Permit Roof 143 Poinsettia St 2012 Sl.A I
d CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
.,4 ATLANTIC BEACH,FL 32233
.u� INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000843
Property Address POINSETTIA Date 7/05/12
Application type description ROOFPERMIT
ST
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3729
Application desc
------------------------------------------------------
reroof
-------------------------------
Owner Contractor
------------------------ _ _
SCHELL JOY C. STERLING QUALITY ROOFING
143 POINSETTIA ST 4211 SHOAL LINE BLVD
ATLANTIC BEACH FL 32233 WEEKI WACHEE FL 34607
(904) 4 65-2183
------------------------------------------- -
--------------------------
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 DBPRSURCHARGE2 . 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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904) 247-5826 Fax(904) 247-5845
Job Address: fi4
Permit Number:
Legal Description Jo-/b SA c-rat Q Sf c 3 Parcel# t 7,0 s '-1 2 - ,o 9 t/,?
Valuation of Work$ 3oor rea o t.
Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repa Move Demolition pool/spa window/door
Use.of existing/proposed structure(s)(circle one): Commercial esidentia
If an existing structure,is a fire sprinkler system installed?(Circle one): N/A
Florida Product Approval # CiL
For multiple products use pro uct
approval orm
Describe in detail the type of work to be performed: '\C-AV' a 67 4!!:AP1-%C-,L
Property Owner Information•
E
e: v ( � ( ��. Address: �y f0aj nst-A�..�.� State i Zip 2A417 Phoneail or Fax#(Optional)
Contractor Information:
Company Name: ,SA c.r Qualifying Agent: J 4w-,,V
Address: Arl..�,._ L.+.. City .-�c �Ja,(,•� State —Zip
Office Phone 7. %7,,15 L Job Site/Contact Number I 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
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a 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 if work is not commenced within six(6)months, or if construction�r work is suspended or abandoned fora_period of six ),months at anytime after
work is commenced. I understand that separate permits must be secured or Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces,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.
1 hereb c41ahave rea and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type olYwplied ith whether s eci ted here' t. The granting of a permit does not presume to give authority to violate or cancel the
provisionser 1 state, or to w nstrt on or the performance ofconstruction.
Signatur Signature of ContractorPrint Nat t ,pfd . r t Print Name
41....
.......I... ... .... ............................... t............... ...............................
Sworn to and subscribed before me Sworn to�,p�etd su the before me
this 41-Day of 1✓1 , 20 J1,. this oy�Day o 2040—
No
JAMES STERUNG t+ t
l := MY COMMISSION#DD 933423 #DD 818605
q 'as EXPIRES:February 15,2014 EXPIRES:August 28,2012
pFFyQ BorMedThruNotaryPublicUndervniters Rf,tb BowedThruNotary Publicundarwftm Revised 01.26.10
uoc # 2012139748, OR BK 15990 Page 1445, Number Pages: 1, Recorded
07/05/2012 at 10:02 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
NOTICE OF COMMENCEMENT
Permit No. _
Tax Folio No.17 06
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.
(.Description of property(legal description): /0-/k S,tmA I/1. $c C 3
a)Street(fob)Address: /w3 s L,,,+
S r
2.General description of-improvements. -Irk A/L 0P -f /LcPcAcE RAOF
3.Owner Information
a)Name and address: Jev N+r«FN /H3 Pn/,VJ Err/A ST
b)Name and address of fee simple titleholder(if other than owner) -
c)Interest in property
4.Contractor Information
a)Name and address: '• j�G¢t�,u� Q„A j,Ty P,,,F,1,y 4V( L rVC dcaJ NERr'nn/O D 13cKt/ 3460)
b)Telephone No.: 3S2.5 2'i-2171 Fax No.(Opt.) —>
5.Surety Information
a)Name and address:JA^CG 1rL� +N� ti+2//
j SN e,� L/N f 43 c✓b
/frye y�a✓O o t3twc k 3�/L n
b)Amount of Bond: �v/,+ +
e61enderc)TelephoneNo.: 3 5 2 5 4 6 2 8/l Fax No.(Opt.)
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(1)(b),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 OMMENCE ENT.
.STATE OF FLORIDA
COUNTY OF a##iBbbilfi
I)UYh(- Sign or ofOwneror r s Autfio zed Officer irector/Partner/Manager
Print Name
The foregoing instrument was acknowledged before me this a•—day of_ ,20,LJ- ,by
as (type of authority,e.g.officer,trustee,
attorney in fact)for (name of party on b off of whom instrument was executed).
Personally Known_OR Produced Identification�0(, Notary Signature
Type of Identification Produced ft D L Name(p
P .
t) C6 1^e,1 p/
OR
Verification pursuant to Sect' ngj der penal s of perjury,1 declare that 1 have read the foregoing and that
the facts stated in it are7?4' t
a est q�im"dge belief.
MYCOMMISSION#DO 933423FoanfsrNOC,rvasoio ImPIRES:Febmry 15,2014
,i `R Pf,tt• scorn?hru t�lotry Pulie undwwrite�a
Signature of Natural Person Signing(in line# 10.)Above
B
go cr
o �-- D cr CL
Gl Q
...
r �' o.. o �• �
-v
� H
�; o
a'
Oti u► � w t� �... p ;o oa ;,� o�� 7il"ozr; or a' o �' uQ
Fr �. g
05,
y
t9 N o 9 o
(D d o d
II
E
..; M . L_L L.
L_
M w.{
a � C �� ►ti
Q
° I d
a
z �
r A
N
i
� a
i
G'� i #
"'� �/1 W N �..t O vo Oo t
. ; r �, �
f p ! f
b
d
{
O
C4 W
It
Q
M
I
}
Y
z z z o � 4q
y
� n, � �:�• Gip ,� �
CL
(10
*1501 14.
c
M ! O
p LO
E.
ir
. z 1
�o a
co ~' c
c� f
La