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1085 Atlantic Blvd Bldg 3 2012 CIT11Y OF ATLANTIC BEACH s) 800 SEMINOLE ROAD .a= ' ATLANTIC BEACH, FL 32233 � INSPECTION SPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001141 Date 8/30/12 Property Address . . . . . . 108 ATLANTIC BLVD Application type description ROO11 PERMIT Property Zoning . . . . . . . TO SE UPDATED Application valuation . . . . 17600 ---------------- ------------------------------------ Application desc REROOF BLDG 3 -------------------- ------------------------------------ Owner Contractor ------------------------ ------------------------ 1085 ATLANTIC LLC PERFORMANCE ROOFING LLC 5118 N 56TH ST 2235 MERCATOR DR TAMPA FL 33610 WINTER SPRINGS FL 32807 (407) 373-9543 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 140 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 17600 Expiration Date . . 2/26/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 10 STATE DBPR SURCHARGE 2 . 10 --------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 140 . 00 140 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 20 4 . 20 . 00 . 00 Grand Total 144 . 20 144 . 20 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF AlLANTTC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. w BIJILDING PERMIT APPLICATION CITY OF ATLANf IC BEACH 800 Seminole Road, Atlanfi Beach, FL, 32233 3 C �, Office (904) 247-5826 Fx (904) 247-5845 Job Address: _1C�g -1 �cn ,c ) /c ,��1. .��_Ce�c ., � 33Permit Number: Legal Description G , 3174'.-.�. && ,� ries( asl�arccl cor Area ofd (, I�t , q •t Valuation of Work$35, .:C; Proposed Work heater/cooled non-heated/cooled /'7& 0 0 '5�(Nie RQ-c ar .4 ae o't'-6 e� -S y"SV avy, - Class of Work(circle one): Neel Addition Alteration Rep'-it Move Demolition pool/spa windoiv/door Use of existing/proposed structure(s) (circle one): Commercial ,Residential If an existing structure, is a fire sprinkler system installed? (Circle one) Y j5 o, N/A Florida Product Approval # .__ L Ct c For multiple products use product approva oIrm ` Describe in detail the type of work to be perf6rme&a1.q, ,k Ve `F i A D t2t__ _ 3 Property Owner Information: Name 1GS,S Addri tis E-Mailt. Mail or Fax Stater- t ax# (Optional)__ lip 3'� �� Phone Contractor Information: Compari Name:. ei O�;cQ�-_Rob Ip i n?t�. . _. ._ _ _ _ Quali _;ing Agent. Address o�s�3 _.. M t r cz � ��?E _ ('its tz Qc State P= zip Office Phone (da l z t a- 15 c� Job Site/Contact Nurnber(� 3r13-q S,4 3 Fax # _3_al State Ceilification/Registration#.c �_C. 1.''� 5'kTT Architect Name & Phone# ErlgiflecI-• Narue & Photic# Fee Siniple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 1pph ratio/{i.hevtrl>v uuulr ta?uhlaur a pe/mit ro cz'o rhe taot/r noel ilr.clrrllnrirnrs ars i,r<Irr'rte el 1(oI-nIr!hal no arcade or hrste1/1ation hers commenced prior to the t c.�a4111(v of o pe hint anrd thea rill wol-A loll be pelfo/Tued to meet th< �rrrurlru<h ul edl hrr' r,t utunt:,t const/nculon iu this jurisdiction. Phis permit becomes null :rrrsl rapid t,/worle is/(>t e-onlincire d itfthm sir(6)'months" or if c,noll-Itctilm rpt'tro/'le !V' ti rt1"Id"d l;robundtmed fail'(1 pe-Hod of.S1.Y(.6)months tit atry time after "'OPA is contownevd. l nidi/stand ih,o separate permits mast b< rc�r•rcr•c d tin I'Jeciric rl If•r,rk 1 dtunbinq, V4,us, il•'ells, Pools, £'unlaces, Bodeiw, Healers, %aaks tuld !rr(i�ruli/iurr�n,elr WARNING TO OWNER: YOUR FAILUE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR P PING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO O TAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFOR RECORDING YOUR NOTICE OF COMMENCE ENT. l irerebv eerrifibuil I hate read arrd,trrnrinrci n'rt t r�1t/lir•crrirpn ntr<i to+par n5eszrute te+r5, rrr, rin,r'c<,p•t,.•c•t ,!i!prrmfsivns oflaras rnrd atlirrauees goterniuK rhrs type of woi* will be complied with ulreaheI..'',e•c•r/lerl 1/cv•edn ur)wl '1714•gninting e,l`i pe r/uil 'lo(ss)101 presume to give authority to violate or cane the primisrons gfatry otherfederal,state,r»•lrhwl icor vegrflcrrini;vinwelle-h ll,w the per/ort'rm.r rrl'e-olrsnvrution. . - Signature of('01111'icto Print Name Ir<>oC/. y71��i 1' Pri' t Name eCMe-D �4a.L- S«%ora to and subscribed before me SNI, rn to and subscribed before pie this? ,��Da�r of l k�, _,.... 20i, thi ;0 _ Dai of .14 20kZ r _ ROBIN S WILLIAMS � r -- Y MARY JO FR!_TZ ! Ot1i'\' I'lrb lC Ni tary PuDlie-State of Florida U ail I tt )F1 `~ N01`ARYFj]BLT� SAte:My Comm. Expires per +? ?01STATE OF FLORIDA C bib&*EE019456 �" • Expires 13/2212014 NOTICE OF COMMINCEMENT State of Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to cerlain 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: 0>t Y t� Address of properly being improved: 108S i�,,,, , >1t 1.s .� r C3 , F L 3 z z 33 General description of improvements: ,,,, e m R o� S Lr-4A^ Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than miner): Name: Contractor:_P f_ttL_ s� C9©� �0�lrAddress:X35 (` gg.Q�n-T o cz DM Telephone No.:!it)n ,21 o, ►Sy3 Fax No: 1 . Surety(if any) Address: _ Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the constriction of the i' ' Doc b 2012187521,OR BK 16053 Page 654, Number Pages:1 Name: Recorded 08/30/2012 at 02:22 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL Address: COUNTY ---- RECORDING$10.00 Phone No: Fax No: Name of p6rson within the State of Florida, other than hiimself, designated by owner upon whom notices or other doctmients may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to recei e 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 Conunencement (the expiration date is one( )year from the date of recording unless a different date is specified): THIS CE FOR RECORDER'S USE ONLY OWNER lc'An4vIL, tic tt: _ _ _ bate: 0 3J /� Before me t is c, ay of_ � �» _in the County of Duval,State own".t. : Of Florida,has personaly appeared ROSIN S WALLIAMS ,*s_ Notary Public-State of Florida Notar} Public at Large, tate of Florida,County of Duval. My commission expires'� ,�My Comm.Expires Dec 13,2015 ,r Commission#EE 145624 Personally Knomi:�_ or Produced identifieation: F a o IIS