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Permit Roof 1728 W Park Ter 2013 r !�a CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD + ATLANTIC BEACH,FL 32233 ~� INSPECTION PHONE LINE 247-5814 Application Number . . 13-00002034 ', Date 1/23/13 Property Address . . . . 1728 W PARK ',TER Application type descri tion ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6000 ---------------------------- ----------------------------------------------- Application desc reroof ---------------------------- ----------------------------------------------- Owner Contractor ----------------------- ------------------------ HAMIL, ROBERT FLINT CONSTRUCTION SVCS (ROOF) 160 11TH ST 1419 ', LINKSIDE DR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 994-9626 ---------------------------- ----------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc Permit Fee . . . . 80 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6000 Expiration Date . . 7/22/13 ---------------------------- ----------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ----------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 80 . 00 80 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 84 . 00 84 . 00 . 00 . 00 i PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC: BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDIN� PERMIT APPLICATION CITY �JF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: C 7 Pe,r G 7e rr cA c VV AJ >� Permit Number: Legal Description '�r�'" U" f P1 , arcel# -1 0 �© Z 03 6 oor e o q. t. Nj.lt Valuation of Work$ W OO. 0 a 'Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Iteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Residenti If an existing structure,is a fire sprinkler system i stalled? (Circle one): es No N/A Florida Product Approval# EL -S `5�4(q p ii For multiple products use product approval lore Describe in detail the type of work to be performed: Property Owner Information: // 7-h -.tet 0 F rr� NCA w•, r Address: ( 6 a �� /1'e-¢ Name: o .� 6 �6 City o�� t c a ca G State/`(.Zi hone E-Mail or Fax#(Optional) r e w. Contractor Information: /I Company Name: R T.7.// „, ��t ,v.A S t t `s Qualifyin A n : Address: 14/c 4 City /lc State /1- Zip .0,27 �+ Office Phone ��/4- yGa(� Job Site/ ntact Num (aber 3/- �d 3' Fax# f?,►t State Certification/Registration# 6`( �w 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. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to mee the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if onstruction or work is suspended or abandoned for aperiod of six(6)months at any tine after work is commenced. I understand that separate permits mus be secured for Electrical Work,Plumbing, Signs, Wells,Pools, Fkirnaces,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: OUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL r IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEOR ENTCORDING YOUR NOTICE OF OMME1 herecertify 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 type certify will be complied with whether specified herein or not. Thegranting of a permit does not presume to gave authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the pea formance of construction. � r2�r Signature of Owner //�/ Signature of Contractor t Print Name `j fP Prat Name Q... . ' r K ... . I Be Day 2f 13 Befo /3 a of 20 1 thi tl ' Notary Pu It ottrubl c, I i evsed 10.24.12 JAN-23-2013 15:13 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/2 NOTICE OF COMMENCEMENT J."-0000 ;Z034 �t (PREPARE IN DUPLICATE) Permit No.1."-0000 .ZD 74 TaxFolk)Ngbl 7 AQ ;LQ Q,6 16 state ofr—TTo_r,'cid! Cotm !!JJ w va. To whom It may concern: The UnddrAloned hereby informs you that Improlmments will be matte to oer lafn teal property,and in acoorda"M with sectio"713 of the Rorlde Statutes,the following hlformtltion Is stated In this NOTICE OF COMMENCMENT. Legal description of property baing improved: //Lo t lock . 10 fay ' b Address ofproparty befng improved: 1'7 ;L,? lock rr If T g r ct I-e we-,;�- Oerteraf dt'staiptlon of improtremsn�:_/��w !;'1�o Owner i O v' Address 16L; /1 " 0wrt2('s interest in site of the improvement. Fee Simple Tltlehotdor{If other than aAmar) Name Address �r Contractor f h'4 e-.� Addess CA .t.. r�' rc GG �d i')• Phone No. 9Wf �' aCe- Fax No. z dl 1� jr 7,1 ¢D l/ suotY(d any) Address At"*alit of bond$ Phone No. Fax NO. Name and address of any person maidng a loan fol the construction of the Improvements_ Name Address Phone NO. Fax No_ Name of person within the State of Fierida,other than himself,dosignated by owner Upon whom notices or other documents may be served: Name Address MOW No. Fax ND. - M addition to hitnralf,awrow dptsignatts the following patron to roo*Nc a copy of the Liatoes Nati:.:da pr yiftd In Section 713.x6(2)(b),Florida Statutes.(Fill in at Owner's Option). Nanta Addmee Phone No. Fax No. Expiration date of Nafioe Of Commencement(ilia expiration date re one(1)yearfrom the date of mcoftlq unless a dllforent date 10 epeciAed): THIS SPACE FOR RECORDER'S USE ONtY Doc 2013019868,OR BK 16226 Page 1132, Slgrtt d;� DATE�z.��l`? ►lmbprPaget;: 1 8rtozmr:thra dayof__-_- - inlho Number at 02:43 PM, Otnatty of Duval,Slate Or Proricke,ha%personally appeared— Recorded eneln by Ronnie Fussell CLERK CIRCUIT COURT DUVAL hknaetotte rodaehma alt statetesnddectaralions hamin aro ftt,d'and p COUNTY , RECORDING$10.00 ` Pa Iety RutNicat rgt'Sttgte qt _ �, Caen or SHIRLEY l.(yRAHA Ix txtmmiss% ;w x>r�rr,stox:Vit~s X70 d Iden t r Malty K1 _ tare tMka ton ......___.......... �'-;�,;, s',.+: ,a NetarviiclhMlerw:• — ^ ......... . .. .... r,•