Permit Roof 2133 Seminole Rd 1-6 2013 �y'-LJr
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . 13-00002313 Date 3/14/13
Property Address . . . . . . 2133 SEMINOLE RD UNIT 001
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2400
-----------------------------------------------------
Application desc
reroof
----------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
COOPER, DIANNE J GREAT WHITE CONSTRUCTION INC
2133 SEMINOLE RD # 1 4320 DEERWOOD LAKE PWY
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 838-1659
---------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc .
Permit Fee . . . . 55 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 2400
Expiration Date . . 9/10/13
-----------------------------
Other Fees .
. STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------
Fee summary Charged Paid Credited ----Due---
----- ---------- ---------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 59 . 00 59 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
��±t•�L`l.rl
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
J -r
INSPECTION PHONE LINE 247-5814
Application Number . . . . 13-00002315 Date 3/14/13
Property Address . . . . . . 2133 SEMINOLE RD UNIT 004
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2400
----------------------------------------------------------------------------
Application desc
REROOF
----------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
FORD, DWINELLE GREAT WHITE CONSTRUCTION INC
2389 OCEAN BREEZE CT 4320 DEERWOOD LAKE PWY
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 838-1659
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2400
Expiration Date . . 9/10/13
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 59 . 00 59 . 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: i�1�l� 1�4- t9i4/1fr
Permit Number:
Legal Description Parcel#
Floor Area of sq.Ft�, Sq.Ft
Valuation of Work$ Proposed Work heated cooled non-heated/cooled
?-4400.
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approya orm C Q
Describe in detail the type of work to be performed:—;Pg `a
Property
�Owner Information:
Name:C F Gvt^ r-,4,J Address: Z3 1;741 ,111;t-
city
;/741 [/1'1;tCity Stat ZipPhone G It
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Qualifyl gent:I/ 'i5 �/u�fr
Address: rvr [ City State Zip �3
Office Phone - L4027 Job Site/Contact Number Fax#
State Certification/Registration#
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 i.c here made rr,ohlain a permit m do the work and inetallattonc as tndicaled. 1 certify shat nn work or inhac commenced prior to the
issuance of o permit and that all work wit!he perfr�rmed!o meet thr standards rJ'a/l laws regrdatnrg conctructton in this jurisdiction. This permit becomes Wulf
amt void if work is not commenced within.ctx(GJ mnnllac,or if c»ns7ruction or work is suspended or abandoned fr�r a period n/.cix(GJ months at any rime after
e ork is ciommenced. /undecctmrd shat.ce/wrare permits must he securer!for Electrical Work,Plumhing,Sigrrs, Wells,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditt iters,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.
1 hereby certih,that l have read and examined this application and know,the.same to he true and correct All provisions ojlaw.c and ordinances governing this
line of work will he complied with whether. c•i/red herein or not. I he granting of a permit does not presume to give authority to vin/ate or cancel the
provisions ofanv 011ier federal,state,or Local lar+•regulating consintction or the performance of consrntclion.
Signature of Owner / , Signature of Contractor
Print Name R.A.
.. ............�:...........tJr.(ra.. ...... Print N e `5�c.� rnlrt�
r ..................... ......................................5......................................................................
Sworn to and su ribed before me Swo 9nd subscribedybefore 33
this I_ a YYI C-h .20l'-,) this D y of 20 I
t
Notary P Notary Public
JENNIFER R.CORLE1N Revised O 1.26.10
NOTARY PUBLIC•STA] FLOIFNO*• am.�
COMMISSION#I E ;r a
EXPIRES 2/312017 =` ' D RAH
AMANDA WH
BON
DED TNRU146BB&NOTARYt " MY COMMISSION 057
g= EXPIRES Ma #EE �y
C!��n n—�� ' Pf qt, ' Bonded Thru Y 21,201; yS
Notary Public Undetwril�r ��'
March 8, 2013
To whom it may concern,
I the property owner of 2133 Seminole Road#4 authorize our homeowners association: Seminole By
the Sea Homeowners Association located at 5150 Belford Rd#702 to do all exterior repairs on the
building including roof, stucco, painting.
