334 N Oceanwalk Dr 2013 roof ?j rL►�l:r�v�
J� n, CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00001936 Date 1/03/13
Property Address . . . . . . 334 N OCEANWALK DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 15600
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Application desc
reroof
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Owner Contractor
-
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HEYWARD, SHANNON SCHULTZ ROOFING COMPANY INC
334 OCEANWALK DR.N. 216 N. 20TH STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 246-2315
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee 130 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 15600
Expiration Date . . 7/02/13
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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 130 . 00 130 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 134 . 00 134 . 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
Permit Number:
Job Address: `' n�l�A�� L i�
�� ��a 9 Parcel# �f6 3' /•5'58
Legal Description,/ .y " 6T,z Area o 't. F
Valuation of Work$ /5 60d.11_o Proposed Work heated/coole non-heated/cooled
Class of Work(circle one): New Addition Alteration Repa olition pool/spa window/door
Use of existing/proposed structure(s)(circle one):. Commercial Reside
If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A
Florida Product Approval# <"gq- R4 PJsrtc.K ' Fl SZ Sy
For multiple products use product approval form
Describe in detail the type of work to be performed: 6 � � c �' �a IV Srik� E - x`'" P``
U(j* r
Property Owner Information:
Address:
Name:,
City Stat G Zip Phone c&6l
E-Mail or Fax#(Optional)
Contractor Information:
�� �• N, Qualifying Agent: �u9�R-� >�•
Company Name, o a,r __ State Zi
Address:aid a�T, r`'L
city �50k - p
�<<i�. Job Site/Contact Number ?5�3 d61o� Fax# o�St`7 3�
Office Phone ig
State Certification/Registration# O
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
issuanceionas hereby
rm t anndmade that allbwork willrbeipedbr ed towork
meet theinstallations
sta lndardssas of all laws regulating coicated I certify ns ruct ion in thiit no work or s installation
o . his prior to the
ermit becomes null
and work months at any time a
void
o commenced. commenced withinI understand that sesix parate permits mor ust be secured for Electrical Work, Plumbing,Sigehded or ction or work is sns,aWells, Period o 1szFu)rnace, Boilers' Heaters'
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT INYOUR PAYING TWICE FOR IMPROVEMENTS
ND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY
BE OR ERECORDING YOUR NOTICE OF
CO
I hereoyyons o
Work wthat I have read and examinill be complied with whetherhis
d thciis aiedltherein ocation �ot.o The granting ng ofw the same to be ta per doesrue and cnot prt. All esumetogivel autho tyaws and rtot�v�i latees gor cancel the
type > pe
prov,sions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owne
G vv Signature of Contractor
Print Name S._4. ... ....
............�.�... las..................... (n�..i..�_�..................................
Print Name... {,yL...Q..."P.��. .... 2 �Gl✓ ..................................... �.....
Sworn to and subscr' e�d before me Sworn t and subscrib be ore me
this Day ofG�PM�bP�t' 20 /%� this / Day of 20
ROSALIND CLARKi6_ ic ND
otary Public EXPIRES:August 25,2014 x: _._ MY COMMISSION N EE 001736
F B'' Bonded Tbru Notary Public Underwriters %: ;: EXPIRES:August 25,2014 1Z ised 0l.26.10
s+•
Bonded Thru Notary Public Underwriters
NOTICE OF COMMENCEMENT v ��
Permit No. Tax Folio No.
State of Florida, County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
2. General Description of improvements:
h,
-k-
3.
3. Owner Information: /�,!8X?2 ,01A(
a)Name and Address: l�n g n n `�
b) Interest in property:
c)Name and address of simple titleholder(if other than owner):
a4. Contractor Information: 17 .r
a)Name and Address: J" `f
b) Phone Number-
5. Surety Information:
a)Name and Address:
b) Phone Number:
c)Amount of Bond: $
6. Lender Information:
a)Name and Address:
b) Phone Number:
7. Person within the State of Florida designated by owner upon whom not
or other documents may be served as
provided by 713.13 (1)(a) 7, Florida Statutes:
a)Name and Address:
b)Phone Numbers of Designated Person: of to receive
8. In addition to himself/herself, Owner designates b Florida Statutes.
a copy of the Lienor's Notice as provided in Section 713.13 (1) ( ),
a)Name and Address:
b)Phone Number of person or entity designated by owner: year
from the date of Recording unless a
9. Expiration date of Notice of Commencement(The expiration date is one (1)y
different date is specified:
TION
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE ROPER PAYMENTS UNDER CHAPTER 71O PART
THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMP
I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
YOU INTENDS B RECOFINANCINGRDED D,
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT. ('
l" �!�
*Sigg-n�atu`reof&wner orOwner's Authorized Anot OLA4 Officer/Director/Partner/Manager Signatory' Printed Name(xTi le/Office
� 20 t'� by
The foregoing instrument was acknowledged before me this�day of , U Conk � '
�,a4C7A•rsG
as O� O � '' for
(Name o erson) / (Authority Type, i.e.Officer/Attorney) (Name of Party Instrument was Executed for