2279 Seminole Rd Unit 3 (vault) t E: r4
{,- 1 '. �. CITY OF ATLANTIC BEACH
l
'
,- f.', 800 SEMINOLE ROAD
1,--.,Ir,1
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 06-00031931 Date 1/06/06
Property Address 2279 SEMINOLE RD UNIT 003
Tenant nbr, name REROOF
Application description . . ROOF
Property Zoning TO BE UPDATED
Application valuation . . . 4800
Owner Contractor
STALTER, TIMOTHY & CAROL K & D ROOFING & CONSTRUCTION
2279 SEMINOLE RD, UNIT 3 2124 PEBBLE CREEK LANE
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32003
Permit ROOF PERMIT
Additional desc . . 00
Permit Fee . . . 83 . 00 Plan Check Fee .
Issue Date . . . Valuation . . . . 4800
Fee summary Charged Paid Credited Due
Permit Fee Total 83 . 00 83 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 _ . 00
Grand Total 83 . 00 83 . 00 . 00 . 00
r
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING OFFICIAL
f{ RACL
CITy'r7F Ark.AN1I • br-r'
I
JAN (l 4 2006
CITY OF ATLANTIC BEACH
44, .- ROOFING PERMIT APPLICATION
- __ - Date: 1 1
,11- US
Job Address: -
Owner of Property: lid Address: •_ 4- Telephone:
a` G -�'
/Contractor: '-'.�� State License Number:C /aa�t n
Contractor's Address: , _ f
v
Telephone: r .`
! - 4, Fax: /.
Scope of Work: r • . - - _ a-
Deck Slope: (-2111___.—Greater than 2:12 _____..---
Less than 2:12
Valuation of work: Ii ./,for
Product Name(Example:Timberline):
Manufacturer(Examp le:GAF): �
Z11". .. `
ASTM Designation(s):
Required Inspections: Sheathing and Final
Date: I l-02(-O$-
Signature of Ocaner: -
AS TO OWNER: ,20
Sworn to and subscribed before me this 2� day of
State of Florida,County of Duval Notary's Signature:
.40:7"4%, Personally known
_.° .� i= ROBERT Produced identification
._ Type produced I-
1. ' °0t T of identification rod
'-± ,,,.d Feb 10.2009
395490
Date-
Signature --
Signature of Contractor: ___,.__
AS TO CONTRACTOR:(Z-o ,)er+ i ,• \--\-;\-e. ,20__��___
Sworn to and subscribed before me this
_��_ day of <L .
State of Florida,County of Duval �� •��_.
Notary's Signature-
JEANNE M.SHAW Personally kno
1:ts Pi 435986 ❑
i_ ,„ MY COMMISSION#DD �roduced identification I f•' ,.2, EXPIRES:May 31 U2009^a S Type of identification produced _
go "(Wu Notary Public
s
800 Seminole Road : Atlantic Beach,
Florid 3223 N'�S •atlantic heach.fl.us
Telephone: (904)247-5800 • Fax: ( Revised 2/21/03
Page i
• NO ICE OF COMMENCEMENT
iPREPARE IN DUPLICATE) ,- G
Permit No Tax Folio No. � le// '�5— a
County of t! Si'w.,,
t o whom it may concern:
t 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
1(. CO. MENCEMENT_ n
u ' ,¢
p /� vvv
o Leg�Cl description of proper being improved: De'� e (`���^"'� S/-"
_:.
_._ C■1
�
r c=0 ,.ukf ,i,i,.Li�,. fkai-i ii.ipi,..;:d: Q)"74 JC/�. I el //c ,eJ., ,...., , 3
Gut ill de of improvemen' L ex.: ,_ CJs,, S' 1J
a o3 • 1// 5: ,ti--$415
Oner a / T
Address 74 SE)tL.v1/44. it /"d V mil. I-
4-j--C c0' .-?2,
.1.., ,o ..,,o,. uo ii i li..4,-) ;11-1::),11:-.
Fee Simple Titleholder(if other than owner)
ntractor c ;047,r\-. L
17131- 3G-(7l�cC /�,- e �t e.. 63.E A), -�c_ -S� oz //e 7Z--
F hd:; `. 'j,�.s�i Fax No. y� �r�13�='f
Surety(if any)
Amount of bond$
Pnc,r:c lc. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Address
Dh,r,NI, 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:
".;:lt to
Phone 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 13. o(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No.________—_------_______Fax No. Et
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
HIS SPACE FOR RECORDER'S USE ONLY ' OWNER or AGENT
(if A.:• -• er•(Att. / A. ncy Letter Required)l'Y-42.006
Signed: . ,1__�" " ... Date'
Doc#2006006519,OR BK 12993 Page 868, Before me this day of J.,„b!�—r iy` 2 ev (e•pn the
Number Pages: 1 County of Duval,State of Florida!has personally apdeared
Filed&Recorded 01/06/2006 at 09:07 AM, -�j,-1-.- 'C--7L/ herein by
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY himself/herself and affirms that all statements are true and accurate
RECORDING$10.00
Notary Public at Large,State of , County of
M onmaisaianytnigo:
P on ailet,b _•->"77 or Prof:;.e„i"o'�,;fiidti4Lr
A. `k KIJCtKr�I+1R,t
'; Notary Public-Stele of Flodde
, My Commission Expires Feb 10,2009
'`d" Commission If DD 395490
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address 2 q- C(
Date
Heated Square Footage @$ per sq ft= $
Garage/ Shed (.54 A$ f p per sq ft= $
Carport/Porch _@$ per sq ft= $
Deck @$ per sq ft= $
Patio @ $ per sgft— $
TOTAL VALUATION: $
goy 3‹ $ 3s�
Total Valuation 1st $ foe-0
tg $
Remaining Value $6-per thousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $
ZONING: + 1/z Filing Fee $ a
FLOOD ZONE: _ ()Fireplaces @$35.00 $
IMPERVIOUS SURFACE:
BUILDING PERMIT FEE $ g 3
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER TAP $
CAPITAL IMPROVEMENT$
SEWER TAP $
C ( ) RADON .0050 $
4 • SECTION H PAVING( ) $
HYDRAULIC SHARES $
CROSS CONNECTION $
ST( ) SURCHARGE $
OTHER $
GRAND TOTAL DUE: $ g3-
4
I
1-44''r, CITY OF ATLANTIC BEACH Cc:
am, '� _� D. •`�
L \ue BUILDING / ZONING DEPARTMENT . H 99ins
.. i, 800 Seminole Road . Doerr
Atlantic Beach,Florida 32233
. .g S3f31> (904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # NO" 3 I Q 5
Property Address: 09.0.7 q - , ()1f) '"O a"li)
Applicant: t .-`e D . 00D.-R. n3
Project: R f r ro-e-
This permit application has been:
EZ Approved
0 Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: t
Date: I(et)
Date Contractor Notified: