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1067 Beach Ave 2012 - Roof From:arthurwells Fax:(888)766-3884 To:+19442475845 Fax: +19042475845 page 1 of.-1 6/1/2012 2:04 20 1 1,!i E'be pages: NOT`tC ,OF CfM,El'!JCENE;N(T Cip-U„COURT rte I.A; —0 ntopDN Tax Talv`i*ac1 ' THE 1.1PVUElt.'SIGNED hereby gives notice that imprtr+reaame tr;will be made to certain real property,and in a"ordata,ce with ScVtion 713.13 of"the norida,St tes,the fialltywirtg Ma n,as providod ixt tttia N(1TICE;CIF C� 1IwfEMCEMJuN . l:t rcriptiora of a) off.vdescr� � �l � j, .Aess:StrCv4, t 01.7 A 64 C'_�i� 2;0enera9;dclfinjolt 3:4wner lrafpTmation N n and.adttacrs ►"!l rL.r_it-A t4.,Oel b)P�laaxt� watt address ut fee simple till lat}ldi r kif of er utast c vsrrac�r) e)tatters in p ---------------------- rtaperty -- 4:Ct}ntractor lltftranatttion _ W. _ ,• a)Name and addrt ins: 2 Z*11 (?y Telepltnrato FaX t+M . S.Svxety.Worrnation7777,77. a):2armie and address: h)Xmgi .t of Bond ^ Telepl t9ne Nu.: _ Fax.No. (taut.} 6:Lentk r7 77 a)N ume and address: Phone N' 7..identity:of person withist the.Maty of Florida desigsamtWhy owner upon whom notices or other docu1ltaity be sewed, a)hTamc and address; h)Telephsrrru No. _ Fax,No.`(, pt.) ll:ln addition.tcs hiriiself,owner designates the following�er�on to zx:v ve a imp of tlae Liez�t is l�lvtic�t��pr©vidccl itt �#hart 71. .1410 l laarFda Stw.ttates: a}Naaatc id1t3 address, bl Tcleplaartc E pin#iiin ate of l+lol a f Ccarran t went(#hie expiration date is one year from tke date of recvratltn�aat��sa al dti�Ierept tl�rt� . is specliled). WARNING T't?CliWNER ANY PAYMENTS MADE Ti's`.THE OWNERAF'T"ER THXERA E �tTICE )FE fCti � L1 COMMENCEMENT ARE C0N.,9ID..ERn)IEMPRoP'cR P.'+i.)(musiT"S LTN.j)FR twHA PIER 7131 PART ii SECTION,7'i3'13, Fl Ult tllAS7'AT[•tT'FS,AND CAN RZ'�' T L]'V'YG! t l'��Iv'�G T'M�"iCl�FrCll? illdl!'llCkl'p�.1Mr1.E 7S T U'G'+t7U Ffak£IrMt'!C. A NOTICE O Ci��mjl NCIAII sti T MUST'BE:'RECORDED AND POSTED ON 7'HE JOB S]TE BEF'4)ttl~ t HE if[IIS1 IIYSP> C i'ICI . I]E t)Cl ['?+rTE1�k1T!TC)QBT"AW FINANCING,C.ON$UL°TY{IIIR LE>IDER OR4N AT Tp- M BTsdM+�iTI+ CO1M��]kC ING�lr'C11�IC'OR RF.C,t�1�1' ING YOURYOURNOTICE 0F"+UOMME1�CL M' 1t ENT". STATE QFF1:oR -A rt>a t rpt O :pl V } s .. ...•..W... --' .. apmlurtcfowmort7wnar'shut?moxzea9t}ff�cexl ct�rc>Texiimet anagcr Prim Rsmt The fore fZaing irtstrLunettt was at kpowledged before nic this dily ofrA�' (rr — 201'—,by — as._.,_..t , u, P" �iF aitttnr%ty*J�-+ ffier,trutat+es, attort►el In rAe:Q for (name of Party ri behalf trf�laortw l sta�aarYtS at#`v9i�a t+ecaated). Personalty lGncrwn.. SJR Prtrdv d 7dts�tiftcsatitrn Islaytaery r atnTe T.} of?dentrftcration Prodztced _ __ Name;{print) .r-6�� `"r OR verifat^ali®rrn purl tttr S+-term 92.52.5, Fltrrida Statutes.Under penalties,, fpgjury,t&.4lare at l Yaave read the foregfrir+g asad'tha# the facts stated irw it are#rua 10 tls� best tsf any knesvleilge rasad bcftt f f xY ns f^c• P'4"i'vur'!f J X { ,rS 4 CrC1RhK�rh1.M«t':uI301G arf''�, :., `r b"'•r'. .e 'j 4r t} .. .. .Wx `r�. i rrlitre of L'1uEue'ud 1'erscyn�il+.mrm8(ir,lxn�h i�.�y' lyaue ._..._ CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000655 Date 5/25/12 Property Address . . . . . . 1067 BEACH AVE Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 14507 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LAMBERT LYDA L ET AL A.J. WELLS ROOFING 1067 BEACH AVE 5432 WELLER PL ATLANTIC BEACH FL 322335753 JACKSONVILLE FL 32211 (904) 553-0069 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 125 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 14507 Expiration Date . . 11/21/12 ---------------------------------------------------------------------------- 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 125 . 00 125 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 129 . 00 129 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC. BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PEPMT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 323 Job Address: I0l�7 6PNIM MW *f&" &eon �L Permit Number: y Legal Description —2.S — Q-9 E -6-440" Puree]# Floor Area of Sq.Ft, Sq.Ft Valuation of Work S 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 jr cle one): Commercial Residential If an existing structure,Is a fire y t st ed?(Circle one): Yes No N/A Florida Product Approval# • For multiple products use pproval lorm I 4>v Describe in detail the type of work to be performed: Propert;Owner Information: Name: R•NA 10 &�-, L/rM,�P/� J& Address: 10(r y 641tQG4 AN' vC 14P3o c� Q(f -3�/A � City A'N/rh G Q G4 State dip?]2.V Phone E-Mail or Fax#(Optional) Contractor Information: n Company Name:�s•�� Q PD f+�19 1/1 C Qualifying A ent: Address: 9 1 City� �+/ State Zip I!1 Office Phone VV-;f"-0 Job Site/Contact Number Fax# _ 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 im�plication is ereby made t obtai a permit, da the work pnd installptions a,rr ir�dic teedd 1 certify that no work or installawr!has�o mmenc prior to the issuance a a permit and that all work wif�be performeA to meet the standards o/oall laws regulating construction in this jurisdiction. is permit becomes null nd void if work is not ommerr��Zed wit in six(6)months,or if cons�rucdon or ork is suspen ed or bandaned ora err six(6 months at any time a�er work is commence I understandthat separate permits must be secure jor Electrlca[�ork,Plumbing, gns, eUs,Pfools,Ptrrnaces, Boilers,Heaters,Tanks and Air Conditioners,eta 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. It reby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing thtype 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 construction or the performance of construction. Signature of Owner � Signature of C for Print N e �/1/iAl L.4 Q(/�� Print N Swo and subs 'b ore me Swo and subscri e e me C this Day of 202 this Day of tart'Public No-taky Public Revised 01.26.10 r tP vut Nat vluUdic stalte C.} ^ A3rjv+er State of Florida �§ m ry t rnl7t 00E!.r1070 .c� s t a 051711,201'1 t ;..,Di"i892070 �,,+nr,W.+r�•.ar.`^�,,,., y�wa.Y",,:>"a.9"w'"k,.�'-yd"Rr'".s�'Y, r�7,' ~`c, . � R.' S".912Q1:2