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Permit Roof 871 Ocean Blvd 2012 V CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000740 Property Address . . . . . . 871 OCEAN BLVD Date 6/12/12 Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10430 Application desc ----------------------------------- reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BOOTH ALLISON J ET AL & GEORGE BOBBY CAMPBELL ROOFING INC PATTERSON KIMBERLY B 2363 SE 144TH STREET 2003 SW LAREDO ST STARKE PALM CITY FL 34990 FL 32091 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee Issue Date . . . . . 00 Expiration Date . . 12/09/12 Valuation . . . . 10430 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 Grand Total 109 . 00 109 . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. V CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000740 Property Address . . . . . . 871 OCEAN BLVD Date 6/12/12 Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10430 Application desc ----------------------------------- reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BOOTH ALLISON J ET AL & GEORGE BOBBY CAMPBELL ROOFING INC PATTERSON KIMBERLY B 2363 SE 144TH STREET 2003 SW LAREDO ST STARKE PALM CITY FL 34990 FL 32091 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee Issue Date . . . . . 00 Expiration Date . . 12/09/12 Valuation . . . . 10430 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 Grand Total 109 . 00 109 . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Bobby Campbell Roofing 904-964-7876 p.2 BUILDING PERMIT APPLICATION CITY OF ATLAWIC BEACH 800 Sefninole Road,AtImitic Beach,FL 32233 IOJ'fllfilc,el(1911OM4)247.51gt26 Fax(904)�247-5845 J�ob AALddre-ss:-) cjLr__ ga ese n14 tio P rm.t Nu Legal Descrit on Pern*Nu m her: P 11 11111rcel Valuation of Wort[ Proposm I Work heateWcooled # q. t Cll"s Of Work(circle one): -"..% ---- nou-heste&cooled (Rew I Addition Allerafio. Repair t4oe Demolition Use of existiOg/Proposed st 11-� Iran existing stiructure,is rurc"s POOVS13a window/door P 6circleonc): Commercial R Florida PrOduct Approv a re spir 11 er Vstelb installed? Residential For multiple p a] # One): roaucts me— -- Yes No N/A Pra'"t aPp­rOv`a`rT0—rm F/ 71 Describe in detail the type of work to be Pcrforrned: P ame r a a H: Name: 0. city dress: E-Mail or Fax#(optional) Sto zip--.Phone COMPanY Name: Address: *Z S Qualifying Agent: Office Phone Job City SLvt C04ification/Registration# 115n�t Nu�mbff ate ip, Architect Name&Phone# # Engincer,s Name&phone# Fee Simple Title Holder N d Address Bonding COMParty Narrie and Address Mortgage Lender Name and Address 4WIcauon's hereby made to Obwn a permit to do the work and insWtaij-ans asind, re us"aoce 0%a Permit and that all work will be performed 10 meet 1,W and ca a I certify that no work or injalla, vo"k il not Commenced if!thin six(6)Montils,or Y. -nandards of all laws regukting const.,tion in w0r`tucomnenced. 'underiumdt)iatsepa,.4teper)nilsn TQRb and Air Coxftoj�W construction or w k thisjoisd,'IT hal c0Mmencvdp.-jw 1.the Wtion. Thispermithic or Ism,%,"dedorabandonedfora i*dqf,,bq6)mo omes null ust be securedfor Eka Wark, Pt,,66W nihs at S4&�, a"Y time after Radek"ealtis, WMMING TO OWNER: YO CO NCEMENT MAY RESM rr ILURE TO RECORD A NOTICE OF TO PROPERTY. IF YOU 1,T IN OUR PAYING TWICE FOR IMPROVEMEjWS LE I END TO OBTAIN NDER OR AN ATTO FINANCING CONSULT WITH Y BEFORE RECORD C "r ING YOU�i NOTICE OF 1 hely,cet!6 that I have read and examined his NCEMENT. 