Permit Roof 61 Coral St 2013 .51 1 k " -1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002138 Date 2/11/13
Property Address . . . . . . 61 CORAL ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6536
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Application desc
reroof
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Owner Contractor
------------------------ ------------------------
KELLER FRISTIN CUNNINGHAM TAYLOR CONSTRUCTION CO
61 CORAL ST 3617 CAPPER RD
ATLANTIC BEACH FL 322335815 JACKSONVILLE FL 32218
(904) 710-8946
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6536
Expiration Date . . 8/10/13
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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 85 . 00 85 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 89 . 00 89 . 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.�01.-t'AV—Nl-'�?�—AA%t44t QUA JT& Perm ulk&&-�-] 'm A/
( I r , , u1j Y/
Legal Description Floor Area of S Parcel# R,, U
Valuation of Work S xs�yvt Proposed Work d/cooled n!M-hea����
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of exilfing/proposed structure(s)(circle one): Commercial e .
If an existing struchwe,is a fire pkinkler s t installed?(Circle one): es; N/A
Florida Product Approval# 'TW -- R 4
For multiple products use product approval form
Describe in detail the t3W of work to be performed:
L
Property Owner Information:
Name- d e s:
C, Stat ip 'hone 0
ity
E Mail*orFax#((Optio al) �4
Cont_ractor Information: /I
Company Natne.:-Aat/Ltz�jat Qualifiting Agent: 6iZ JAL-
I -,-,;io-� r zip gq-:714,
Address-1 -Z I V11 7 r; Z-- State
1!IF 1�-
office Plro�e � :r/, ". Z Job Site/Contact Nwnb Fax# AJA,—
State Certifichti661�eiistra&—n#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address—
Bonding Company Name and Address— it
Mortgage Lender Name and Address
A c n '1 h�e ade btain a t to do the wor' ertify that no work or installation has commencedprior to the
an h I i ro e thisjurisdiction. Ais permit becomes null
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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 YOUk NOTICE OF
COMMENCEMENT.
Ihere -PP ica on f laws and ordinances governing this
,lb cerj�&that I have read and examined this a -1, it and know the same to be true and correct. All provisions o or cancel
I
work will be cotnplied with whether spectfled herein or not. Yhe granting of a permit does not presume to give authority to idolate the
1:41 law regulating construction or the peFformance of construction.
P sions of any otherfederal,state,or local
Signature of Owner Vjl�- Signature of Contractor
Print Name k.r-A.44rZ.......... PfintNamc
....... .......... ...........I ..-..y. - ............ ..............................................
Sworn to-md subscribed before me S . to and subscribed before me -3
Ir ayof .20 1 -4 Of 1-��r_ .20 1
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PPu'blh:ic ALBERT MORENO 0 11c ALBERT MORENO
of Flo 2W, "a
t e Notar a
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My Comm.Expires may 26,,2015 M y C 0 OmMiEp I y2V6'1 15
Commission # EE 97846 Commission #EE 97846
Bonded Through National:Notary Assn.. ss
Notary Public-State of Florida
Bonded Through National Notary Assn.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE�
Permit No. Tax Folio No. 15314-02096
State of FLORIDA County of DUVAL
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: 15-82 09-2S-29E OCEAN GROVE UNIT NO I S/D PT LOT 7
03096 OCEAN GROVE UNIT 01
Address of property being improved: 61 CORAL ST ATLANTIC BEACH, FL 32233-5815
General description of improvements: REROOF
Owner KRISUN CUNINGHAM KELLER
Address 61 CORAL ST ATLANTIC BEACH,FL 32233-5815
Owner's interest in site of the improvement OWNER(100%)
Fee Simple Titleholder(if other than owner)HIA
Name
Address
Contractor TAYLOR CONSTRUCTION CO
Address 3617 CAPPER RD JACKSONVILLE.FLORIDA 32218
Phone No. (904)710-8946 —Fax No. N/A
Surety(if any)N/A
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name N/A
Address
Phone No. Fax No.
Name of person within the State of Florida.other then himself,designated by owner upon whom notices or other
documents may be served:
Name N/A
Address
Phone No. Fax No,
In addition to himself.owner designates the folloviing 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 N/A
Address
Phone 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 A OWNER
Mz'f Signed: <LW&CATE
Before methh1_s=day
Of in the
Count >
F�o
_,I(Puval.State of Florida.has personally appeared 2�
Doc#2013037170, OR SK 16249 Page 2268, herein by g
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himselP herself and affirms that all statements and declarations herein . T. X
Number Pages: I a rue n accurate :3, -2.
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Recorded O'Zil 1,,2013 at 10:22 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL K �L M
COUNTY z
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RECORDING$10.00 L�
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Nota?�,,'Publlc at Large.State of 77i'li-A County of P ZA 7TT_Z—_ 3'. 0)
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Rmonally Knov,,in or
Produced Identification Fr-0,CoV,9