Permit Roof 310 Royal Palms Dr 2012 CITY OF ATLANTIC BEACH,
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001719 Date 11/20/12
Property Address . . . . . . 310 ROYAL PALMS DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5300
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Application desc
reroof
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Owner Contractor
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PUGH, JOE W BBG CONTRACTING GROUP INC ROOF
12805 COOL WATER WAY 10562 NEW KINGS ROAD
JACKSONVILLE FL 32246 JACKSONVILLE FL 32219
(904) 766-5800
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5300
Expiration Date . . 5/19/13
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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 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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
JobAddress: 310 904OLt ?&kM5. Dr- —Permit Number:
Legal Description-51-01 1P 32)-2S -299 Parcel# 1:zj?05'- 000c)
loor Area ot Tq_.Ft--. Sq.K
Valuation of Work$ Work heated/cooled L 6,00 non-beated/cooled
I
Class of Work(circle one): New Addition (A_1te"r_a_ti_o'q Repair Move Demolition pool/spa window/door
Use of existing/proposed structureQ)(circle one): Commercial Residentia
If an existing structure,is a fire sprinkler system installed?(Circle one)r(:E�is,
Florida Product Approval#
For multiple products use product approv—aTTo—rm P
Describe in detail the type of work to be performed:
Property Owner Information:
Name:Jae tj 11 Address: Coot tjd�er A
City C,& ,k 40 1 !!e -StatQftZip 52tq(pPlione
E-Mail or Fax#(Optional
Contractor Information:
Company Name: 66 &n-6e-(�ah Qualif Agent: 6en n e z�—
Address: a city State zip 52211
Office Pho e ob Site/Contact Number Fax#
State Certification/Registration# rt(!0 Af go 0!7
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A a hereb made n erm' to do e work nd in"a" 'on dw d ernfy that no work or installation has commencedprior to the
a h ca 'c
W,� " "0
e a ng .bnsruc"on in thisjurisdiction. This permit becomes null
c or a a�donedf
,, ' or" in it 'lork ded or a period ofsixp months at any time after
d th to 0 'a'rk P be er do ee he ,andards
)in,me"or il o " �t.. 0
6 th n n 'r
._b,.g,Slgns, U,
wo w x p n I h u P1 Wells,Pools, urnaces,Boileis,Heaters,
Pp" p rm,y
'suan'e o a e n a'
d old if work ", o__e 'd_"hill
work 'o-iniic'd linder,mil that sc�ra"Prm",in." , ',.red or Elect,". k,
T..k .,C.. t.
'I A d, e
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 hereh cerltj�thaleI have re d examined this(,pplicalion and know the same lobe 1rue and correct- Allprovisions oflaws and ordinances,governing this
I lb c ,ev�f
,th
lype o work wir, -P it whether.1F1WWd herein or not. The granting of a permit does not presume to violate or cancel the
olh4
provisions of any o erjEiV,sale,or local living construclio construction.
LOL&U—Mu gn r the perjbrmance(?f
'fo
or cancel the
ISignature c :er _h/_Z�_ Signature of Contractor ni f
Print Name T1,J U
Print Name
.......................:-............. ...... ..
wo 10 �Jbs' i d ore S t d subscri ed me
ts%YoTio of er, al� 12 'w .20 12�
his of tli��ja"y of
Notary,FubT[c NVary Public
Revised 0 1.26.10
Notary Public State of Florida
Aretha Scott
%�L:, Api my Comm"lon EE 183233 k*W"W"
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"Pw Expires 04/13/2016
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NOTICE OF COMMENCEMENT
State of J& Tax 170 o No. 1 '7 1"W5-0060
County of D LAV a ( -
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: 31 -0 1& - ;25 -
. r_ P-C or L26
Address of property being improved: 3io t"To A f �_(Dif-
General description of improvements: 5h/-To
r &J
Owner: Jat Address: DO :t
Owner's interest in sit of the improvement:
Fee Simple Titleholder(if other than owner):
U
Name:
�Contractor: F-6 6... &)-n y (11% �;2
Address: 1031Z AJ&,j
Telephone No.: _744,- 4540 0 Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No: Doc#2012263534,OR BK 16152 Page 2007,
Name and address of any person making a loan for the construction of the impr( Number Pages: i
Recorded 11120/2012 at 11�41 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
Name: COUNTY
Address: RECORDING$10-00
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed';�__�_ Date.
Beforjr4e this 19t day of Nov er. 20121n the Co6ntyofDuvaI,1State
Of Florida,has personally appeare oe Willie Pu h
of F nd ofDu
4e I Notary Public State of Florida Notary Public at Large,State of Florida.County
IN 0
4 ef a Aretha S tt 2016
Aretha Scott
C_ I$ My commission expires: April 13,.
My Commission,EE 183233
OA —or
'd Expires 04/13/2016 Personally Known: Y eq
Produced Identification: