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2232 Beachcomber tr roof 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD "' s7 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12- 0000855 Date 7/25/12 Property Address . . . . . . 223 BEACHCOMBER TR Application type description ROO1 PERMIT Property Zoning . . . . . . . TO 1E UPDATED Application valuation . . . . 16000 --------------------------------------- ------------------------------------ Application desc reroof --------------------------------------- ------------------------------------ Owner Contractor ------------------------ ------------------------ MICHELEMAN JEFFREY E & MAUREEN FLINT CONSTRUCTION SVCS (ROOF) 2232 BEACHCOMBER TRAIL 1419 LINKSIDE DR ATLANTIC BEACH FL 322334566 ATLANTIC BEACH FL 32233 994-9626 Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 130 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 16000 Expiration Date . . 1/21/13 --------------------------------------- ------------------------------------ Other Fees . . . . . . . . . STA"E DCA SURCHARGE 2 . 00 STA"E DBPR SURCHARGE 2 . 00 --------------------------------------- ' ------------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- --- ------ ---------- ---------- Permit Fee Total 130 . 00 130 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 134 . 00 134 . 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 lFax(904) 247-5845 Job Address: 2 232- , , . CC'A NF' 1 - To,A 1 L. Permit Number: Legal Description T- 'Z4 ,C 1.3 [ I Parcel# r Floor Area o Sq.Ft q. t , Valuation of Work$ 14, UGY : Proposed Work heated/cooled�— non-heated/cooledw, A _ Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one):- CommercialLZe ide If an existing structure,is a fire sprinkler system installed?(Circle one . es No r N/A .,/ Florida Product Approval # F1•-.''1 t)C (,- . ; --�" For multiple products use product approval orm Describe in detail the type of work to be performed: 1-1-'14= E It J`1 6 l t 5 u'1-1 6L f-_ Prouerty Owner Information: Name:jC_ F&C)' e i-111 /i-�j Address: �'� �' :/404 0 ,Y)ERJE R I P A (L City_ A T(_. t-C i-1 Stated Zip Phone E-Mail or Fax# (Optional) Contractor Information: Company Name:_1"(l IV; rw:�T S,->;Z,v Qualifying Agent: 1.t,i�i � WIUT Address: 141(I t.JM1C-A D r 1C_ Ci Z. 5f H State r( Zip Office Phone Job Site/Contact Number -� " Fax# State Certification/Registration# Cl C i 32 C' Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address :7> t 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 in icated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be or to meet the standards of all ws regulating construction in this jurisdiction. This permit becomes null and void if wot k is not commenced within six(6)months, or if construction or work suspended or abandoned for a_pertod of six 6)months at any time after work is commenced. I understand that separate Per, must be secured for Elect lec ice!Work,Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Flealers, Tanks and Air Conditioners,etc WARNING TO OWNER: YOUR PAIL RE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR AYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENT) TO BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOUR NOTICE OF COMMENCE ENT. 1 hereby certify that I have read and examined this a plication and know the same to a true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other fe rel,state, or local law regul ting construction or the per Jrmance of construction. Signature of Owner,, '� "A- Signature of Contractor Print Name _j e o e..:�. I V t C L1.t IVB Print Name "�� l'�'' . .. .. ............................................................_ ............... ......................................................... ...................................................... Sworli. q�n }subscribed b, r re ne g or o and scribe efore i e' thisf',, Day f., 12012—2- D o 20 Notary u I1C ;x; `;: FAY COMMISSION#DD 957760 L L.GRAHA �,-.- EMPIRES:February 14,2014 � _ MY COMMI ION#DD 95 0 ;e2Bonded iNtu Notary Public Underwriters Revised 01.26.10EXPIRES:February 14, '''' Bonded Thru Notary Public Underwriters JUL-25-2012 10:43 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1 Cadr+.. ' r' - �j00 U0 NOTICE OF COAL Do"201 2 4 56509,OR SK 16011 Paoe 246a, Nuriber Wages:1 Recorded 07125/2012 at 11:07 AM, State of I JIM FULLER CLERK CIRCUIT COURT DUVAL l f D COUNTY Cotmty of RECORDING$10.pp To Whom,It May Concern: C The undersigned bereby informs you that improvements will be made to c stain real pmperty,and in accordance with Section 713 of the Florida Statutes,the following i. ormation is stated in.this N4 CE Of COMASNCFMENT. Legal,poscrlption of property being improved: 8 T.- Address of property beingg improved: 22321 Gemara)description of.improvements: - Owaer:—j6F—i= [ill s C-1 s E w D A IJI , Address: 23 i:- ef "1 Owlner"s interest in site of the improvement' � — ee Simple Titleholder(if,other than owner): f Jclu Name: tsactor: - Address' f 'R' -��r{ 1" ��3� Telephone No.:�q•`q9l - lv o Fax No: Ion : SM.ty(if Boy) Address: Pt Amount of.Bond S Al/.t- Telephone No: Ari? Fax No: tAj,It—, Name and address of auy person making a loan for the construction of the mprovements Name: , yPIT _ Address: r-,Eta ' Phone No: A//tr Fax No: 6I Name of person,within the State of Florida, other than himse4 designate by owner upon whom notices or other documents may be served: Name: I+- .� ;Address• ju hr Telephone No: `v 1¢ _-_ Fax No:- f� In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice.as provided in Section 71.3.46(2)(b),Florida Statues. (Fill in at Owner's option) Name: &Z 6.: Address: IV/p't- Telephone No: r//,+ Fax No: a Expiration date of Notice of Commencement(the expiration date is oue( )year from the date of recording unless.a different date is spoci5ed): TWS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date, 7 Before me this day of in the County of Duval,State QF Florida,has pmons By appeared __- jq tate of Florida,County of Duval_ fin�'"t`"+4e:+ I+Jf91PR.�P�Y '-• -/:. ,r :.: u1Yls or r�" Bondf ry. cUrtdarmiter�, _ ` l