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Permit Roof 845 Amberjack Ln 2013 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002020 Date 1/18/13 Property Address . . . . . . 845 AMBERJACK LN Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4800 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PARKER NICOLE ET AL MONAHAN ROOFING 77 OAKWOOD ROAD 2050 KING CR S JACKSONVILLE BEACH FL 322502959 NEPTUNE BEACH FL 32266 (904) 568-4920 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4800 Expiration Date . . 7/17/13 ---------------------------------------------------------------------------- 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. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904) 247-5826 Fax(904) 247-5845 Job Address: .6C19 F}m be r j acJc LO Permit Number: Legal DescriptionParcel# oor Area o q. t. Sq.Ft Valuation of Work$ (4, t )u. Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Ke "F- Use of existing/proposed structure(s) (circle one):. Commercial esidentia If an existing structure,is a fire sprinkler system insta led? (Circle one):•`4 RN_ o �N /A Florida Product Approval # ioisG, , its rL 1232,E,� r}�., �r FLSC'o, (17-s-41`-') tip, For multiple prodducts use product approve o m / Describe in detail the type of work to be performed: Ke u f ,s h i,,c I e ccs�,!F , (c)w Qe P,kc c:dd�Eoot� i 3©vr. �rehw•le��car•�,< S"N-n.g'l.e_ . meat=ec..cl B�F-w,.,.,�®, TaFr.�cv Property Owner Information: Name: bL111_r Address: City State_ ipK2Z Phone - E-Mail or F # (Optional) Contractor Information: Company Name: Qualifying Agent: Kjk Address: u,so tC-tinN L c_r,,iQ ,tk) City State mar(-, Zip 32 2Z s Office Phone 21z l-C3d s`i Job Site/Contact Number `Tory) .5GA_,jR 2 y Fax# State Certification/Registration#KCCC)O473-tom 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 installation has commenced prior to the issuance of a permit and that all work well be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes mill and void if ww•k is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at env time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, Furnaces, Boilei••s, Healers. Tanks and Air Conditioners,etc WAR®TING TO OWNER: FOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN FOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENT) TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this ope of work will be complied with whether specified herein or not. The granting of a permit does not presume to give ethority to violate or ca77cel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner r W 1/�C &Vtd� Signature of Contrac r qr � Print Name �tS2.�..� ......� �// Print Name ...... . ....` ......................................... ....: ... J...... ....J.../....t.G.Z.s�..f1. ... ............................................ Sworn to and subscribed before me Sworn to and subscri ed before me this Day of j 6 jn to 20 JS this _Lr�%Day of 4 a 201? Nota Public �-� �� LfCi Notary Public JUUEA.MMY MY COMMISSION II DD OM1 e� EE MM ' * EXPIRES:Spo1,p,{,.l.a.,nuW 17,2013 JUN rte 2016 Ot'rF�F�oQ`ot 6=19d TIMU BY.yI� �M R LY 1117 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of 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: M 5 Address of property being improved: (, S ("try -J, cx "V,) General description of improvements: Owner rL�- CidBi Address 5 ZC� G 1� ti { it r , csti `i'e�c i c ' <;1 C Owner's interest in site of the improvement NC10Y> c- Fee Simple Titleholder(if other than owner) Name Address gra d Contractor1oPxj,u,. `.�_ ';`.c�ia� �� 32zS' Address Phone No. O Z i -`c' IS Fax No. Surety(if any) Amount of bond $ Address Phone 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 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 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. C—irnfinn mato nt Nntice of Commencement(the expiration date is one (1)year from the date of recording unless a