434 Mako Dr 2012 roof ` CITY OF ATLANTIC BEACH
r j 800 SEMINOLE ROAD
!:> ATLANTIC BEACH FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001148 Date 8/31/12
Property Address . . . . . . 434 MAKO DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6000
--------------------------------------- ------------------------------------
Application desc
REROOF
--------------------------------------- ------------------------------------
Owner Contractor
------------------------ ------------------------
PRIDGEN, DONALD NELIGAN CONSTRUCTION (ROOFING)
P 0 BOX 330947 PO BOX 49249
ATLANTIC BEACH FL 322330947 JAX BEACH FL 32240
(904) 247-3777
--------------------------------------- ------------------------------------
Permit . . . ROOF PERMIT
Additional desc . . REROOF
Permit Fee . . . . 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6000
Expiration Date . . 2/27/13
--------------------------------------- ------------------------------------
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 ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT PLICATION
CITY OF ATLANIIC BEACH
800 Seminole Road,Atlanfic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: L+3 q -�)V ti v" Pc\ UA. Y\ . d 2- , Permit Number:
Legal Description 3� O l d- _a�E R ' 0-vi Z A Parcel# C C)C C
FlOor Area of
Valuation of Work$ � , ON,. Off? Proposed Work heat cooled og heated/cooled
Class of Work(circle one): New Addition Alteration r r Move Demolition poollspa window/door
Use of fAting/proposedstructure(s)(circle one): Commercial Residential
If an existing structure,is afire spnn r system installed?(Circle one): Yes No (,N7
N/A
Florida Product Approval# Lk O a`-E ��- -�
For multiple products use uet approveterm
Describe in detail the type of work to be performed: c
Property Owner Information•
4
Name:-DCl r c� Address: •�
1•
City State ip aPhone -
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: i V I
`�(f�C t1 t� is_ Qual' ing Agent:
Address: .�. �, CityState 1 zip
Office Phone Job Site!Contact Numbers 71qlj Fax#
State Certification/Registration# � 1 S 2- 211
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby merle to obtain a permit to do the work mrd installations as I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be Domed to meet the simu ds all s regulating construction in this jurisdictiom This permit becomes null
and void work is not commenced within six 6f mavrths, ow if construction ur x o+rk u d or abr�d fair aperiod of six 6)months at any time after
work is commenced I understand that separate permits must be secured for WeriY, �b'+m, X= d a Boilers,Healers
Tanks and Air Conditioners,etG ,
WARNING TO OWNER: YOURFAIL TO RECORD A NOTICE OF
ME
COMNCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TOO TAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFO RECORDING YOUR NOTICE OF
COMMENCE NT.
I here certify that I have read and examined this ication and brow the same to he and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether spec'ted herein or Trot. The grpoing permit does rapt presume to give authority
P
rovisions of arty other federal stat or local!aw regulating construction or the pert rrce ceans7rrian• to violate or cancel the
Signature of Owner \ Si of Contractor
. ` G�{{, ( lC� µ
Print Name _.._.___._. y�..--- _... _. --.... PrintName ---------------------
1 ,
-
Sworn to and subscrnibed'before me 20 Sw rn to and subscribed before me
4No
"Day �- c�� l' thi Day f 20 Z
, , - 1
Public C Ott � � - No Pu is
Revised 01.26.10
NOTICE OF COMMENCEMENT
State of
Tax Folio No.
County of
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made te certain real property,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: ^1 3
t '
Address of property being improved:
General description of improvements: \.
Owner:
�� � � 'i Address:
Owner's interest in site of the improvement: J
Fee Simple Titleholder(if other than owner):
Name:
Contractor. ,3 � �,-.�.._, � C F,� � •- -
,
Address: N
h -
Telepone o.: L U t -
�; 'i ° t 4-' Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
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 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 Commencement(the expiration date is one ( )year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date:
Before me this `" day of 1 in the Coun of Du al,State
Doc#2012188483,OR SK 16054 Page 1 I89, Of Florida,has persona ly appeared
N�rmber Pages- 1 Notary Public at Large, State of Florida,County of Duval.
Re FULLER
08'31;2012 at 11:56 AM, My commission expires y ? -
LER CLERK CIRCUIT COURT DUVAL Personally Known:
C0U JTY _ or
RECORDING$Io.00 Produced Identification `'; ' ELizAQt tt�iV E
MY C0M'-i1SaiON#DD973752
. �1
r--X:-':P-,ES March 22,2014
(407)aHM-'! :v=ryServka.eom