Permit Roof 141 Poinsettia 2012 !r,.letl1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
lilt
Application Number . . . . . 12-00000842
Property Address . . . Date 7/05/12
141 POINSETTIA ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3729
----------------------------------------------------
Application desc
reroof
------------------------------------
Owner Contractor
------------------------ ------------------------
THALMUELLER, TIMOTHY C. STERLING QUALITY ROOFING
4627 CHARLES BENNETT DR 4211 SHOAL LINE BLVD
JACKSONVILLE FL 322251301 WEEKI WACHEE FL 34607
(904) 465-2183
-----------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date Valuation 3729
Expiration Date . . 1/01/13
------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
--------------------------
Fee summary Charged Paid Credited Due
---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 74 . 00 74 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
06/20/2012 09:08AM 9044297824
FAX
' PAGE 02f03
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
$00 Seminole Road,Atlantic Beach,Flu 32233
Office(904)247-5826 Fax(904)247-5845
J'ob Address: /y/ �PtNs E T—raT
Legal Description to-/b Permit Number:
p ' SEc�r�l oor 3 o Parcel# / '7 O 6 c/2_o ot'(-
Valuation of Work ..,,7 2�, .Proposed Work heated/cooled
>no4'
ulested/cooled
Class 0f Work(circle one): New Addition Alteratio )t_ a' Move Demolition p001/spa window/door
Use of existing/pro strnctnre(s)(circle one): Commercial
If an existing strut are,is a fire spi 'er system installed?(Circle ane): es No /A
Florida Product Approval# C' �J I yq _f Y
For mtiltsple products use pro uct approveForm, '`C"
Describe in detail the type of work tolbe Performed: I z 42®FF -t Ar-?( 4c- 12 via t"
Property Owner Iluformatioa•
I
Name- 1/_Mo7 THAs,nUrC ErZa Address; rW Pojvsrm,t Sr
CityA>r,hurte c�cN ;StateFCZip 3 z3� Phone 4 6/6 6 7 06 —
E-Mail or Fax#(Optional)
Contractor Inforimation:
Company Name: C�u �rr� Q,a,��,v�
p Y �• ST-Q, ( ► li ing Agent: �A_txs �ST, c/.�
Address:-_ i4NTN L,v j City State F� Zip zgr/
Office Phone ojn�t - r{ Ci or'r� l/�ot�A
6 Job Site/Contact Number Fax#
State Certification/Registration# C EC-1 0.5-7 Ta c
Architect Natne&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Addr6ss
Bonding Company Name and Address
Mortgage Lender Name and Address
Applicata is hereby to obtain a permit to I o the work and lnstallattorty as indicated. I certify that►w work or installation has commenced
issuance�a peyrnlf ar�that all work will he performed to meet the slattdards of all laws regulating construction in thin jttallation h This permit bepcom t t he
and vpad work is not commenced wa1hM six(d)months,or(>`construetaon or work!s sus ruled or abnnd
work is commenced. 1 utulerstarul that separate permits must be secured or EleetttC pe oned for a rind of siz(6)months at anytime cher
ranks and Air Cotjditioueis,etc f al Worlk,Pl+tnrbldg,Signs, 1eNs,PODIs,!urxaces,aoi►e,s,ffea/ers,
WARNING TO ON�WER: 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 VOI& NOTICE OF
COMMENCEMENT.
I
!here cert y that 1 have read and awmined this a plication and know the same lobe true and correct. ,111 provisions of laws and ordinances govertung this
type g ns o will d compiled with whether speci red herein or not- The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other era!,st e,or local iaw regulating construction or the performance of construetton-
I
Signature of O er ��"
y Signature of Contractor
Print Name �� 7L//k U. e!; r-
��,W.. ....................� �...._..I..e.... �_. Print Name
Sworn to and subscribed before me Sworn t and d bef c,me
this�on ay of ,�t�.v- 2011 this n 20
I
is
' PENNY CUMBO
MY0%lWSSI0N ORS s p i. itevise 0!.26.10
EXPIRES: 1 2014 �. • ? Notary Public-State of Florida
BMW tKuwofary�� sy' �s My Comm.Expires Aug 10,2015
•ti;,os�k�,r Commission#EE 120803
Doc # 2012139747, OR BK 15990 Page 1444, Number Pages: 1, Recorded
07/05/2012 at 10:02 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
06/20/2012 09:08AM 9044297824 FAX
NOTICE OF COMMF�NCI+:MENT PAGE 03/03
Permit No. i
Tax Folio No. /! 7 t, .0110 o• i .-THE UNDEILS1GvED hereby gives notice that improvements will be made to certain real o
713.13 of the Florida Statutes,Ute following information is provided in this NOTICE OF ICOM LF ME ce with Section
I-Description of property(kgol descrifpdon:
a)Street(rob)Address: P01 TT/A r
2.Gencml desccWtion of improvements
'7eh10z OFF 4- KE?L
3•�wner Information
a)Name and address: o;rt4 y %A L M v iF LL CR
b)Name and addmss of free simple titleholder(if other than owner) -- -
01nterestin.property OwN>$a
4.Contractor Information
FName andaddress:�• STER(liN� Qu�c ,ti RooFi�cl G/,�/I Sl�p�i �,u� R�„a NEKN4NVO &AC,{ �y4o7
.)TelcphoneNa.: ,c� �,p .t a rq v Fe,.,.r.. .�... �
.Sunoty Information - .---- ^.. •�•w�.7
a)Name and adtlress:��MEsI Sr�L�,v Nrn 54�oh� c,N� aivo
b)Amonnt Of Bond: a L/�nply P h L p 3 atm 7
c)Telepbone.No.• 3_f - S k - ;r ti
6.Lender Fax No.,(Opt.)
a)Name and address:
Phone No.
7.Identity of person within the State of F orida designated l;owner upon whom notices or other documents may be served:
a)Name and address: i
b)Telephone No.. I Fax No.
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(IXb),Florida Statutes:
a)Name and addma:
b)Telephone No.: Fax No.(Opt.)
Is spe illed)date of Notice of Cotnmerrcfnnent(the expiration date is one year from the date of recording pukes a Afferent date
Is apecMed): i
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRA'T'ION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT i OUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. W YOU INTEND TO gBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOT IC
COM NCEMENT.
STATE OF FLORIDA
COUNTY OF t ed 11
U2,42 �a11 DD
071signalum
D(PIRES: r•s Aubodwd 7DiroPn•dManag
jW
T"Nary
/ ire .L��ttl� Ae r
Prim Name
The foregoing inspluneot was acknowledged before me this + day of_+ 2011,by
(type of memo",e.g.officer,trustee,
sttorney in feet)for (name of party on behalf of whom instrument was execnttd}
Personally Known-i/OR Produced ldl ratification Notary Signature
I
Type of Identification Produced Name(p ) r-►oJ
OR
Verification pursuant to Section 92.525,Florida Statutes.Underoft
ities of perjury,I declare that I have read the foregoing and that
the facts stated in it are true to the best ot`my knowledge and b 1
(ULe
Foneasrt+ec.Nun•
Signature of Natwd Person Signing(in line k 10.)Above
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