01W WOrk wilt be coWfted with whef,;W, !)hcOdon andknow the same to be 0*,Ne and correct Allprovisionjo Provisions of any otherfeay.01, t,,, or tcl?leg herein or not The granting of a per flaws and i ov ordnances gowniV this "I"11911411,Vg lonstMcgon mit does�0;Preju e to grve awhorlo,10 violate or canc, or L'fg Peif'Ohnlh,�e fc0n&jrUCj1,n. I the Signature Of Ownera Print Name J"�� �-<z Signature of Contractor Print Name S,w and subscr- ore me C-1 thi Of 172- Swom to and subscribed before me BALLARD this —1 �=Day of u NOTARY PUBLIC LORIDA otary u COMM#EE1598ae MYCOMM EE 067928 lq� U Expires 1/27/2016 EXPIRES:Februa 7 2015 d 01.26.10 ,4�F%.. BWW Th BUdq , OF aw NOLIC'v nv Doc#2012121041,OR BK 15966 Page 717, .CEMENT Number Pages: 1 Recorded 06/12`12011.at 01�04 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL Permit No. COUNTY Tax Folio&0'*-.-* ­'­,"'""'*111_11*1__.__-.-_--­­--- I- � ..-___ RECORDING$10.00 ................ THE U'NDFRSIGNED herei.,y gives notice t1lat be M"de to(erlain I_e4l P"OPerky,and in 3"ordance%,j;jtj)se<j 713,113 of the Florida Statute ir)PrOyemients will S'thcf0l1(nV'n9 infOrmatiOn is Provided.in tf�j-,jINOTICE OF COMMENCEMENT. l.De5CriP1i0n Of Property(legat dwscrOlivlo: a)Str _....... .......... –---—--------------1-11-1.__............. 2 eet 000 Address: �,--Gerleral description of improv .......... ements: ............. .......... ........................ ..........- ........... .......__ formation __............. a)Nameand address-. ss Qf fee Simple tillel1j.11der(if h)Narne and addre, ot ler than wmler) 'c _f Z�avl c)Intere.,g in prope 4,C(,,Rtractor Infonnatioll .................. ..................... a)Name and address�� q't b)Telephone NO.: .... ......... Infon .nation Fax No, opt-)_ a)Name and addrcs,.j' b)Amokint of Bond-, .......... elePhoneNo,- —--­-------- 6,Lender Fax a)Name and address: ................. ................ ............... Phone No.. 7. ldent6�17 ... ............ L ly r Persoll within the State Of Florid ner upoll whom notice"'' mewS May kx'!servef a)Name and address: S or othe?,10cil b.)TelePhone No,: .............. S,Iriadditio,itohim,self.(:)w"' ner esig.nates the fo o.,virl,per.son to recei i)(b),Florida S ............ 'lea COPY offfie LierAor's No ice as Provide u1soc6on a)Name and address: d WT'OePhone No_ 9�ExPiration date of N-yotice ...........­­_Fax is sPecifird). or k--Onlmenceme e C-wration da O�(Opt.) . ................... ........................ te"�" Yesr from the date of recording uniess a differvnt date .......... WARNING TO OWNER. ANY PAYMENTS MADE BY THE OWNER AFFER THE EXPIRATION OFTHE NOTICI:()F 'COMMFNICEMENT ARE('ONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I�SECTJON71-3,13, FLORIDASTATUTES,AND CAN RESULT IN VOUR PAIVING TWI , - A NOTICE C E FOR IMPROVEMENTS TO YOUR PROPERTY, OF COMMENCEMENT MUST BE RECORDFDAND POSTED ON THE JOB SITE BFFORE THE FIRST IINSPECTION. IF YOU INTENDTO OBTAIN FINANCING,CONSULTYOUR LENDER OR AN ATTORNFY OFFORE COMMENCING WORK OR RECORL)I�N(; YOUR NOTICE OF CONIMENCENIFINT, S rATE OFFUM IDA ")11'NTV OF PJINF LLAS .............. w Print Ln The tbrego'T19'ns"Umcat was acknowledged betbrenjethj,�z ............... ..... y........... as f........... ((Yl*(if authority,eg.ofrjeer,tru_qee, in fact)for v�,,- _\� Pemonally Known !_�L __ __'­.....___(name of part),of, behalf of whom ift-';t�yment wRR executed), OR PrTAluced Identificatifjn L---" .......... Notai��sigmature Type of Identif ........................... Ication Produced I ).-t Name(print.) Verification punIL"t to SeLji0j,92,S,?5, OR ...................... the facts stated ill it am iTue to tile Florida Statutes,. LInder perialtie-s of pe,�jtjfy,f dec4are that I h a"e read the fom-going a n d t h.at best Of r4 knO-Vvledge and 4ief rORMS BRIAN GLEN CARMAN Notary Public-Seal State of Indiana My CoaWssion Expires Feb 26,2020