1098 Beach Ave 2013 roof l
CITY OF ATLANTIC BEACH
1 s 800 SEMINOLE ROAD
J - ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002352 Date 3/22/13
Property Address . . . . . . 1098 BEACH AVE
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3339
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Application desc
reroof
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Owner Contractor
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BENDER FREDERICK P ET AL GRASTON ROOFING CO INC
C/O KATHY J BENDER 2680 FOX HUNT TRAIL
1098 BEACH AVEN ST JOHNS FL 32259
ATLANTIC BEACH FL 322335754 (904) 287-0298
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3339
Expiration Date . . 9/18/13
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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: 1 o 9d BEAD hv,E Permit Number:
Legal Description O(o —I 47LAn/7lc &CAW LO-T 12, i3LK,40 Parcel# I t`70.1 1 - 000y
oor Area ot SO.Ft. Sq.Ft
Valuation of Work$ 3 l 339.SA- 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 elide
If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A
Florida Product Approval# FL &S
For multiple products use product approval form
Describe in detail the type of work to be performed: TEAR oFF EAST F[A7 Roof oNLy d- REPL*f- wl7q
/! St's-S
moOIFifaA RsaF Mf-H62AAIETo cc)RCEC,7 Li<Ak Goo S.QURL F-7-\
Property Owner Information:
Name: kA71VA 6EN6ER Address: 1 o98 6E.ACM AVE
City A-rotxmc. SEAM State FLZip 3AA33 Phone (cloy) 7ya.- 1?149
E-Mail or Fax#(Optional) K T B Enit)E!Z& come-A ST.Nf T
Contractor Information:
Company Name: G RAS'To J ReoFiAjG cz w c- Qualifying Agent: P A o i E L R GRA4S7ow1_.
Address: a.68o FomwPiT '7pAiL City yM7 JOHN State ft Zip 3.226-9
Office Phone I9o41 X89-0198 Job Site/Contact Number (goy 7()q-,341,0 Fax# (90y)A8?-1835"
State Certification/Registration# c.c-c--oSgaA 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 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 null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aper:od of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for ElectricalpWork,Plumbing,Signs, Wells, Pools, 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 hereby certify 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 o work will be complied with whether speci ted 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.
xSignature of Owner Signature of Contractor
Print Name ,BEN Print Name
�C.A....T!. . .................................I�1. .......................................... � .N� �.....z�......�. ..........................................
Sporn to and subs ted be ore me Sworn to and subscrbefor e
t D f 20/3 this 201
HEL
otary Public Notary Pudic state of Florida Nota farlRublic-state 0 Florida 11
Dawn Busbin 9,F moo,:My Comm.Expires Mar t Qj�
• My Commission EE 827431 ""' commissiorF1►OW'I.A. •10
W n Expires 09/03/2018
800 Seminole Road
Atlantic Beach,Florida 32233
i11 Telephone(904)247-5800
j FAX(904)247-5845
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6-18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
1. Parking plan-parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2. Location of construction trailers, loading/unloading area and material storage
area.
3. Location of chemical toilet area-chemical toilets must be kept out of City
right-of-way and not further than 15 feet from structure under construction.
4. Location of dumpster-dumpster must be from approved waste company(in
accordance with Chapter 16 City Code).. As of 2009, approved dumpster
companies for Atl. Beach are Advanced Disposal,Realco Recycling, and
Shappells. Dumpsters are to have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy or
Completion.
5. Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
6. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber, concrete remnants
and other such construction debris including cans, metal, plastic and paper.
7. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion& Sediment Control Plan(silt fence, catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
8. Other activities, where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6-17 (3)
Revised 6/2009
Number Pages 005'OR 8K 16299
NOTICE OF COMMENCEMENT pope 239,
Recorded 03/21/2013 at 01:25 PM,
Ronnie Fussell CLE
PERMIT NO. COUNTY RK CIRCUIT COURT
DUVAL
RECORDING
$f 0.00
TAX PARCEL NO. j QoR_V( —&000
STATE OF FLORIDA
COUNTY OF O WAL
The undersigned hereby gives notice that improvements will be
made to certain real property,and in accordance with section
713.13 of the Florida Statutes,the following information is
provided in this NOTICE OF COMMENCEMENT.
THIS SPACE FOR RECORDER'S DATA
Legal description of property(include Street Address,if available)
o(s-I 47ta,/Ttc- 9EAM Lo7 1�L QLk 4o 1098 6EAG1 AVE A-rLA-nrrtr QEAC6d
General description of improvements ALPLACL LpL,-) sLpPf- EAST rtt:t-OF o"Lt l
Owner kA7K!& 6ENOtr.Q—
Address 1 o9S B EACH AVE,. ATI-A&sIIL BEAcK FL 392-36a
Owner's Interest in site of the improvement
Fee Simple Title holder(if other than owner)
Name
t,^� Address
Contractor 04WILL R GRArtMJi
Address A&So FoX FtuPJT TRAIL SA y-M '3oNNS FL. 3AA-"
Surety
Address Amount of $bond
Any person making a loan for the construction of the improvements:
Name
Address
Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section
713.13(l)(a)7,Florida Statutes.
Name
Address
In addition to himself,owner designates
Of
To receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Expiration date of Notice of Commencement(the expiration date is I year from the date of recording unless a different date is
specified.)
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 I,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 JOB 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.
81Ary PPu lic tate d Florida / S NATURE OF OWNER 4My Commission EE 827431 rr��
76Expires 09/03/2016 kAT J'J ND Gtr
PRINTED NAME OF OWNER
SWORN TO AN SUBSCRIBED B ORE ME THIS .� DAY OF
/3 f'* pl/3,
MY COMMISION EXPIRES '.�" n�/
NOTARY PUBLIC