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Permit reroof 460 Whiting Ln 2012 n+ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J =" ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001356 Date 9/18/12 Property Address . . . . . . 460 WHITING LN Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9000 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SELHORST, GEOFFREY C & SARAH A NELIGAN CONSTRUCTION (ROOFING) 388 8TH ST PO BOX 49249 ATLANTIC BEACH FL 322335436 JAX BEACH FL 32240 (904) 247-3777 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 9000 Expiration Date . . 3/17/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 99 . 00 99 . 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 Fax (904) 247-5845 Job Address: Lt(b Permit Number: Legal Description 3l-\(v 31B -a5 -GAF Z P o4yVft* Sq.Ft l)a(E'�%rcel# '1-71 L\ coo r Floor Area o Valuation of Work S 000, 0 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition AlterationRepair Move Demolition pool/spa window/door Use of existing/pro osed structure(s)(circle one):. Commercial Residen ' If an existing structure,is a fire sprinkler system installed? (Circle one): es Florida Product Approval# 'F L ` ab 33, 1 For multiple products use product approve orm Describe in detail the type of work to be performed: jam,� 5 keA Property Owner Information: Name: ��- s' O k Address: %Q0 W h k'Y\ t-0-tI V— City_ (� CL State q Zip_33 Phone t b--A _ kq(j E-Mail or Fax#(Optional) Contractor Information: Company Name: cq LL-C- Qualifying Agent: Address: P C. sok 2t� Cityn0-141C bt9c),N State_ L Zip 3- a to Office Phone91i - 15q� Job Site/ConAct Number Fax# r,77 ,Z State Certification/Registration# CSC, 1-?,`�lrJ�� 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 made to obtain a permit to do'hewand installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work well be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void of work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six16)months at any time after work is commenced. 1 understand that separate permits must be secured for Electezcal Work,Plumbing,Signs, Wells,Pools, tPurnaces,Boilers, Heaters, Tanks and rConhtioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that 1 have read and examined this:plication and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether speci ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contractor Print Name ,-e .Pc� �-c-.. ............... .................G01 .l` Print Name . . .. .:.._ �.��c� ( ....................................................... Sworn to and subscribed before me Sworn to and subscribed before me this�_Day of 5 20 (, this ay o 20 `?� C;i1.LE - Not Public A52rJ73752 Y �5lON#ti t !7Y CO• iviiOP #pr7,N ;ESMarch 2EmRES March 2214vised 01.26.10 Doc#2012201581,OR BK 16073 Page 388, Number Pages: 1 NOTICE OF COMMENCEMENT Recorded 09(18/2012 at 10:29 AM, JIM PULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 Permit No. Tax Folio No. j.7 5� GOO© THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. p 1.Description of property(legal description): 3 0� 3B~-a5-aCLE R Q ®� OF�p� L 1�u�C115 lel t1 t 2 �t a)Street(job)Address: Llbp Wti rG c>C1 Cticoli n :3aa 2.General description of improvements: 3.Owner Information a)Name and address: GeCA(-f=v C.56 ho(Nv b)Name and address of fee simple titleholder(if other than owner) c)Interest in property 4.Contractor Information � „ a)Name and address: N�\� b)Telephone No.: ail-3`1 7-7 Fax No.(Opt.) 5.Surety Information a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: b)Telephone No.: Fax No.(Opt.) 8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a)Name and address: b)Telephone No.: Fax No.(Opt.) 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.1.3, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA FTW COUNTY ODuval ANPE l0ANC%E My(()mMSS10N# 9737 G. afore OwnorO er's Authorized Officer/Director/Partner/Manager . FX?'t;zS March 22,2014 �e NDiI_ �`,'' _.. „' `-:vrervies cOm Name The foregoing instrument was acknowledged before me this day of S �(( 20AZ:�,by as (type of authority,e.g.officer,trustee, attorney in fact)for (name of party on behalf of whom instrument as executed). Personally Known OR Produced Identification Notary Signature Type of Identification Produced �Ao6&�DC4I y,�T�iC�SC-Name(print) OR Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. FORMS/NOC,rvs&010 Signature of Natural Person Signing(in line#10.)Above