Permit REROOF 594 Plaza 2012 ,C, r CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
r,
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001488 Date 10/10/12
Property Address . . . . . . 594 PLAZA
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6700
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Application desc
reroof
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Owner Contractor
------------------------ ------------------------
CRIGGER RONALD WHITES ROOFING
594 PLAZA 14262 PLEASANT POINT LN
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
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Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6700
Expiration Date . . 4/08/13
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ------ ----------
Permit Fee Total 85 . 00 85 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 89 . 00 89 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of F1 nri r1a County of T?rniva 1
To whom it may concern:
The undersigned hereby informs you that improvements will be made to 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: 35-64 17-2s-29E Seaspray Lot 6 Blk1
594 Plaza St Atlantic Beach, F1
Address of property being improved:
594 Plaza St Atlantic Beach, F1
General description of improvements:
Remove existing roof, install new roof
Owner Ron Crigger
Address 672 Lakeside Dock Dr Kingsport, Tn 37663
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
r. Name
Address
-7 Contractor White' s Roofing Co. Inc. (Tim White)
-> 14262 Pleasant Point Ln Jax. F1. 32225
Address
F=� Phone No. 220-5546 Fax No.
Surety (if any)
Amount of bond
Address $
Phone 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
Phone No. Fax No.
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Fynirntinn date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a
BUILDING PERMIT APPLICATION'
CITY OF ATLANTIC BEACH
800 Seminole Road.Atlantic Beach, FL -121233
Office(904)247-5826 Fax(904) 247-SR45
JobAddress: 594 Plaza St Atlantic Beach, F1 Permit Number.
Legal Description 35-64 1 7-2s-42E seaspray Lot 6 B l k 1 Pa el# 170703-0212
Floor o t. q, t
Valuation of Work$ 6+ 7 0 n 0 n Proposed Work heated/cooled non-heated/cooled
Class of Work(circle once): New Addition Alteration Repair Move Demolition poollspa window/door
Use of exirtinWproposed structure(s)(vire 41nvl- Commercial IRe �,nDj
Man existing sfruct•ure,is a fire sr,; 'F:r s±c__ ins±:�! �`'<<' : �:r_.r_ _ _ , N/A
V'roduct Anproval# 1956. 3
For -multiple products use product approval form
Describe in detail the type of work to be performed: Remove existing roof, install
new roof.
rt---(N-ner Information:
N Ron Crigger Address: 672 Lakeside Dock Dr
City l State TrZip3766-1 Phone 4234443492
E-Mail or Fax#(Optional)
Contractor Information:
White' s Roofing Co
y.onipany Name: Qualifying Agent Tim White
Address: 14262 PieasantPt Ln City Jax State F1 Zip32225
Office Phoni 2 0-5 5 4 6 Job Site/Contact Number 3 3 3-6 6 6 3 Fax#
State Certification/Registration## CCC05801 7
:���chi€ecl Fame&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplicatran is hereby made to obtain a permit to do the wank and installations as indicated !certify that na work or installation has commenced Prior to i
accrranre al rr J+rrmit arul that all ururk rill be performed to meet the standards of all laws rrgulatirEg canatruction in this jurisdiction. This peraut becomes n
anri void zf wrx k is net cc>mmenced within six(6j months, or if construction ar work is suspended or abandoned for a�pen'ort of six(6)rrumths at any time af,
Work is commerrc@d l understand tlwt separate permits must be secured fur l✓lectrico[Work,PYu»t peg,Sits, iPe t, ]4lrermic ,ao&m Heate
Te>Ykf and Ail Cowers.e�
K I a A Nit NICE OF
�...: 'v, . f •rs i. tt V t� iY IPROVEMENTS
TO YOUR PRO_ _ ¢.
YOUR LES DIE �% A >s A I'lI.� _
1\ Jli VaP�isii iYl i'`T34 its.aa JU Ix � ; is vv:a i• acv ar va
COMMENCEMENT.
1 hereby Certify flat I have read Qt4tl *'canaaaa >J rJjsc
a►gre oJ'wark well be Complied with whethor cn�it,�a[< z r K.e..... ! ie J� n 1 trre_ t..Site. 0.utr.0r`itl to :%i_euir i%r COM-ri
provisions of any atter federal,state, or loCCI��CT}4 r2gLfj2t!pn r�e-ch?i�trpk?Or'therk r Of'1??nr �e
Signature of OwnSignature of Contractor�
Print Name _.Q CJSPrint Name
. ... .. ... ..r.............. ._. .-�. 1 ,.::._. .
... ..r� ..........._��...._......... r..,...g q _...._.............................
Sworn to and subscribed fore me Sworn to and subscribed before'me
this511- Day of Qci qq��cCgQ��p 20T/J-�'"�y this� - Day ofaMj�j. ----ry---may Cp
:4V: � BA IL.L7BIJ R.I0 1 LSl P /� P, AJ'ESSI�Gll
Notary Public ?'� ' SAY C(?WAISSION#DD920172 No . "Cit`c^ON 8t DD920172
;t d ° FXFPR_. ?n m
eber 12,2013
EXPRES C?ecember'12,2013 °F F`
(407)3 -e kat;vi F. ,m
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