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402 Sherry Dr 2013 roof ,fc, CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J , - ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002390 Date 3/28/13 Property Address . . . . . . 402 SHERRY DR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5400 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KERR PAUL G SHORE ROOFING COMPANY 12625 HIGH BLUFF DR #315 914 7TH AVENUE SOUTH SAN DIEGO CA 921302054 JACKSONVILLE BEACH FL 32250 (904) 241-8842 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 80 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5400 Expiration Date . . 9/24/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 80 . 00 80 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 84 . 00 84 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �. . . Jr ti0 Y f jr fF 09- CITY OF ATLANTIC BEACH 013 Date: 3 - _ ROOFING PERMIT APPLICATION Job Address: --owner-of Propel ty. ,�k /� S�i�e l a fl` ,0; �ct/I ,�; ° S,�i3° Address: Telephone. ? �Q o ' J Y t /1 Roof Contractor: o�� . State License Number. y s y q .i - _n Contractor's Address: ��U' S X �� L Telephone: d Fax jay-a?S// ��V Y 3 Emaik Roofing Material AV `7v Scope of Work: J`f h + Q� 3Or /hl !ka FL Product Approval,4 r� �y' '� �^C (/ ' 3 Valuation of Woric X00 Required Inspections: Sheathing/In Progress-Dry In /Final If re-roof: Assessed Value of Structure: '/<$300,000/_>$300,000,Roof-to,--wall improvements required? (Applies to single family structures only) "WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT" SIGNATURE OF OWNER: Date' AS TO OWNER: da of� � • Sworn to andes y IN-1�b � St - Notary's Signatures nef STATE OF FLORIDA Personally known a Comm#DD0933778 Produced identification •&14 E A. Expires 10/30/2013 Type of identification produced— Date:- SIGNATURE OF CONTRACTOR: Da --- ---------- - AS TO CONTRACTOR: • Sworn to and subscribed before me this _day of State of Florida,County of Duval Notary's Signature: Personal known Produced identification *'Poalsle" i�?AFr 1rJRIEM.ADAMS,LiAtiRtiPType of identification produced NO-i ARY PUBLIC STATE OF FLORIDA 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Comm#DD0933778 Telephone: (904)247-5800•Fax:(904)247-5845 Expires 10/30/2013 F:\roof permit appllcaton.doa 7/28/09 NOTICE OF 3 PenTdt NIL ToxFdoNo. 811811901 Counl3l of To whom i-MY conc" The Wld h rdorees ygueat pnyvew@n%wM be X1wb f0 oarfain real PMPwW,and In aa©ordM,a with Seedom 713 of UM"Orlda$NOW%the fo0owbg 6daMI1100e le staled In'thle NOTICE OF Lage!W46001 Of IF Addressdptopah►bekv yL General dercripM OfWPVAM&-ft c a r r owner _ owners h,tenret ineft of the llowmMm t Fee Skn*TMehokW tf~Men owner) Name Addrew conkacw Z 06'Ti h . Ad&m 3/y 7 Au e -A s`.+x �` g d y_ d 4// 7ze I Phone No. g�Y- .1 Ofarw AddAmotsd of bond Phone Na Fax Nartw and address of wy Person nu ft a km farft CufskuMmoki hnprovMM&L Name Adds Phone ML Fax No. Name of person wtttdn the lie of laortda6 r>rnweu,deei8neted by owner neon whom noitoes or mer doomwft vney be served: Name AddMW Phone NM Fax In addMon to WNW,owner d@dru tee the 6111lowho pew to reoetw a copy of the Lienars NOft as provided In Section 713M M(h),Roddy SEe ukw(m in at owner's oplt?. Name Address Fax No. Phone NO. . E39katlon dada of HOOM of CommaroemenI(>he eocpMw date Is One(1)year tom the dale of recreding amass a dlff W dobe Is gW110dx T[RS SPAtS:t=QR ONLY OtARJmt DATE �� � Bda�essiriis ftdf h iS1 ars m.ftspmaodoel►gw—d Doc#2013078622,OR BK 16308 Page 1148, raos9wrp�as dCaakms�etaesmraoaA�amdedenasss Number Pages:1 aanauna+daoaaaos Recorded 03/28i2013 at 03:43 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10-00 Pmuwedtdoaiicaros Z *r, YMARJORIE M.ADAMS4JARRUp NOTARY PUBLIC STATE OF FLORIDA Comm#DD0933778ExpiExpires 10/30/2013