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237 Pine St 2012 roof CITIV OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001139 Date 8/30/12 Property Address . . . . . . 237 PINE ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2700 --------------------------------------- ------------------------------------ Application desc reroof --------------------------------------- ------------------------------------ Owner Contractor SPOFFORD JOHN GILMORE ROOFING, INC. 237 PINE STREET 11647 GWYNFORD LANE ATLANTIC BEACH FL 322334013 JACKSONVILLE FL 32223 (904) 880-8044 --------------------------------------- ------------------------------------ Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2700 Expiration Date . . 2/26/13 --------------------------------------- ------------------------------------ Other Fees . . . . . . . . . STA E DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 --------------------------------------- ------------------------------------ Fee summary Charged aid Credited Due ----------------- ---------- --- ------ ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 69 . 00 69 . 00 . 00 . 00 f PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF TLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. l BUILDING PERMIT PPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlant c Beach, FL 32233 Office (904)247-5826 x(904) 247-5845 Job Address: 5 ff, Permit Number: Legal Description J0- -2$ -;jE' Sr4L'T '1/Z . arcel# /7©Sfo Z-000 0 Ca Yloor Area of sq.Ft. q. t Valuation of Work$ —Proposed Work heats /cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Re air Move Demolition pool/spa window/door Use of existing/pro osed structure(s)((circle one): Commercial ide If an existing structure,is a fires rinlder system installed?(Circle one). es No N/A Florida Product Approval# w For multiple products use product approval form Describe in detail the type of work to be performed: OO F "_��bv,?!F dvId 4�1 Property Owner Information: Name: L-1 rAD/4 SPO FFORD Address: 37 Pt^4C- ST. City A—ru4e ITQ, `g _ StateF-- Is-Isphon L? - - d E-Mail or Fax#(Optional) ft <_14 L0% 497 G4me-44+, Contractor Information: Company Name: �' Qual Agent: r Address: !/!- p ✓ City State ' Zip J7 Office Phone 91499-1?T6 O Yy Job Site/Contact Number ax#,Po f WQ 1�4� State Certification/Registration# C 7 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 9pplication is hereby made to obtain a permit to do the work and installations as indi ated I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to mZb t the standards of all la s regulating construction in this jurisdiction. This permit becomes null and void if wor k is not commenced within six(6)months, or, construction or work is uspended or abandoned for apertod of six(6)months at any time after work is commenced. I understand that separate permits mt e secured for Electri al Work,Plumbing,Signs, f3'ells, Pools, Furnaces, Boilers, beaters, Tanks and Air Conditioners,etc WARNING TO OWNER: YOUR FAILUJXIVJ TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENT) TO O TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY DEFO RECORDING YOUR NOTICE OF COMMENCE ENT. I hereby certify that I have read and examined this a plication and know the same to b true and correct. All provisions of laws and ordinances govet Hing thisope of work will be complied with whether specs ted herein or not. The granting o,a permit does not presume to give authority to violate or cancel the provisions ofany other federal,state, or local law regulating construction or the perfor tante ofconstruction. Signature of Owner Signature of Contractor A_�� Print Name Pri nt Name ,00' ' -. Swor an ub c bed beforeji D y of20t ':' ay R L 20 D 57760 4, � 4 Notary ublic SHIRLEYL GRAHAM ION#DDMYCOMPdISSIONDD 957760 ONEXPIRES:February 14,20140 Bonded Thru Notary Public Underwriters NOTICE OF CO MEI CEMENT State of FL oQA oA Tax Folio No. 74'SCp 2—0000 County of DuVA L. To Whom It May Concern: The undersigned hereby informs you that improvements will-Pe made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE O COMMENCEMENT. Legal Description of property being improved: 10_ SAC-Fr A Address of property being improved: Z37 Ply Fa... .�1.T l C FLo P—%aA General description of improvements: 51 D i W t O-L08w S D 00 lQ Root '- owner:—W+SDA Sqo F'FbP,0 Address: Z 3'7 t?t+1L5Z ST, ^—t L-cft*4--ri C-Wji AL Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor. OF /q09--rt-1' FLOAt 0A Address: I�Vt=moi �'wb "r, �.iTilG IBt.�-1, f`1.Re/2t A4 3'LZ3 `t Telephone No.: 7b. a'$ Fax No: Sure��if any) Address: Amount of Bond S Telephone No: Fax No: Name and address of any person making a loan for the construction of the • provements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself owner designates the following person to recei a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(I year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNS Signed •a - t �E 6 . "-V"CY'QP Date: g r - Before �e fri day of in the Countyof val,State Doc#'2012181300,OR SK 16044 Page 2072, Of Florida,has personal y appeared b Number Pages:1 Notary Public at Large, tate of Florida,County of Duval. Recorded 08/2312012 at 12:07 PM, M commission expires JIM FULLER CLERK CIRCUIT COURT DUVAL Personally Known: COUNTY Produced Identification: ' RECORDING$10.00 ° BeM;Ann K Werm A My Corm Edo EE 162882 P-(' ' _ ff Expires 0&2612016