541 Beach Ave 2013 roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002388 Date 3/28/13
Property Address . . . . . . 541 BEACH AVE
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4200
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Application desc
reroof
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Owner Contractor
------------------------ ------------------------
PETERSEN PETER E REVOVAVL TRUS JAX ROOFING
541 BEACH AVE 601 ABBEY CT DR
ATLANTIC BEACH FL 322335323 ORANGE PARK FL 32073
(904) 434-7346
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4200
Expiration Date . . 9/24/13
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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.
s'r fin`
J
ttt
09-
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date:
Job Address: � � /
Owner of Property:
Address:S�q l (�>U - A E L 3"; : 9 0 z}- " 2� b, •�^� LJ 1
Roof Contractor: tt�,.A CC) C) N '--L-Cstate License Number: �—C_2 � Q .._� c-A
Contractor's Address: L-)C' - 1 r - '" �, L-3 1c
Telephone Cf- �3 aFax: 1 /`O c/ Email
Scope of Work:_-�- � (1�ryC-��' Roofing Material
FL Product Approval# I Valuation of Work: $
Required Inspections: Sheathing/In Progress-Dry In /Final
�
If re-roof: Assessed Value of Structure:_� c$$300,000/_>$300,000;Roof-to-wall improvements required?
(Applies to single family structures only)
"WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED
ON THE JOB SITE BEFORE THE F/RS INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFO ORDING YOUR NOTICE OF COMMENCEMENT"
SIGNATURE OF OWNER: Date: Z C 3
AS TO OWNER:
Sworn to and subscribed before me this day of IGS:c'%1., 20 / 3.
State of Florida,County of Duval
Notary's Signature•
JAIME T CARONA
Per Wally known
My COMMISSION 9 EE831193 ❑ Produced identification
�!«w EXPIRES August 29.2018 Type of identification produced
(407)39"153 FWft0N*wySW""Com
SIGNATURE OF CONTRACTOR: Date:
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 120 .
State of Florida,County of Duval
Notary's Signature:
❑ Personally known
❑ Produced identification
Type of identification produced
800 Seminole Road•Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800•Fax:(904)247-5845
F:\roof permit applicaton.docx 7/28/09
MAR-28-2013 14:18 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
^ NOTICE OF COMMENCEMENT
(I n£PARE IN DUpUr_A7E)
permit No. Tax Folio No.
State of County of
To whom ft may concern:
The undersigned hereby informs you that imprwmments will be made to certain real property,and in
acraordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved; ` -
Address of property being improved:
General description of improvements: Re-roof
Address
OWner's interest in site of tho Improvement NIA
Fee Simple Titleholder(if other than owner)-N/A _
Name NIA -
Address
contractor Jaime Tulio Cardona Jax Roofing LLC
Address 496 Hillside Dr.Qran a Park Florida 32073
/} Phone No, 904=434-7346 Fax No, 904-772-8947
1111 Surety(If any) NIA
Address NIA Amount of bond$
Phone No. NIA Fax No.
i
Name and address of any person making a loan for the construction of the Improvements.
Name NIA
Address NfA
Rhone No. NIA 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 N/A
Address NIA
Phone No. NIA Fax No.
In addibun to himself,owner designates me following person to recerve a copy of the!_ienor'S Notice as provided in
Section 713.08(2)(4),Ploride Statutes.(Fill In at Dwrinfs option),
Name NIA
Address NIA i
Phone No._NIA Fax No. _
Expiration date of Notice of Comm cement(the expiration date is one(1)year from the date of regarding unlesa a ;� •-`•�.
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY `OWNERS S
- Signed
--
-- - Before ma IM''rjgy Of in the` t
t eup�t vet,State rn h s pcmona4y atrpea^
Dor.#201;3078373,OR BK 16308 Page 781����� Ili�L f'1-�a �1 herein by � �
h; rcl hersClf and affl tna!elf xFatcrtx>rrta ana declarations hC�vin '"
Numt)cr Porges:1 m C M
laaaarded 43l'2$/1'U13 at 02:88 PMare hue and aecuratn,.
Ronnie Fussell CLERK CIROUIT COURT DUVAL
COUNTY
RSCORDINOS1000 =` r` to
to III
Pubft at Large,Slate of County _ I
My commissian wApires:
Pamotrally Known or p'
Produced Identirication m
GJ
. l