I authorize Richard Gerrity, President to get any permits necessary to do repairs to the roof and stucco
and painting.
Dwin d
C ti ®\
ot
Owners
2133 Seminole Road #4
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
!J ;" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ISA
Application Number . . . . . 13-00002316 Date 3/14/13
Property Address . . . . . . 2133 SEMINOLE RD UNIT 005
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
REROOF
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
TAILLON, EDWARD B ET AL GREAT WHITE CONSTRUCTION INC
8627 TIMBER PARK DR 4320 DEERWOOD LAKE PWY
DAYTON OH 45458 JACKSONVILLE FL 32216
(904) 838-1659
----------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2400
Expiration Date . . 9/10/13
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 59 . 00 59 . 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
y
Job Address: i�1,N 1 zill t-li I Permit Number:
Legal Description s Parcel#
oor rea ot S q. . Sq.Ft
Valuation of Work S Proposed Work heated/cooled non-heated/cooled
Class of Work(cir eon New ddition Alteration Repair Move Demolition pool/spa window/door
Ilse of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system Installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed:
Pronerty Owner Information: -d
Name: rAZ/U A/ Address-21-g-5
City State _�ip 3 Phone lw 7_ _ _
E-Mail or Fax#(Optional)
Contractor Informsttioonn:,
Company Name: Qualifypgent:
Address: 4{3} 7 ! J
CitvStateZip
Office Phone - I&Ij 7 Job Site/ ntact Number Fax#
State Certification/Registration# q O q I
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 he rehv made to ohng a permit m do dm work and installation.%as indicated /c•erltfp that no work or installation Ira%commenced prior to the
i.c..vance nfa permit and that all work wi//he perJilrmed 10 meet the.clandardc oJ'al//aw.c regnlalin,c•onstruclinn in this jurisdiction. 7711.%permit heconnes null
and void iJ'work i.%not commenced within.sir(h)'m(lnlli.%,t if ewlctnrclion or work i.%.%u.%/ended or ahandaned jnr a permd nfsir(G)month.%at a1ry lime after
work i.c c•ilmmenced. l under%1au1 tho.ceparale pernitls nat.%t he.cecared,jnr Electrical Work,Plumbing,Sigrrs,We!!s,Prials,Furnaces,Bailers,Heaters,
Tanks and Air Gmd itaners,ere.
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.
/hereht•certiji,that/have read and examined this application and know,the sante to he true and correct. All provisions of law.%andordinances governing this
lv1v of work wtll he complied with whether s(wei/led herein or not. The graving of a permit does not presume to give a thoniv to violate or cancel the
provisions of any other federal,slate,or local lav regulating construction or the performance ofcons1ruchon. a
Signature of Owner \ Signature of Contractor
Print Name t_4Y10.� .............t�.: �? .({1 1i.
.. {.......................................... Print Name I(Cu 3......... \c. . .I K?�✓...
Sworn to and su ribed be ore me Sworf d subscribed b me / f 3
this 1 a C 20 I this [I ay of �l�`— 20/
Notary
7COMMISSION
JENNIFER R.CORLEW ed01.26.10
NOTARY PUBLIC-STATE OF FLORt*-*EE871238 P. DE6p
EXPIRES 2/3/2017 * MYCMDAWH►aF
BONDED THRU1-ee6-NOTArtv1 �'• EXPIRES: �#EE057348
Bonded ThnjNotre4Y21,200hia e
8 Mar 2013
To Whom It May Concern,
I, Ed Taillon, the property owner of the property owner of 2133 Seminole Rd #5
authorize our Homeowners Association- Seminole By the Sea Homeowners Association
located at 5150 Belfort Rd #702 to do all exterior repairs on the building,
including roof, stucco, painting.
I authorize Richard Gerrity, President of the HOA, to get any permits necessary
for repairs to the roof and stucco and painting.
