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2279 Seminole Rd roof 2013 \f v, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD s) J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002436 Date 4/05/13 Property Address . . . . . . 2279 SEMINOLE RD UNIT 010 Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6433 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DRISCOLL, KEVIN BEDROCK CONTRACTORS INC 2279 SEMINOLE RD # 10 10847 HORSE TRACK DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 349-8818 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6433 Expiration Date . . 10/02/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 89 . 00 89 . 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. 20-4109463 State of FLORIDA_ County of DUVAL 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:AG-212 37-2S-29E DEWEES GRANT S/D PT LOT 1 RECD O/R 9955-613 z 0, Address of property being improved: General description of improvements: RE—ROOF Owner KEVIN DRISCOLL Address 2279 SEMINOLE ROAD #10, ATLANTIC BEACH,FL 32233 Owner's interest in site of the improvement _ Fee Simple Titleholder('If other than owner) Name qSurety Address Contractor Bedrock Contractors, Inc. Address 10847 HORSE TRACK DR E., JACKSONVILLE, FL. 32257 Phone No. (904) 551-772 Fax No. (904) 551-7726 (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. fn addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(FII 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): C r� THIS SPACE FOR RECORDER'S USE ONLY ER g w Signed: DATE Before me this ay of in the W 4 County of D.pal,Stade of FArida,has person aly appeared ti u]m . ✓rte !.J Id,,.f,�'�u!( herein by W 2 himsettJherself and affirms that all statements and declarations herein are we and accurate uj v LU Doc#2013082945,OR BK 16314 Page 1458, be g Number Pages:1 +� Recorded 04i'03%2013 at 01:35 PM, m Ronnie Fussell CLERK CIRCUIT COURT DUVAL Notary public at ` � `0• �� ge,State of County of b COUNTY My mi ires:�,/1t ' 013 0 RECORDING$10.00 ts0 or a * st Produced Identification BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 'tfqyfn IVD l b 1t1C Permit Number: Legal Description C 1)e Cwt4-J Parcel # FloorreA a of q. t. c��� 'Ft Valuation of Work$- 6113 Proposed Work heated/cooled I 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 esidential' If an existing structure,is a fire sprinkler system installed? (Circle one): es o N/A Florida Product Approval # © 6 For multiple products use prouct Approval form Describe i detail the type of work to be performed: _ W,6-tx tD14 roof C- � ) r Ma, - Property Owner Information: Name: S ' Address: _79 &e�1 NJOl.O 10 City C BeAJ4 State&Zip` Phone E-Mail or fax# (Optional) Contractor Information: Company Name: + cl flJ4- Qua]i ing Agent: Address: City A Stated Zip Office Phone q Job Site/Contact Number qQ $�1 Fax# 9D f- S-1-7 7 State Certification/Registration# w1c, r la,113q 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 if work is not commenced within six(6)months, or if construction or wo,k is suspended or abandoned for a period of sax 6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, urnaces,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. 1 hereby certify that 1 have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with w711oc specs sed5hnere' or not. The granting of a permit does not presume to gave authority to violate or cancel the provisions of any other federal .ta . law regonstruction or the performance of construction. Signature of Owner Signature of Contractor Print Name �;, I✓ /E'seu �� Print Name David P. Trotti...................................................................................... Sworn to and subscribed before me Sworn t and subs i ed bef e me this 0'Day of APs.- 4-- ,20 /3 this ay of 20 4ZAa NotafyPublicNot'dry Public ��:•••.'�% APRIL S.CHRISTOPHER * MY COMMISSION iDD$81525 TERESA DIANE SIKES Revised 01.26.10 EXPIRES:June 29,2013 Notary Public,State of Florida sr�Tf OF F%. Bonded Thiu Budget Notary Services My comm.exp.Nov.20,2013 Comm.No.DD 926640