Permit Roof 68 W 7th St 2012 N ell CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
'V, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000865 Date 7/10/12
Property Address . . . . . . 68 W 7TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4800
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Application desc
reroof
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Owner Contractor
------------------------ ------------------------
WALKER, DANIEL S RON RUSSELL ROOFING INC
68 W 7TH ST 4419 HUDNALL RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 636-9909
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Permit . . . . . . ROOF PERMIT
Additional desc
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4800
Expiration Date 1/06/13
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMO IS APPROVED ONLY IN ACCORDANCE WITH ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
�PREPARE IN DUPLICA7E,
Permit No. Tax Folio No.
state of County of Duval
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real prop",and In
accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
7
Address of propert being improved: V-4
General description of improvements: AlsACOF—
Owner jey�
Address Ir
Owner's interest in site of the improvement 0
Fee Simple Titleholder'if other than owner)
Name
Address
Contractor Ron Russell Roofing,Inc.
Address 4419 Hudnall Rd.Jacksonville,FL 32207
Phone No. 904-714-1907 Fax No. 904-636-9909
Surety(if any) N/A
Address NIA Amount of bond N/A
Phone No. NIA
Fax No. N/A
Name and address of any person making a loan for the construct on of the improvements.
i
N/A
Name
Address N/A
Phone No. N/A
Fax No. N/A
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name Ron Russell Roofing Inc.
Address4419 Hudnall Rd. Jacksonville, FL 32207
Phone No. 904-714-1907 Fax No.904-636-9909
In addition to himself,owner oesigrates the follo,,ving person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's ooticr�I.
N N/A
ame
Address N/A
Phone No. N/A Fax No. N/A
Expiration date of Notice of Comm en cemtp�(the xpiration date is one(1)year from the date of recording unless a
different date is specified): �1;7—'3 1-Z—
I r
THIS SPACE FOR RECORDER'S USE ONLY "��W�=R
Signev, z DATE
2,
" ay oi OL--7
Betwe me this d in the
S as personally appeared
Doc#202143377,OR 8K 15995 Page 2150, �!�f 2 1 n1j, 011 zl!�N I he
Numbe��Pages: I himseT herself and affirms that ill statemen s and deci r4 E CARL RICHARDSON.SR
Recorded 07/10/2012 at 01:55 PM, are true and accurate NOTARY PUBLIC
JIM FULLER CLERK CIRCUIT COURT DUVAL STATE OF FLOFUDA
COUNTY
COMM#EEOIGS39
RECOF DING$10 00
EXPI1108 8/12/2014
Countyof j:2
or
Produced Identificatio,.1
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Addres's: <4SP) �\-3 TrH -sT ATL 2Z 3 3 Permit Number:
Legal Des4� iption Floor 7Uea of Sq.Ft. - Parcel# - Sq.1A
Valuation of Work 80o Proposed Work heated/cooled non-heated/cooled
Class of Wo rk(circle one): Addition Alteration (iiDr Move Demolition pool/spa window/door
ting/proposed�
Use of exis structure(s) (circle one): Commercial
side
If an existin structure,is a fire sprinkler system installed? (Circle one): -Yes No
Florida ProTuct Approval # t 6 t Z-4 ( (0
For multiple products use product approval form
Describe indetail the type of work to be performed: P-F-JP--60 F- ib �01
_(e t k3,r T04
Property 0-*ner Information:
Name: J_i�-FF LLA(KC —Address: 6.9 W , rfl
City Pc_lrL"_nC BE-OvO-H State f-Vip 'Z-��, hone.
E-Mail or Fax#(Optional)
Contractor information:
Company Name:_IZ� ?,o55C-LL_TMf_(&3 Qualifying Agent: Rz,,_-PcD sceuc_
Address: city--ZSW State f-L- Zip -S 1_6
Office Phone� o I q 6'T Job Site/Contact Number
-o tj ttk Fax# lo4- G3(p -jFLoj
State Certific' io Registration# gc-f-
Architect NaTne&Phone#
Engineer's NOme &Phone
Fee Simple T*tle Holder Name and Address
Bonding Company Name and Addres
Mortgage Leil der Name and Address
A a e ade I 'a' a e I o do the work and n a
a a nd ca d e fy thsa'no work or installation has cominencedprio to the
n t._uctio in thisjurisdiction. Thispermitbeconies null
in r t t ' s i c rt' or
"v 00 do,,d� a eriod of sixj6)months at any time after
it s ' ti
f
p 'ic�eio i r by d, 0 0' p be e ormed to mZ,the tan�a a aws wing
anc a n a a a ork
s pe ix I r ss e ul
a �s k, ande�or ba
) Ot or, c
s 01 0 is i not t " 'it w in s P(6 onstru't on r or u
nd v d work 0 n me ..d h
t t sep t,Per i s m, t s cu f
0 1 Ctr c or Plu
m Ing, SIgns, If lls, Uj
work is,f " 'd de tand a ara be e red rwE e a k b e Pools, urnaces, Boileis,Heaters,
0' s
Tanks adAjr on i jon'.'s,el'.
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I here,�b certify that I have read and examined this' lication and know the sanie to be true and correct. All provisions of laws and ordinances governing this
work will be complied with whether sped fieg herein or not. The granting ofaperniit does notpresume to give authority to violate or cancel the
provisions of any,otherfederal,state, or local aw regulating construction or the performance ofconstruction.
Signature of Owner
Signature of Contractor
Print Naine
............................
Print Name 6
W -�?_ s
-,q,62
FL K�Ao._/72 ,-
Sworn to and$ubscribed before me Sworn to a d subscribed before me
this-W-f 4 Da of 20 )9-- nay of ::5�"
this 1010 D
No`11�0 Public
Xv S.& w y CPubiic state of Flodda levised 0 1-26.10
C
Notary Public State of Florift
Dayna H Wdlams oayna H V01=8
J'IVmy Commission EEI 19675 my commission EEI 19675 evised 0 1.26.10
Expires OW712015 "'i=�Expwmes OSM712016
800 Seminole Road
Atlantic Beach,Florida 32233
Telephone(904)247-5800
FAX(904)247-5845
Construction Site Management Plan Compliance
A construction site management plan confori-ning to Atlantic Beach City Code Sec 6-18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
1. Parking plan-parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2. Location of construction trailers, loading/unloading area and material storage
area.
3. Location of chemical toilet area-chemical toilets must be kept out of City
right-of-way and not further than 15 feet from structure under construction.
4. Location of dumpster-dumpster must be from approved waste company(in
accordance with Chapter 16 City Code). As of 2009, ap�prov6d 6mvsfe I r
conipanies for Ad, Beach cycing'and
are Advanced DiOosal,lRealco Re H
Shippells, Dumpsters are to have tarp covers or rigid covers on wind'y days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy or
Completion.
5. Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
6. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber, concrete remnants
and other such construction debris including cans, metal,plastic and paper.
7. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion& Sediment Control Plan(silt fence, catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
8. Other activities, where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code See. 6-17 (3)
Revised 6/2009