Ed Taillon
Unit 5
?S!r1►�J,�J
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002317 Date 3/14/13
Property Address . . . . . . 2133 SEMINOLE RD UNIT 006
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2400
----------------------------------------------------------------------------
Application desc
REROOF
----------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
THOMAS, MARY GREAT WHITE CONSTRUCTION INC
2133 SEMINOLE RD #6 4320 DEERWOOD LAKE PWY
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 838-1659
-------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . 55 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2400
Expiration Date . . 9/10/13
-----------------------------------------------------------------
Other Fees . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- -------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 59 . 00 59 . 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 4)247-5845
Job Address: N1 a I�GI /? Permit Number:
Legal DescriptionParcel#
Floor Area of-- q. t. • q• t
Valuation of Work S 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/propiusedstructure(s)((circle one): Commercial Residential
If an existing structure, s a fire sprmkler system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approvar7urm
Describe in detail the type of work to be performed:
Property Owner Information:A#)A
Name: Address: 02133 1IICh10A k 44
City AtL 'DeJn State Zip 3 2-Z 33 Phone
E-Mail or Fax#(Optional)
Contractor Information:
�* �-f Wh�k Ca'LSHt��
Company Name: f1�_Qualifying Agent: 1 U ' '� v
Address: y���� �� c City�L- State Zip 33ailo
Office Phone Tl$Sr-II.S-cI Job Site/Contact Number Fax#
State Certification/Registration# 1 q'2
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 meet the standards of all laws regulating construction in this jurisdiction. This permit becomes Trull
and void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six/6)months at any time after
work is commenced. I understand that separate permits must be secured for Electricar Work,Plumbing,Signs,Wefts,Poals 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 here, certify that I have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing this
type of work will be complied with whether specified 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 i.... . r _{..1..I' ........................... Print Name .�iS S� c�
(�-c,�no r ..........._J..........C�......0. .................... ..........................................................._....
Swom to and s ribed be ore me Swo subscribed befor 13
this 1 a 20 this Day of
Not ar—y—MMIN N3 Nofary Publi
JENNIFER R.CORLEWi t^i, DEBWWWdP�ipgyyWE
NOTARY PUBLIC.STATE OF FLORMA :,,; r. MY COMMISSION t EE 057349
COMMISSION#EE871238 °.. is EXPIRES:May 21,2015
EXPIRES 2/3/2017 '' Rf N Bonded Thru Notary Public Underwriters
BONDED THRU 1-886•NOTARYI
-iiwswur_,.
u
March 8, 2013
To Whom it May Concern:
I the property owner of 2133 Seminole Rd# 6 authorize our homeowners association: Seminole
By the Sea Homeowners Association located at 5150 Belfort Rd#702.to do all exterior repairs
on the building, including roof, stucco, painting.
I authorize Richard Gerrity, President to get any permits necessary
to do repairs to the roof and stucco and painting.
Property Appraiser - Basic Search Results Page 1 of 1
Search Results(6 properties found)
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RE# Name(Last First) Street# Street Name Type Direction Unit City Zip
169515-0400 THOMAS MARY K 2133 SEMINOLE RD 6 Atlantic Beach 32233
169515-0410 TAILLON EDWARD B ET AL 2133 SEMINOLE RD 5 Atlantic Beach 32233
169515-0415 FORD DWINELLE 2133 SEMINOLE RD 4 Atlantic Beach 32233
169515-0420 GERRITY RICHARD 3 2133 SEMINOLE RD 3 Atlantic Beach 32233
169515-0425 MECKENSTOCK
H 2133 SEMINOLE RD
2 Atlantic Beach 32233
169515-0430 COOPER D ANNE 3 ET ALL 2133 SEMINOLE RD , 1 Atlantic Beach 32233
s`1 1
http://apps.coj.net/pao_propertySearch/Basic/Results.aspx 3/14/2013
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233 (/
Office(904)247-5826 Fax(904)247-5845
Job Address: 1��//4 / tK� r�C 'C �i1/ _l �1 Permit Number:
Legal Description Parcel#
oor Area of Sq.Ft. Sq—.Ft
Valuation of Work$. Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New OAddition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proosed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed:
Pronerty Owner Information:
Name: %c,-i e Lon—c-- Address: 0h S a -
City Ak%. Yt Stateij�=Zip 320 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: 6rG✓C Qualifying Agent: C 0.V i b S�Ceu�htt�'
Address: ''I Lcl-e City inp->- State�L_Zip 3aa l to
Office Phone Job Site/Contact Number Fax#
State Certification/Registration# 13 5-90-ri -
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 herehv made to obtain a permit to Flo the work and inslallalions as indicated. I certifi,that no w-ork or installation has commenced prior to the
issuance of permii and that all work Hill be perlorned to meet the siandards gfall laws regndanng construction in this jurisdiction. '!'his permit becomes nut!
