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Permit Reroof 243 Belvedere St 2012 tis \�� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247-5814 f DJf ' Application Number . . . . . 12-00001768 Date 12/04/12 Property Address . . . . . . 243 BELVEDERE ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8200 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KRUEGER MARGRID RAVEN ROOFING LLC 243 BELVEDERE 6772 ARCHING BRANCH CIRCL ATLANTIC BEACH FL 322334108 JACKSONVILLE FL 32258 (904) 237-1758 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 8200 Expiration Date . . 6/02/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 99 . 00 99 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �Oc#2012275547. OR SK 1616; Rage 1555, Number Pages: 1 Recorded 12104,2012 at 11 07 AM NOTICE OF COMMENCEMENT JI Nt FULLER CLERK CIRCUIT COURT DuvA.I COUNTY RECORDING$10.00 State of ` ✓ t.-I r: ? _ Tax Folio No. r County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: Address of property being improved , ; ra` ,', , `s;�� ✓ 7 ,Iz ,r-�, y; General description of improvements: ' Owner: ` j�-�! ;`( r fi, r�,� , t,.." Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: ,?u Address: y . Telephone No " �i- ��' ,1'. `;" Fax No: t Surety(if any) Address: Amount of Bond$ 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): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed {, 9 <� Date: -2- WAPOOR Before me this 5'" day of i),, jrj y-jy in the County of Duval,State Pft Of Florida,has personally appeared Jjc,r 5i,.,I qpoc,80 �F�01 Notary Public at Large,State of Florida,County of Duval. My commission expires: ,MINI kft#EE 2m Personally Known: or Produced Identification: BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: lVdA, 6:/— ��, FG 2a Permit Number: Legal Description /� t7�2,5—aq I�fu_� c- 1407_,g1Pb Parcel# oorrA ea ofq. t. t o "r u o q t Valuation of Work$ YA©0 Proposed Work heated/cooled H s{ non-heated/cooled 3 v 6D Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/s w' Use of existing/proposed structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler s item installed? (Circle one): Yes N /A Florida Product Approval # S—�(4/V-, 4 For multiple products use product approval form Describe in detail the type of work to be performed: A76 Property Owner Information: l // Name: / tl1 t'' /Address: ;03 46 ' r City State v_�Zip _Phone E-Mail or Fax# (Optional) Contractor Information: 1 Company Name: kfaya—) PD4 / 7A, Qualifying Agent: Address: 79'79 0U rr1DrVA Alu L-4- City e State Zip 3aaa t Office Phone (pmt) 7$lo "4 72 9'1 Job Site/Contact Number (g0,y)30y-,A Fax# (Ion) 73G ­v) State Certification/Registration# /;?G'�a6�Ig d -"fON Architect Dame& 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. /certify that no work or installation has commenced prior to the issuance of a permit and that all work wall 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 of six6)months at any time after work is commenced. I to that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Purnaces, Boilers, Heaters, Tanks andAir 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. I here b certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances ove as type of work will be complied with whether sppeci aed herein or not. The granting of a permit does not presume to gave authority to provisions of any other f eral,state, or local[aw regulating construction or the performance of construction. a s s?a f Signature of Owner Signature of Contr .................... n Print Name '1 .. .. .1.. .. �1 .../ ........�......... ................ Print Name ......... (1��............. .. ... . Sword, and subscr e before me Swo and subscr before e I �' I this 'S� Day of k cern k-w 2012 thi Day of otary Public OtF10fi� t ublic �+ Q**ftM9WM#EE=M Revised 01.26. r BOK,Mer A 2 I