Permit Roof 385 3rd St 2013 CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J =" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 13-00002230 Date 2/27/13
Property Address . . . . . . 385 3RD ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4288
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Application desc
reroof
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Owner Contractor
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CASTLE CORP OF JAX LEAKBUSTERS LLC ROOF
385 3RD ST 6040 GEORGEWOOD LN W
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32244
(904) 778-4377
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4288
Expiration Date . . 8/26/13
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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 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.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State off I r)rida County of d"aral
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: 5-69 16-2S-29E - 093
7 ATLANTIC BEACH
Address of property being improved: 3rd St At 1 antic Beach F1
General description of improvements:
owner Cast 1 e Corp Of Ta sonvi 1 1 e
Address n n bnzr qfl>2rQ Tark-gon- ri 1 e-2eaa-ch Fl. -� 3225f
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Leakbusters Llc .
j Address 6040 George wood Ln. w JacksQnville Fl , 32244
Phone No. q®�_7 7 _d�2 7 7 Fax No.
Surety(if any)
Address Amount of bond$
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 Lienot's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
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 \ ER
Signed: '1!" v ~" �V` DATE �(
Before me this day of J r,1` in the
Doc#2013050811, OR 6K 16269 Page 517, County of Duval,State of Flonda,has personally appeared
Number Pages: 1 himself/herself and affirms that all statements and declarWons !-
Recorded
02;'27 2013 at 10:45 AM, are true and accurate LAt)RA M•RIE®SAME
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Commission#DQ 857526
COUNTY _ Ex ire May 31,2013
RECORDING$10.00 WwNTlvuTmyFain lrsurame800•H5.701'.
Notary Public at Large,S111eOf � County of
My commission expires: �, i}.J f 1 _a
Personally Known or
Produced Identification
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845
Job Address: Kck-, —, Permit Number:
Legal Description Parcel#
Floor Area of SO.Ft. Sq.Ft
Valuation of Work$ 47,-00 . 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 structure(s)(circle one):, Commercial Residential?a
If an existing structure,is a fire sprinkler s stem installed?(Circle one): Yes No N/A
Florida Product Approval# I i.
For multiple products use product approve orm
Describe in detail the type of work to be performed: POcozx�__
Proaerty Olvner Information:
L� CORD OF J�4�(LSe�v Udr-
Name: CAS'1 Address: d E°x GOTSO( JAyC &nk Fr_ -5;Z 2-ISO
City J cin State!-Zip 222 ✓ Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Le 2 91` L-t-C- Qualifyt g Agent: C. r 1 e-% r'c�.�
Address: 1 ,LJ City State Zip Y>2vc
Office Phone Job Site/Contact Number 33q-SSS Fax#
State Certification/Registration# C C c )7Z kS t 2—
Architect
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 will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void f work isnot
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 Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,an
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 hereby certify that 1 have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether sped ed 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 A 1L0,Aj_- Signature of Contractor CX/t.. �C
Print Name OL-1 U tam J hPhh V ( Print Name r S
.........................................................................................................................................
.. .... ..4.... 1 . .. k .....................................
Sworn t and subscrib a re fore me Swo subscrib me
thisv� Day .20 /3 t s D o 2043
Notary Public SHIR GRAHAM
DIANANZALEZ :, MY COM .- ON#DD 95�'+,7-60_-
; EXPIRES:February 14, A 1S 01.26.10
Notary Public.State of Florida pr ry` Bonded 7hru Notary Public Underwriters
commimon#EE 56&37
1 -79A.%Imv mmtn.axolra May 23,2015