Permit Roof 2043 Duna Vista 2012 C :6 �1 a , ,. CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
t ) =s ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
-.JlS
Application Number . . . . . 12- 00000505 Date 4/30/12
Property Address 2043 DUNA VISTA CT
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 9300
Application desc
reroof
Owner Contractor
KURTZKE ROBERT E & KAREN S. MANNY'S UNIQUE REMODELING INC
2043 DUNA VISTA CT. 8362 CROSS TIMBERS DR E
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32244
(904) 482 -9565
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 100.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 9300
Expiration Date . 10/27/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 100.00 100.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 104.00 104.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Doc # 2012094035, OR BK 15928 Page 709,
Number Pages: 1
NOTICE OF COMMENCEMENT Recorded 04/30.2012 at 02:17 PM.
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Permit No.
RECORDING $10.00
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.Description of property (legal descriptio
a) Street (job) Address: �( U l/f( 5, � � l �/ � d 7 ?'
2.General description of improvements:
3.Owner Information
. a Name and address: 1 ■ ;, ',`. .\7 \( ) 11 0 �j ) Ch �c 42 ) ._ ( , i ? t i . ,
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
4.Contractor Information ` ���� 01(1 a) Name and address: q p 14. _ b) Telephone No.: 0 ,? c %_ / �S , , L ley/, c / /` Fax No. (Opt.) I T9x A
5. urety Information
a) 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:
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(lxb), 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 P7 6 j� y, `' HEIDI ZAWACKI C ''r~' 'd �. uv�
_� `` Nd P - State of Florida m atu re o f o r Owner's A ' ,7. O i r 1 or/Partner/Manager
I =• •I My Comm. Expires Apr 29, 2016 1 u f n ►, ■ i v' � ( — L
=�-- Commission # EE 186955 Tint Name
4 � Bonded Through National Notary 0
The foregoing instrum a n e re day of 11 dd '► t 1 , 20 j Z_, by FNC . 5 I �i1" fzk_
as (type of authority, e.g. officer, trustee,
attorney in fact) for (name of party on be al of whom instrument was uted).
Personally Known V OR Produced Identification Notary Signature ( - ' �. -- �;'
Type of Identification Produced Name (print) H i j .--7 , ( , ,
OR
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
FORMS/NOC,rvsd2010
Signature of Natural Person Signing (in line # 10.) Above
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: L I 3 jL'1cL t)t S7. C/ Permit Number:
Legal Description Parcel #
Valuation of Work $ 'to/ 0 ' D Proposed Work h t n ed /cooled Ft
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 Resident
If an existing structure, is a fire sprinkler s slem installed? (Circle one): No N /A
Florida Product Approval # `t 1- & do
For multiple products use pro uct approve orm
Describe in detail the type of work to be performed: / 2/
Property Owner Information: 1
Name: -)k. "./' °�
k:� U`( tZ- YC- Address: 0 C \'7 l�. u� \ �L Y ‘S'C G 4-- :
City p-w, e 3 c� State VI- z Zip 3 , Ra 1 ) 2 j Phone c 7 0 • `)ell e •llos
E -Mail or Fax # (Optional)
Contractor Information:
C
Company Name: it� )^ Ur c' q _ V �1 u� Qualifying Agent: c e,2
,,,,,t 7 Z
D e $ 4 ) � pp c City ,�`ti`y� State
Office Phone d 6 — 4g2 - Q� f Job Site/ Contact Number Fax # Zip
State Certification/Registration #
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 certifr that no work or installation has commenced prior to the
issuance ofa 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 f work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperind 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, F urnaces, 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 cert f that I have read and examined this placation and know the same to be true and correct. All provisions of laws and ordinances : ,• e�rni g this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to gyve authority to violat ` • , ,. g 1 the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner , : C.-4..../..-1A__ ,icklA.A 44-, Signature of Contractor llr 7
Print Name L
0 ( tYs......... .& l./ - L `e„ Print ■ ►
Sworn to and subsc ibed before me
this Day of it. A + �- wo to and . ;1 1 4 0 ) - r, .
NEia ZAWACKip �' ' • MissioN , 20
Notary Public _ ! _ _4 ' t X I w: F ,Ty a 2014 I
s y � • My comae. Expires Apr 29 me Notary Pu • is '�'''� � ll
s ' commission # EE 186955
.4 .4V`d' B National Notary � Bonded Through atonary ssn.
"" "•,, Revised 01.26.10
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