229 Pine St 2012 roof I
Js CITY OF ATLANTIC BEACH
k a 4 800 SEMINOLE ROAD
j. ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number 12-00001801 Date 12/10/12
Property Address 229 PINE ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 4350
Application desc
reroof
Owner Contractor
RUBIN DENISE P SHORE ROOFING COMPANY
229 PINE STREET 914 7TH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 241-8842
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 75 . 00 Plan Check Fee . . . 00
Issue Date . . . Valuation . . . . 4350
Expiration Date . 6/08/13
Other Fees STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 79 . 00 79 . 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 Tax Folio No. i /
State No County of WWI
State of
To whom it may cones: be made to certain real property,and hereby informs you that ink Is staled Wails NOTICE OF
accordance with Section on 713 of the Floods Statutes,the�te8
SaGt! /
COMMENCEMENT (, _"/is �6 ^,.) '--)`.f /
Legal IL--"1.,:. of property,being Ipmvark L
AddressRf pmpedy ` y},,,.1 . / - • .
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General description of G CI f�✓
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owner ,') `- LWIF '' -
Addmss
Owner's interest in site of the improvement
Fee Simple Titleholder Of°titer than owner)
Name
/ � ., i Fax No. ` r i Address
Phone No. `/A' �
' Surety Of any) of bond S
Address Fax No.
Phone No a
maidng a loan for the of'tt�improvements. .
Name and address of any person '
Name
Adder Fax No.
Phone No.
by mater upon
notices or other
of person veACdn the State of Florida.other than himself,designated
documents may be served:
Name
Address Fax No.
Phone No-
in addition to filmed,owner designates the foliowing person to receive a copy of the Uenors Notice as provided in
Section 713.06(2)(b),Florida Statutes (FYI M at Owner's option).
Name
Address Fax No.
Phone No.
date is one(1)year tiom the date of Ong unless a
Expiration date of Notice of Cow(the . ----- ---
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{LEIS DACE FOR RECORDER'S USE ONLY �..,.n- 1.✓ TE-
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3oc#2012281813,OR SK 10176 Page 893, .', Candri 11121Wa1
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Recorded 12'10/2012 at 03:05 PM, araa�doa •t �.,
JIM FULLER CLERK CIRCUIT COURT DUVAL Pasowilyterser COUNTY MARJORIE M.ADAMS4t tRUP
RECORDING$10.00 ►ItYA
', NOTARY PUBLIC
.‘0•1' ' •• STATE OF FLORIDA
}4t'a►4 Comm#DD0933778 - —
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CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date:
Job Address: .. P\ (_s it 114-vi- 1. ‘,,,t,' )--7 13
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- Ownerof-P ..- r— - / / t• `14, 5 Telephone: _/Q G'� SIG �
Address: �y�(�
�i Gu r• �' _State License Number I
Roof Contractor. � UrC�---
s 34 4 A 21 ro
Contractor's Address: 1
Telephone:
'1 f— -1 Z■Fax: 9, 7 I —Emaik F I (I(S 1 y Roofing Material 'k
Scope of Work: '4t.
/G Y/ Valuation of Work: 5 3 ��
FL Product Approval# ( /
Required Inspections: Sheathing/In Progress-Dry /
Final
If re-roof: Assessed Value of Structure:_<$300,000/—>$300,000;Roof-to„-Waii improvements required?
(Applies to single family structures only)
'WARNING TO OWNER: YOUR FAILURE TO RECORD
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED •
ON THE JOB SITE BE THE FIRST INSPECTION. IF YOUCEIOT ND TO
OOBTAIN B NF FINANCING, CONSULT WITH YOU
LENDER OR ANA NEYBEE0 ' RECORDING OUR
— Date: l2 Z
SIGNATURE OF OWNER: -
AS TO OWNER: �dayof�� =20�.
Sworn to and subscribed before me this ,, ,
‘.1.: ;M1 f Fi NOTARY PUBLIC
0�RRUP Notary's Signature: ,k.
t wt II ILL NOTARY PUBLIC ❑ Personalty own
174
STATE OF FLORIDA produced identification S,`
+�+'X919 Comm#DD0933T78 Type of identification produced
OE 1�e •Expires 10/30/2013
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SIGNATURE OF CONTRACTOR:_- — -- — — _
•
AS TO CONTRACTOR: day of !1 t -r--- .20�.
Sworn to and subscribed before me this_______._—
State of Florida,County of Duval
I a � 'i)
Notary's Signatu : , ∎ .11. _
Personally own i
❑ Produced identification
Type of identification produced
IjkY4 MARJORIE M.ADAMS-NARRUP
.7,•‘•.1-. '0 NOTARY PUBLIC 800 Seminole Road•Atlantic Beach,Florida 32233-5445
_STATE OF FLORIDA Telephone: (904)247-5800•Fax:(904)247-5845 F:\roof permit appltpton.doac 7128/09
�i�'.a/2 Comm#Dp0933T78
'AVE 1e Expires 10/30/2013