and ante if work is not commenced within.six(6)j numdts,or if construction or work is sus nded or abandonedfina p nod gfsir(()months at any time after
work is commenced. /understand that separate pernttc must he.secured for Electrical Work.Plumbing,Signs, Wells,Pools,Furnaces,Bailers,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 herehv,cernli,that I have read and examined this application and know,the.came to he true and correct.
ws'Al!provisions o/Yaand ordinances governing this
lyre of work iri/l he complied with wheiluer spec ited herein or not /he granting of a permit does not presume to give mahortiv to violate or cancel the
provisions of other federal,.state,or local law regulating construction or the perlornance nfcotsiruction. A'
Signature of Owner / Signature of Contractor d J�
Print Name �� „' Print Name � 5 tt�... v.......__..............................._._....................
.
Sw4PN3
bed be ore me Swom ri fore me
this11 � 20 I this ayofNoNotary u Ic
NNIFER R.CORLEIM Revised 01.26.10
Y PUBLIC•STATE OF FMMISSION#1 EE871238 .X
ti'""EXPI 017 =*o ._ MY� SI()N# WHITE
BON Trstu aRn 14441 9 DOMES. 2E 207349
EXPIRES:May
Banded Thta Notary Public U hers
Letter Of Authorization
Re: 2133 Seminole Road, Unit #1, Jacksonville, FL
To Whom It May Concern:
I Diane Cooper of 2133 Seminole Road Unit #1, Jacksonville, Florida do
hereby authorize the association; Seminole By The Sea at 5150 Belfort
Road, #702, Jacksonville, Florida to do all exterior repairs on the
above-referenced building, including but not limited to; roofing,
stucco and painting.
This authorization hereby allows Rich Gerrity, acting president to
obtain any and all necessary permits to perform all modifications to
said building accordingly.
Date: 3 t3
Diane Cooper
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
s) ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J�31`�'�
Application Number . . . . . 13-00002314 Date 3/14/13
Property Address . . . . . . 2133 SEMINOLE RD UNIT 002
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2400
------------------------------------------------------------------
Application desc
REROOF
------------------- -----------------------------------------------
Owner Contractor
-
------------------------
-----------------------
MECKENSTOCK, ELIZBETH GREAT WHITE CONSTRUCTION INC
750 N RUSH ST APT 3105 4320 DEERWOOD LAKE PWY
CHICAGO IL 60611 JACKSONVILLE FL 32216
(904) 838-1659
--------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc .
Permit Fee 55 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 2400
Expiration Date . . 9/10/13
--------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
--------------- ------------ -----
Fee summaryCharged Paid Credited Due
----------------- ---------- ---------- ---------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 59 . 00 59 . 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
Q�Office(904,x)247-5826 Fax(904)247-5845
NA
Job Address:ALJ �el�1/NfrUrGL�C �i?/ Permit Number:
Legal Description Parcel#
Floor Area of Sq.Pt. q• t
Valuation of Work$$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): NOew Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/propposed structure(s)(circle one): Commercial Residential
If an existing struc{ure,is a fire sprinkler system Installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed:
Prooerty Owner Information:
Name: Address: oU 3 3 Jc�,•'•��ear E1. s� t
City AkL Statei!!:::.-Zip32-2-33 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:°(� Qualifying Agent:%V-(AV.S c,-NCAUSkx&
Address: 4 City. L-4,6 State T(--Zip
OfficePhone 1-1 U Srr Job Site/Contact Number Fax#
State Certification/Registration#— '�9J9 i
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 herehv made to obtain a/xrind to do the work and installations as indicated. l certifv that no Nark or installation has commenced prior to the
issuance nJ a permi/and that all work will he per/armed io meet the standards nfall laws regulatingconstrtciion in thii.ss jurisdiction. mis permit becomes null
nionth
at
er
sir
or if
Hark isc om nencedttt l tunderstand that separratet permiisnti I construction
�r Electrical'Work-,Plumbing,Signs,aWells,Pools,rFurnaces,sBoilers Heaters,rt
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.
