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Permit ReRoof 448 Irex Rd 2012 rj CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD J ='% ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001384 Date 9/24/12 Property Address . . . . . . 448 IREX RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6000 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LATORRE ADOLFO & KATHRYN QUALITY DISCOUNT ROOFING LLC 448 IREX ROAD 1794 ROGERO ROAD ATLANTIC BEACH FL 322333904 JACKSONVILLE FL 32211 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 80 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6000 Expiration Date . . 3/23/13 ---------------------------------------------------------------------------- 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 ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Doc#2012207605,OR EIK 16080 Page 1668, Number Pages:1 NOTICE OF COMMENCEMENT Recorded 09/24/2012 at 03:28 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Permit No. RECORDING$10.00 Tax Folio No. j? 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. I.Description of property(legal description): a)Street(job)Address: "'"' JC. t� Z 2.General description of improvements: 3.Owner Information V L i �_L l' q a)Name and address:Yct`f-��] C�Y✓n i. L-f C� �� -1 1 tJ l f ,K gsl. b)Name and address of fee simple ti holder(if other than owner) c)Interest in property y 4-Contractor Information `+ a)Name and address:I A A CLI yck-& ce 1 ( (fit ` b)Telephone No.: 2D�l 0._.1-5 Fax No: pt.) 5.Surety Information a)Name and address: 1114L b)Amount of Bond: c)Telephone No.: Fax No. (Opt.) 61ender ��' a)Name and address:_X/,� lti'� 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.: r 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 713.13, 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.6z� r STATE OF FLORIDA COUNTY OF PINELLAS 0, A✓ E us` S` lure of Owner r Owner's Authorized Officer/lDi for artner/Manager a��; SHEREE J.AMATONotary Public-State of FloridacMy Comm. Expires May 1,2015 p��Nathe o,, Commission#EE 89125 The foregoing instrument was ac oe g o e e is day of 20_a,,by Ler ez- as Alc`fj lelIQ (type of authority,e.g,officer,trustee, attorney in fact)for J�'' (, l� (name of party behalf of whom' rument was executed). Personally Known OR Produced Identification ` Notary Signature' i Type of Identification Produced bf�\1 LES l ,wName(print) � L % 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. FORMSN0C,rvsd2010 Signature of Natural Person Signing(in line#10.)Above "61i,bii)iG >hkiVh 1' API`L iCAY'i0 CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: Li `( � i� ��I ?j�3h Permit Number: Legal Description,l wd •, Parcel# I Floor Area o q. t. t Valuation of Work $ 7 �' Proposed Work heated/cooled ILL non-heated/cooled / 7Q � Class of Work(circle one): New Addition AlterationRepair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No C3 Florida Product Approval# 9—7 V'I For multiple products use pro uct approval orm Describe in detail the type of work to be performed:Lamr=tlp jst "A 10C 0-KIS( dP C.I . 'it PAIV, kPhd 1aS .3-1"6rte, a Property Owner Information: Name: AddressAhone"City State ��ip, l) — E-Mail or Fax#(Optional) Contractor Information: Company Name: 11h uk, Qualifying Agent: Address: 13 9 V Cit State 94 Zipi Office Phone I - 3 (Q-- © Job Site/Contact Number -Z'L Fax—# State Certification/Registration#Cf�n 5<10 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 the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period ojsix�6)months ui any inrP<rlter work is commenced. 1 understand that separate permits must be secured for ElectricarWork, Plumbing, Signs, Wells, Pools, «rnaces,Boilers, Heaters, Tanks and Air Conditioners,etc. 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. 1 hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,st e,or local law regu,khpg construction or the performance of construction. Signature of Owner Signature of Contractor Print Name � � �� ........... Print Name ...... ........ .. ............................. SworutQand subsc ibed before me Sworn tq and subsc ibed before me this Day of , 20 this Day of 20 0'- MoTary Public otary u is e s d 1. 6 0 Y PU9�4� SHEREE MATO .��,.'y p�e� ,. �.I{, ,1T, `,ro` SHEREE J.AMATO Notary pu4lii Sfte of,Florida Notary Public-State of Florida Nq: :oe My Comm.Expires May 1,2015 ��» :ar My Comm. Expires May 1,2015