Permit Roof 1970 Beach Ave 2012 6 -,, - s.
CITY OF ATLANTIC BEACH
r .. 4 0 800 SEMINOLE ROAD
� ATLANTIC BEACH, FL 32233
H art1P INSPECTION PHONE LINE 247 -5814
Application Number . . . . . 12- 00000592 Date 5/15/12
Property Address 1970 BEACH AVE
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 6140
Application desc
REPLACE EXISTING FORAM AND COATED ROOF SYSTEM
Owner Contractor
HOWARD MARK S ET AL SCOTT WATERPROOFING INC.
1970 BEACH AVENUE P 0 BOX 1748
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32067
(904) 781 -1087
Permit ROOF PERMIT
Additional desc . REROOF FOAM AND COATED ROOF
Permit Fee . . . 85.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 6140
Expiration Date . 11/11/12
Special Notes and Comments
NEED RECORDED NOC 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 85.00 85.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 89.00 89.00 .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: 1'0 e Be, c1, 40 e ,4.4,b,„ f. c e N
l ' 1 3 z 133 Permit Number: vZ .2"--
Legal Description ' 1 -0 9 -15 - '1 /V .b, i, ;( f •,ch ,j,'4 3 elf
Valuation of Work $ 44 / i +�o, c c oor • ea o Parcel # 1b111 3 — / aS0 Cd�Is O C Q
Proposed Work heated/cooled q. t
.. ____ non heated/cooled
Class of Work (circle one):
New Addition Alteration Repair
Use of existing/pro osed structure(s) (circle one): p esMove Demolition pool/spa window /door
Commercial identia
If an existing structure, is a fire sprinkler system installed? ft,
Florida Product Approval # r • 0 ( 13 . e (Circle one): es o
For multiple products use
p uct a pp rove orm �n1
Describe in detail the type of work to be performed: at Ct L i1
Ow
Pro Qerty ner Information
Name: Ill L-r k n o t,;t --r d
City 1�, ;�c e Address: 1c 17 0 it rt-,ct, .,L/Ue
E -Mail or Fax # (Optional) State 1 Zip 3 z2-r..? Phone
Contractor Information:
Company Name: -Sic ¢4- lik 4v. /`c � ,
Address: °A - �` ..7..c Qualifying Agent: ,S rice - r c i
r�s'c 7
Office Phone 9a'-I - � l -1 c City �,.
State C ertification/Registration # Cc Job Site/ Contact Number ye y -7 _1 State �, Zip 3
Architect Name & Phone # i ' ' • Fax # yc y - / -- y
Engineer's Name & Phone # r
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 work or installation
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction.
and void if work is not commenced within six (6) months, or if construction or work is suspended
work is commenced. 1 understand that se has commenced prior to ti
Tanks and Air Conditioners, etc. p nd k, or robing, Signs, for a Wel s , d six u) a Boilers, Heater
permit � time f
separate permits must be secured f or Electrical Work, Plumbing, Slgns, We[Is, P F urna ces ,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE MAY RESULT IN YOUR PAYING TWI MPR OF
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING IMPROVEMENTS
YOUR LENDER OR AN ATTORNEY BEFORE RECORDS INYU CONSULT WITH
COMMENCEMENT. NOTICE OF
1 hereb Y cert fy that 1 have read and examined this plication and know the same to be true and co ea. All provisions ovrsrons flaws and ordinances governing
ype of work wrll be complied with whether specified herein or not. The granting of a permit does not presume to g authority to violate or cance th ti
?rovrsrons of any other federal, state, or local law regulating construction p on or the performance of construction
/
signature of Owner Xj ,p
i - l
/ l ►_ s Signature of Contracto
?rint Name )c Mk- 1.10,,E/ARD Print Name " eV7f i r iaa ffrirprritsi;04,/fik,„,........
�woixi o and subscribed before me Sworn o and subscribed before me
its lc' Day of 1'vlti 20 this 1 Day of rvt 1
JOHNU l � � i1W1 -� , ` \ 4' *1 s � 1 21,241
MEN r11 a ? \F tES'.M P � 81W ;�acs
t \I\ ,11 l
WA" ''` e � d0�26.0 At! �ry 6 SEND -- S6
tt ���
MAY - 15 -2012 10:45 FROM: CLERK OF COURTS 904 270 1512 TO:92475845
I':1/1
NOTICE OF COMMENCEMENT
(PREPARE IN Dl1PLtCATE)
Permit No. -00000 S5i fib) 7eso f o -
State of Tax Fbfio Nc. . 3 � h TOra ° f
County of [I u.,rR„ ! ---�
To whom It may concern: �-
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with Section 7113 of the Florida Statutes, the following infortnagan Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 1 - 1 - 0 5 - `Z `t E , ' ec ,[}# i.. : t etci.
3 g o f • -
Address of property being improved: L _ . 1 t : �c }+ .A * . . -!-f.. }tc r j c ..L. Iti F/ 3 3 J
General description of Improvements: I .. C4- e) is g Ae'4YO� - -
Owner Mr4 k �• we, •
Address _.. (Th_f k �'e 1l F:c £f.,el � � 32z,3
Owner's interest in site of the improvement
Fee Simple Titleholder (if other than owner) L
Name --
Address
Contractor 4 r r0Q .. . .•t
Address dd . e 17 'r Por k , 1 ' a 9O 7
Phone O
No_ J { - 7 t o r Farr ge 7 e _ 7 al - C: 44 14
Surety (if any)
Address , __Amount of bond $
Phone No. . . Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name IV L
Address
Phone No, Fax No.
Name of parson within the State of Fiofida, other than lit/emit, designated by owner upon whom notices or other
documents may be served:
Name A-
Address
•
Phone No. , — Fax No. -- -
In addition to himself, owner designates the following person to receive a Copy of the t_tenors Nottce as panvtded In
Section 713 :06 (2) (b), Florida Statutes. (FIII in at Owner's option).
Name
Address
Phone 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 ■WNER
-- - Signed k . -��. «J
a s ctaTa ' /I5` 1E
Before t .. *Vday of 1 4 _ in the L1oC # - 1 4'ttuof F7arfdw, '� • ' "'
2 06128, OR 8K 15944 Page 1260. 0
Number Pages: 1 himself/ h:. am r'1 s . -/4's �. '•''L herein by
Recorded 0511512012 at 11.07 AM
minis and date Y DeC..2Bi6
JIM FULLER CLERK CIRCUIT COURT DUVAL Commisti011N6.EE 15
COUNTY
RECORDING $10.00
Moiety Public al Large, Stare of . County of w"
My cwmnfstscn axpi ea I ff
Personalty Known `y or -
Produced Identification