/herebv certili•that l have read and examined this application and know the.same to he true and correct. All provisions gflasv.s and ordinances governing this
tvpe of work will he complied with whether s/x ci red herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provi.sion.s ofanv other federal,state,or local law,regulating construction or the per/ormance of construction.
Signature of Owner Signature of Contractor to
Print Name 1 .. �( 1.............j..,:.........s]f.C..r..t.. ........................... Print Name �. �'C.u�G� `J�.v 54dc,�
Sworn to and su ribed be ore me Swo and so s d before me 20
this 1 a Y)1 t c 20 1� thi y of
Notary P otary u Ic
JENNIFER R.CORL.EW Revised 01.26.10
NOTARY PUBLIC- PLOFdt*.
COMMI #E 1238
IRES 2/3120 7
BONtiEOT►IRu nR'n "•
�� N EE 057349
` Borltled BI'U Ndary Public Unde yntm
March 12, 2013
Elizabeth Meckenstock
3112 ND Street#403
Oakland, CA 34607
To Whom It May Concern:
I, Elizabeth Meckenstock, the property owner of 2133 Seminole Rd#2 authorize our homeowners
association: Seminole By the Sea Homeowners Association located at 5150 Belfort Rd #702 to do all
exterior repairs on the building, including roof, stucco, painting.
I authorize Richard Gerrity, Association President,to get any permits necessary
to do repairs to the roof and stucco and painting.
If there are any questions, I can be reached at 904-673-7863.
Sincerely,
Elizabeth Meckenstock
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
4JA
Application Number . . . . . 13-00002217 Date 3/14/13
Property Address . . . . . . 2133 SEMINOLE RD UNIT 003
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 25000
-------------------------------------------
Application desc
reroof
--------------------------------------------
Owner Contractor
-------------------
------------------------
GERRITY, RICHARD J GREAT WHITE CONSTRUCTION INC
325 N SEALAKE LN 4320 DEERWOOD LAKE PWY
PONTE VEDRA BEACH FL 32082 JACKSONVILLE FL 32216
(904) 838-1659
-------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 175 . 00 Plan Check Fee
Issue Date . . . . 2/22/13 Valuation . . . . 25000
Expiration Date . . 8/21/13
---------------------
Other Fees STATE DCA SURCHARGE 2 . 63
STATE DBPR SURCHARGE 2 . 63
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----- ----------
Permit Fee Total 175 . 00 175 . 00 . 00
. 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 5 . 26 5 . 26 . 00 . 00
Grand Total 180 . 26 180 . 26 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J =."• ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
j JJ31>�
Application Number . . . . . 13-00002217 Date 2/22/13
Property Address . . . . . . 2133 SEMINOLE RD UNIT 003
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 25000
----------------------------------------------------------------------------
Application desc
reroof
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GERRITY, RICHARD J D. S . KILLIAN ROOFING &GC (ROOF
325 N SEALAKE LN 3948 3RD ST S BOX 122
PONTE VEDRA BEACH FL 32082 JACKSONVILLE BEACH FL 32250
(904) 509-8470
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 175 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 25000
Expiration Date . . 8/21/13
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 63
STATE DBPR SURCHARGE 2 . 63
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 175 . 00 175 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 5 . 26 5 . 26 . 00 . 00
Grand Total 180 . 26 180 . 26 . 00 . 00
PERM T IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILD NG CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Z �__ Office(904)247-5826 Fax(904)247-5845
Job Address: l 7 '_> �G�'I� �'I(Y�' /L� Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuaf n of Work S. L'CC %. 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/proposed structures)(circle one): Commercial Residential
If an existing strucure ,is a fire sprinklers stem installed?(Circle one): Yes No N/A
Florida Product Approval# f
For multiple products use product approva- orm L
Describe in detail the type of work to be performed: All / ' l f �, 61
Prove Owner Information:
Name: �► "t G�-e�r r I L–/ Address: -,2
City IS I StateliELZip Phone le)I�
E-Mail or tax#(Optional) —'
Contractor Information:
Com Name: 1�S !�–' l l;�u� l-+'6- e-!->j �`� Qualifyin Agent:
Address: 3")'I _5 r w' 4 - - City k1 State G" ' Zip
Office P1 ione elliIt ct i t "'> Job Site/Contact Number ' Fax#
State Cer'tification/Registrabon#
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 commencedprior to
issuance o a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nulthel
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a riod of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electricar Work, Plumbing,Signs, Wells, Pools,Furnaces,Bolleis,Heaters,
Tanks and it Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
CO ENCEMENT 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.
