1093 Hibiscus St 2012 roof CIT V OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001088 Date 8/21/12
Property Address . . . . . . 109" HIBISCUS ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO 13E UPDATED
Application valuation . . . . 5053
--------------------------------------- -------------------------------------
Application desc
REROOF
--------------------------------------- ------------------------------------
Owner Contractor
------------------------ ------------------------
TURNBULL NORMAN L & KAREN L TIER ONE CONSTRUCTION (ROOF)
12076 HANSON CREEK DR 13245 ATLANTIC BLVD STE 4-212
JACKSONVILLE FL 322585386 JACKSONVILLE FL 32225
(904) 610-7979
--------------------------------------- ------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5053
Expiration Date . . 2/17/13
--------------------------------------- ------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
-----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- --- ------- ---------- ----------
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 84 . 00 84 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A YLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
'109
REPARE 1N 0LAPLICATE)
Permit No. Tax Folio No.
State of Fl- County of LOJV-2z��
To whom It may concern:
The undersigned hereby Informs you that Improverner is will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the fc flowing Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: Z4 IL-3i -L`6-- 2. 2- 0jC
21i4e24 H-1�0-6ex-
Address of property being improved: s t"
- AIL4_011'r-ic- B 6-4 6 P- -- 3
General description ot improvements: 'C'o
Owner K A tI;--% I-L'a.,, 6--#
Address 10 hA 1.ig 1.5 t-tl 5 "r-" .4*%n C, 96-L4-e-A 2,Z
Owner's interest in site of the improvement 4�e I,"A-,I-
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor P-ic 1 ZV*1 SM E-V-rt e-VI
Address /-�Z r A-r-I-A'%11C- 1311-,1> JA-C-KSCI-1-11,11f. JC=t- 37-2-Z-17-
Phone No. 5&P91- 2-Lf&. 00jr, —Fax qo.
Surety(if any)
Address --Arnount of bond$
Phone No. Fax 4o.
Name and address of any person making a loan for the constru,tion of the improvements.
Name
Address
Phone No. Fax 14o.
Name of person within the State of Florida,other than himself,c esignated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax t lo.
In addition to himself,olAmer designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at 0,,vner's optior).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expirabon date is one year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY A/ OWNER
Signed:
nATE
Before'I's is day Of rE in the
COUIV of Duval.StMe C'Podda—,,has�p4e ly appeared
herein by
Doc#2012178686,OR BK 16041 Page 1615, hImseV hersol g nd'afflrms that ai!Statements alld declarations herein
Number Pages: 1 are true and acci irate BRENTPANSH
Recorded 08/21/2012 at 11:19 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL Notary PubfiC,State of Wda
COUNTY V Comm.Expims May 14,2016
RECORDING$10.00 ramplit No.EE 198158
Stat*of County of 7)�,,-,i I
My commission i ypires:
Personally Krio,,,i or
Produced Idertiftation
BUILDING PERMIT A"PLICATION
CITY OF ATLANTI C BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904)247-5826 Far.(904) 247-5845
JobAddress: 103 4151SCus sr ARA,%T1C. ?c4i S1223 PermitNumber:
R C&&
Legal Description 'q?-*3cf 3t-2S-2ff - 0y RjE4CA+ A Parcel#
(�E Floor Are Sq.Ft. Sq.Ft
Valuation of Work$ 1'.052, Propos Work heatedkooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Rep, Move Demolition pool/spa window/door
(�i�
Use of exiqting/pro osed structure(�) circle one): Commercial Residential
If an existing structure,is a fire sprin=system installed?(Circle tine): Yes No
Florida,Product Approval 4 FL I (o-74 — (Z L4
For multiple products use product approval forin
Describe in detail the type of work to be performed:
Propgrly Owner Information:
Name: �A,"03 Ty-evi -9 q Lk- Address: I 0'i2, 14 16 ISCUS 5 T-
City A,11-4*%I-t ft A-Ch Statef:I�Zip ?iZ S Phone
E-Mail or Fax#(Optional)
Contractor Informatilow.
Company Name: 77E'se :Z 66.iSrle&w-TI 0 Qai- - Agent: .. ilas-er P+att�,&
Address: ISZ4T' A;MAv%-nc_ lalvb -soils. 4-ZIZ. City ��^ , ootw`�[Lt_ -State PL� Zip 3L2Z5-
OfficePhone rio(4- 2,q(#- 00,90 Job Site/Contact Number Jeq- 44c-7f77 Fax# qvq. 2914-odf
State Certification/Registration# Ccr_ 13.7—cy pS'ji
Architect Name&Phofie#`� 1, -
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
ted I certify that no work or installation has commencedprior to the
regulating construction in thisjurisdiction. Aispermit becomes null
p6nded or abandonedfor a period a
W fsir monihs at y time after
nk§P%05i� Work,Pbunbing,Sqw, Rk,Pook aces,B=,Heakm
WARNING TO OWNER: YOUR FAIL RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR,141EYiNG TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OJITAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFOIRE RECORDING YOUk NOTICE OF
COMMENCEA�ENT.
I here cerVfy that I have read and d th- plication and know the same to bi true and correct. All proWsions oflaws and ordinances governinz this
m4th herein or not. The granting oj. . z
1) :"work*11 be com lied hether slci a permit does not presume to give autho * -7 the
0 wo We or cance
e§prowstons of any otherfe e�rmal, or local law regulating construction or the peifoi"once of construction.
Signature of Ownerz Si,, nature of Contr tor
_�/ N.
Print Name Name
4-:-- 7- P Pr nt ............ .................
0 '0_ , su Si iorn to and subscribed before me -2
.20/,,) cAft s—Ir Day of (��A A rA xL-&!+ .201, —
BNWPARRISH
Nof
,Vy pubrl/ i of RaNa P11WINAMPARSONS
Com Expires May 14,2011 M!Notary Pu!bk,State of Fkift
C&mrAsjWNo.EE1U158 My COMMISS"EE 174709 Revised 0 1.26.10
MY MINI-WON Feb.29.2016