1619 Beach Ave 2013 roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002266 Date 3/05/13
Property Address . . . . . . 1619 BEACH AVE
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3900
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Application desc
reroof
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Owner Contractor
------------------------ ------------------------
MCGUINNESS, NEIL JACK C. WILSON ROOFING CO.
1619 BEACH AVENUE 4522 ST. AUGUSTINE RD.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 396-1546
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3900
Expiration Date . . 9/01/13
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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 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 74 . 00 74 . 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: /� 19 erad_dl, �2_3
Permit Number:
Legal Description _ argel# & ? 4q�. 0006
Floor Area of Ft. Sq.Ft
Valuation of Work$ 3 9 0 6- Proposed Work 'hiated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration(_�R�eairove Demolition pool/spa window/door
7-7
Use of existing/pro osed structure(s)(circle one): Commercial /�_P esidential.__a)
If an existing structure,is a fire sprinkler system installed? (Circle one): ---Ye—sNo N/A
Florida Product Approval# I q�s�l- --!D
For multiple products use product approval lorm
Describe in detail the type of work to be performed: Ac�io IQ ��)6 Rr__
Property Owner Information:
Name: N(Ed (We Qir�r\C- SS Address: _i�CCJ\ n- ,jz
City 6±1 -apJj cj;�,r_o4l- —State--kLZip 5--)233 Phone qol�4 ,'Y09 -
E-Mail or Fax#(Optional
Contractor Information:
Company Name:V�ss T-"(, j 6q ,TaLk C eod&atl
Iiing Agent: Vo 9,
Address:LtSJL',31- (:),oc, 12& City IA State - t zin a9_6 rl
Office Phone 9 6L4- 39 6- 1 E?L-4(,. Job Site/Contact Number 11 oLl 59 1 -SJaG Fax# 6q ---:59L
State Certification/Registration# C_CC,0�4ct_�!)57
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A ca h eb made bana e do workandinstallati�=as*nd, or installation has commencedprior to the
,OmZ,t �r
,e nd a ta r a' thisjurisdiction. Thispermit becomes null
0 k I a eriod ofsix months at any time after
33 1 rmit t� m c ion r Od r
nc h 00 t k p be or
er 'y a"wor wi e
Is (6 m t Or, co
wL �p) on
enced thin s
;h ers t t s P r p r ts mu t c r or CM
pp'i io
I ua 0 aperm
and'Old I work - n t comm
, 'k is f 'enced und tand e a ate e be ed Ele dis,Pools, rnaces,Boileis,Heaters,
0 co
Tanks anilAir Con .nonen,da
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 YM]i NOTICE OF
COMMENCEMENT.
I hereb certify that I have read and examined thi a U t, n and know the same to be true and correct. All provisions oflaws and ordinances governing this
herein or not. The granting of a permit does not piesume to give authority t iolate or cancel the
P.work will be coTplied with whether ec le
provisions ofany otherfederal,state,or local aw regulating construction or the pei�b�mance ofconstruction.
Signature of�wne IF Signature of Con.MrA,,,/,
Print Name'- I e(��iL-a-- Print Name b- 0�_ I/\
........... ............................ ................................................. V
Sworn to and sub d before e Sworn to and subscribed
s1l Day of
this Day of hy= this L
ss
com
14 1 .. rm"ission#DO 94428S]
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My Cory1missior) Expires
DOCOMber=03, 2013 Revised 0 1.26.10
Doc # 2013056473, OR BK 16277 Page 227, Number Pages: 1 , Recorded 03/05/2013
at 01 :19 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
IN U 110E OF COMAONCEMMNT
No. Tax Folio No.FN 6CR 6 0 C, c)
o I Flor;da.County of Duval
T HE UNDERSIGNED hercby give notice that the irnprov=mt will be made to cerwn real property in accordance wit!,.
Chaptcr 713,Florida Statutes,the following information Is provided In this'Notic-a of Commencement.
3tion of prIO — if available):
4 T.ju%d adeirc
�J ?T
2. SC 'Ption of improvements:
�ZLJ-�0�
3 Owner Information:
%)Name and Address:
b -terest in property: ..-C
s:5-—-k�, 19 (?),-- a el A) —IR 3 -:3
c)Name and address of simple titleholder(if other than owner):
Contractor Informa6on:
a)Name and Address:
--UGK G. W11 r
Phone Number:
Urety Information: 4522 St.Augustine Rd.,
z)Name and Address:----bnk�znnvilla -Fl 32207
b)Pliciiie Number: lt)nA%*,jn
C)Amount of Bond:S ,r-d-96-1546
6. Lender information:
a)Name and Address:
b)Phone Number:
Pci-son within the State of Florida designated by owner upon whom notices or other documents may be served as
Provided by 713.13(1)(a)7,Florida Statutas:
a)Name and Address:
b)Phone Numbers of esignated Person:
In addition to himsolf/hersclf,Owner designates of to receive
e copy of the Llenor'�NoUce as provided in Section 713.13(1)(b),Florida Statutes,
a'Name and Add=
b)Phone Number of person or entity designated by owner
Expiration date Of Notice Of Commencement Me expiratiorAste is one(1)year from the date of Recording unless a
diffetent date is specified:
We%R-NING TO OWNER: ANY PAYMENTS MADE By THE OWNER AFTER THE EXPIRATION OF THE
,\'CTICE OF COMMENCEMENT ARE CONSIDERED VaROPER PAYMEMS UNDER CHATTER 713,PART
SELT!ON 212-11 FLORIDA STAT'-rfES, AND CAN RESULT IN YOUR PAYING TWICE FOP,
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMNffiNC5MqT MUST BE RECORDED AND
POSTED ON THE JOB SrM BEFORE THE FMST INSpECr,014.IF YOU INTEND TO OBTAIN FINANCING,
CQNS]�LTr\VITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCM WORK OR RECOMING
,�OIIT� �,
, I E-W C
Y'j 1� OTIC
I 1"Ilel�l 'wrwIs Au
Signatory's Printed Nptmc&Title/Office
f3rgoing instniment was acknowledged before me this--L day of 20 /�4 by
as for
777 (A t onry ype,i.e. i=Atto. c arty ment was Executed for)
C RISTCi�PHER Voss
4 DID q,142pn 113LIC,STATE OF�LORIDA
03. 2013 Print Name:
0 P=onaUy Known
0 Idcntificadon(rype�
erif,cat ion pursuant to Section 92.525,Florida Statutm Under penalties fpczjury,I declare that I have read the
in g and that the facts stated in it are true to the best of my
oregol,
of Natural Person Signing Above