
t was acknowledged before me this
- 1/ 4 clay of g-/ 1.r— , 20, .` y
The foregoing vnstxumcn $
) u as -_ 0 (type of authority, e.g. officer, trustee,
attorney In fact) for _ (name of party on bet f of w * ru i t was executed).
i•
Personally Known Produced Identification Notary Signature .4-7;
�` m
Tyro of Identification Produced � •
Name (print) I • ' N. MAINE 3. BEAM
1 ` t
OR . .' ' , :+_'t" t 'DWI"'
_ .- , r ° EXPIRES: May 72, 2
Verification pursuant to Section 92.525, Florida Statutes_ Under penalties of perjury,1 d . ..',;.';:r"' AVOti dl ',. _ i d that
the facts stated in it arc true to the best of my knowledge and belief.
Signature of Natural Above. i Poison Signing (in line # 10.)