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330 Sargo Road ROOF 2012 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001849 Date 12/19/12 Property Address . . . . . . 330 SARGO RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8000 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OBRIEN, RICHARD A NELIGAN CONSTRUCTION (ROOFING) 339 SARGO RD PO BOX 49249 ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32240 (904) 247-3777 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 8000 Expiration Date . . 6/17/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT State of Tax Folio No. v-7 I (()(�, Lk — 0006 County of LU(ctA 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: 3\ Q\(fl 'fib Q_ ` WI E QIP tj� �T OF - A m LSA rii oZ A Address of property being improved: 330 S ac�o \�A —A _�S a-a,3 3 r General description of improvements: Rc cl,S ]ap\Cl C�-C VA- Owner: -Owner: M e-V5,5OQ, ) r.`e.r .- Address: 3 3 c 5 cks`c�c_ � �� U t V)q..5 O33 Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: Qui t,A,\ iJ— Q `Address: . �)Qx_ � C�c1iSbC1Li is C - J . Telephone No.: Fax No: (qo4.7 Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Doc#20-12290537, OR BK'i 6188 Page 2-14, Number Pages: 1 Name and address of any person making a loan for the construction of the improvements Recorded 1219/2012 at 09:25 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL Name' COUNTY Address: RECORDING$10.00 Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER xi',, Signed: � Date: Before me this t day of in the County of State ®P O Of Floridzr has personally appeared ��1 i 5;��_ (�� Q �l ��k ,c�� Itio`tarj'�ublic at Large,State of&ida,County of Dwrff. �;o4 e �5 My commission expires: Personally Known: or ;cz Produced Identification: BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 Job Address: 3 30 :5 _660 .R � Permit Number: Legal Description 3 -v oto 38-aS-a9 E P dF- W of Ck0 k arcel# 1-1 116 - Oa©© Floor Area o q. t. Sq.Ft Valuation of Work$ �.j Opo ,4y 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/proosed structure(s)(circle one): Commercial Resi If an existing structure, is a fire sprinkler system installed?(Circle one : es NoN/A Florida Product Approval# �-L. (Q 1 q,-Z-. 1 For multiple products use product app—rtiv—al form Describe in detail the type of work to be performed::Rle ac C yy:ua Property Owner Information: Name: e (), \ Address: cj L City I—RO-n `(— bEA08 —State)Zip :1aa33Phone (7l0(o)`A(65- 0i6t':3 E-Mail or Fax#(Optional) Contractor Information: ;LL.0 Company Name: 'N ' �1r qualifying Agent: Cg Address: p'• CityState c,Zip Office Phone cko 3 (0'1 I5 Job Site/Contact Number b cy e Fax# 5 7 a- k zh State Certification/Registration# CC(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 Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or inhas 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 null and void of work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(5)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrics!Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters, 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 INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that 1 have read and examined thisiplication and know the same to be true and correct. All pravisions of laws and ordinances governing this type o work will be complied with whether sped ed 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 Signature of Contractor Print Name 1 L 55c� ......... 61062� ..P......Y..` .. ! t'1................... Print Name .. ................._ .: �.. C.rl..................................................... Sworn hand subscribed before me Sworn to and subscribed before me this Day of Le_! C 20 Q this j_Day of 201 Z. _ _ Notary Public No ELIZABETH AN MY Coli-AILASSION#D0973752 My Commission Expires Nov. 18, 2016 EXPIRES March A% 1.26.10 (101)348-0'�'+ h`„_ tk�taryServkaga'n