The URL can be used to link to this page

208 Poinsettia St 2012 roof CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001612 Date 11/01/12 Property Address . . . . . . 208 POINSETTIA ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2930 ------------------------------------------ Application desc reroof ------------------------------------------ Owner Contractor ------------------------ RUSH BRYAN A TO Z REMODELING (ROOF) 1703 HUNTERS RIDGE RD 131 S WILDERNESS TRAIL ORANGE PARK FL 320037212 PONTE VEDRA BCH FL 32082 (904) 273-7042 ----------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . ROOF . 00 Permit Fee 65 . 00 Plan Check Fee . Issue Date . . . Valuation 2930 Expiration Date . . 4/30/13 --------------------- ------------------- -------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 Fee summary Charged Paid Credited Due g ---------- ---------- ----------------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 69 . 00 69 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITU OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION l CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904) 247-5826 Fax (904) 247-5845 Job Address: Permit Number: Legal Description Parcel# Valuation of Work S 2�'I �� 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 structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinklerstem installed? (Circle one): Yes No N/A L Florida Product Approval # CI S(, s For multiple products use product approval form - Describe in detail the type of work to be performed: �� Property Owner Information: Name: a� C:, [LU Address: -7 o"3 S — City l�q U Stat6-_L Zip32vu5 Phone c3z�- -7 t ,, E-Mail or Fax#(Optional) Contractor Information: � 1� / `�CA Company Name: -rU �- l�% �f6r Qualifying gent: /,/�k' Address: rat s. i,; �,, oaresl _ City zu..ra le2w.4 State./C�_ Zip -324?Z Office Phone A 7 3"-7 G`-L Job Site/Contact Number St'1 j-�,t 2 Fax# State Certification/Registration# Gef C i c/Z i 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 her made'00'a' o obain a permit to do the work and installations as indicated. I certify that no work or installatiotT 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 ttrrll and void if work is not commenced within six(li)months, or if construction or work is sus ended or abandoned for a pertod of six(6)nzoxtl�.r at any time after work is commenced. /understand that separate permits must be secured for, ctricalpWork,Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Healers. 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 INTENT) TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereby 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.state, or local law regulating construction or the performance of construction. Signature of Owner dwtivyt Signature of Contrac _-:_ Print Name . ./.�� Print Name � .................................................... t� ......... -.....!..C' i^^t`' ..�................................ .........,2....r..A ....F Swor�q�eubscribe f�r n Swo and subscrib d be ore me this ✓t Day of � ' 20 �� this ay f . 2012— _141-- 20 /Z- NotaryPublic ljS6#EE 057349 MY tAF�yl tflta KlWtN� 957760 EXPIRES:May 21 2015 ,, f CS ^urua 1' 201 ' SMW n,, ry�,ott�unaee� Revised 01.26.10 /Z"., OCT-31-2012 12:23 FROM:CLERK OF COURTS 904 278 1512 TO:92475845 P:1/1 NOTICE OF COMMENCEMENT State of (-(-o" 0,4 County of bL,4-y a-A _Tax folio No. To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real,property,and in accordance with Section 71.3 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT_ Legal Description,of property being improved: Address of property being improved: JOff d lJiNSz 7-T1.47. �• �r �� /d L General description of improvements: Owner: "ai2 YX/✓ Address: 1703 W&,-j rjig s Owner's interest in!site of the improvement: --- -- 0 3 .lee Simple Titleholder(if other than owner): -- Doc#2012242485,OR SK 16125 Page 41, — Number Pages:1 Name: Recorded 10131/2012 at 12:50 PM. "-' JIM FULLER CLERK CIRCUIT COURT DUVAL Contractor: /J6` COUNTY — RECORDING$10.00 Address: — 1 Telephone No.: Fax No: Surety(if any) -- Address: Amount of Bond S 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 receive 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(1)year from the date of recording unless a different date is specified): T'HTS SPACE FOR RECORDER'S USE ONLY OWNER Signed: 16,414� Date: to aq ?o? Z- Before me this day of ip the County o i)uval,Statc __ f Florida,has personally appeared /:��6 /�?�� .�7>/7�._� _— ^" t Personally Known: - or DEDMAli hKWA V,-�-'P-- } Produced identifi MY COhpµ155lON#f:E 0571! • r � Notary Public:_ = i)CPiRES:May 21,Y' !., �:TiNUNoIerYPIIhNCIh�M'ri�E':, ^ My commission cxpircs; —_ -