1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type o1 work will be complied with whether specified 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. 1
Signatures of Owner Signature of Contractor
Print Name .E ....u...P.... ..t.....A..T......? ............................ Print Name
SSwo to Band subsc een�d__before me Sworn t d sub cribed b
ay of QM? ,2013 (-th" ay o .20/3
N is JENNIFER R CO BLEW N
NOTARY PUBLIC-STATEOF FLOV" _ .iu►. _
COMMISS14NIf EEd712� •'K��:�'i%e�,z SHI EY L.GRAN N1 iSed 01.26.10
EXPIRES IalY COMMISSION a OD 9
ot
2/3/201
BONDWTNRu 1' "r EXPIRES:February 14,2014
' Rf,Shl Bonded That Notary Public Underwriters
Doc # 2013047674, OR BK 16265 Page 314, Number Pages: 1, Recorded 02/22/2013
at 04:10 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.
State of Florida,County of Duval k
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. Descript'o f prorty(legal ' ian of ro rty and address if available):
2. General Descriptio"I'improvement
,tie r`= ��/
3. Owner Information: �j
a)Name and Address: eTLi i 33r�t•%!',�e 3. 3j
b)Interest in property: -�
c)Name and address of simple titleholder(if other than owner):
A. Contractor Information: �� 7� — �� �A A ST TQ f
a)Name and Address: / x'67" !`�/ Ci
b)Phone Number;__T—�
5. Surety Information: w
a)Name and Address:
b)Phone Number:
c)Amount of Bond:S
6. Lender Information:
a)Name and Address:
b)Phone Number:
7. Person within the State of Florida designated by owner upon w m notices or other documents maybe served as
provided by 713.13(1)(a)7.Florida Statutes: � 0,
a)Name and Address:
b)Phone Numbers of Designated Person:
8. In addition to himselPherselt;Owner designates of _ to receive a
copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
a)Name and Address:
b)Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to lk conq or,but will��e��oJ�1)year from the date of recording unless a different date is
specified: �i / ntltJL T
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE 10B SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that 1 have read the foregoing notice of commencement and that the facts stated
therein are true to the best
f.
��of my knowledge and belie
.,��1t tAZZ Wim' -s- 6-'q /"1>
Signature of Ow or Owner's Au&lirized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office
The foregoingJinstrume/nt was acknowledged before me this day of�� 20 .
byg • L [tfi vl as INtC for S.
�� ,,►Qy�
(Name of Person) ` 1— ( pe Auth nty,i e er/Attorney) (-Name or Party instrument was Executed tor)
JENNIFER R CORLEW
C11SS1 ' Ta ra` U LIC,,� TE O FL ID --
EXRRES t�171230
ame: eY1�111 rOc�{t�
+�ar+Orutw
[personally Known
[3 IdentificatiotfType:
(Atrix Notary Seal Above)
Revised 3/15/12