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372 10th St roof 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 r 12-00001561 Date 10/24/12 Application Number 372 10TH ST Property Address . . . Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 17000 ---------------------------- Application desc reroof ----------------------------- Contractor Owner FLETCHER JULIA TRUST THORNE METAL SYSTEMS INC 800 GRAYDON AVE B3 2072 BELLE GROVE TRACE NORFOLK VA 23507 ORANGE PARK FL 32003 ---------------------------- Permit . . . . . . ROOF PERMIT Additional desc • Plan Check Fee . 00 Permit Fee . . . . 135 . 00 17000 Issue Date Valuation Expiration Date 4/22/13 2 . 03 Other Fees • STATE DCA SURCHARGE 2 03 STATE DBPR SURCHARGE Fee summary Charged Paid Credited _ ------- . 00 ----- ---------- - . 00 Permit Fee Total 135 . 00 135 . 0000 00 . 00 Plan Check Total • 00 . 00 4 . 06 4 . 06 . 00 Other Fee Total 00 . 00 Grand Total 139 . 06 139 . 06 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. aL 1L:-Lu YM, Ulm r'ULLr;K I:Lk;KR C:1Kl:Ul'1' C:UUK'1' UUVAL UUUr4'1'x x6UUKW.Lr4U z?lU .uu NOTICE OF COMMENCEMENT Tax Folio No. State of County of 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 in is stated in this NOTICE OF CSO NC MEC�•l�l, l` `� Legal Description of property being improved: 8:1 (�-f Address of property being improved: General description of improvements: O^ G, \�+`O 1J G► Ir O'er Owner: S U Ll A F tk T�.Nti Address: 3x2 101-H T ATS hsfl L F-1, u33 Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: a f toIr IL Address: t 0 S A-*j Telephone No.: rj�lS /1�,'t� Fax No: Surety(if any) Amount of Bond$ Address: Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Fax No: Phone No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may e served: Name: Address: Telephone No: Fax No: owner designates the following person to receive a copy of the Lienor's Notice as provided in Section In addition to himself, 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(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER j Date. Signed: th County of Duval,State Before me this�_ ay of � Of Florida,has personally appear State of Flon a, untypf Duval. Notary Public at Large, My commission expires: �+ Perso nown: LD p ced I ntification: ; MY OpMMISSION a EE 002Efu' �= EXPIRES.October 20,201 gee e gondeA Ttw NCH NbR,Undervr BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 3-1 2- ( 61-1' SAY e`' Permit Number: Legal Description Parcel# Floor Area o q. t. Sq* t Valuation of Work$ © 0 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structures)(circle one): Commercial sidenti If an existing structure,is a fire sprinklers stem installed? (Circle one): es No N/A Florida Product Approval For multiple products use product app,. orm l Describe in detail the type of work to be performed: �`��' �� "� Property Owner Information: Z ( ok` Name: J �c- Address: �y City ��^ �- ��� State Zip. _Phone E-Mail or Fax#(Optional) Contractor Information: _ S Sj cry Qualifying Agents � ) m`^ �,� ��2 Company Name: � State Zi -- Address: a 12 /a�'� City Fax# - 3 Office Phone ,3c�f q^ u 3S Job Site/Contact Number State Certification/Registration# 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 ,work is and work construction oi void ommenced.work is of I understand that sepacommenced within six rate permits mmonths or u t be secured for Electrical Work Plumbing,Sigor ns,or aWells, Poeriod olsXF"urnaces,Boilers,t 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 INTEEYDBEOO� RECORDING YOUR NOTICE F N FINANCING9 CONSULT H YOUR LENDER OR AN ATTORNEY I herebff certify that I have read and examined this app lication and know the same to be true and correct. All provisions of laws and ordinances governing this type cions o ork will be complied state,thhether taw fledreguherein t'ng construction or pegfof ap e of construction.rmit does not presume to give authority to violate or cancel the p .f Y for Signature of Owner Signature of Contractor Print Name LI..,C.3. 11... � �~�� ............................... Print Name u !'`....F ' �� :�....................... .. ...... ............ ... Swo and subscri b f e me Swo n bscri e 2 this y of - ! t is ay o r `EJ MPd1SSI0N#DD 957760 qp N r I Notary Pu 11C li},Rf ,•` Bonded Thru Notary Public Underwriters ruary 14, 01 .cc EXpiRPublic rs �.n, BondedThn to Revised 01.26.10