1470 Ocean Blvd roof 2013 .,I% , .
C,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002429 Date 4/04/13
Property Address . . . . . . 1470 OCEAN BLVD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8200
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Application desc
reroof
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Owner Contractor
------------------------ ------------------------
WADE WILLIAM D JR ET AL& SARAH SCHULTZ ROOFING COMPANY INC
1470 OCEAN BLVD 216 N. 20TH STREET
ATLANTIC BEACH FL 322335746 JACKSONVILLE BEACH FL 32250
(904) 246-2315
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 8200
Expiration Date . . 10/01/13
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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 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 99 . 00 99 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, 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: I�Z 62a2l-), �'Iv-D. Permit Number:
Legal Description A6 a&2�K70 q Parcel#
&J4�� Z
Floor Area ot / Scl.Ft. Sq.Ft
Valuation of Work$ 'aA-00- —ProposedWork heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Q�Prl Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residentia
If an existing structure,is a fire sprinkler system installed? (Circle one,.: 0 N/A
Florida Product Approval# &z 1 q
For multiple products use product approval Form
Describe in detail the type of work to he performed: Pe"jqV,- f(A,-?
Property Owner Information:
'D- i�t)&& Address: /Y��
&4&A State,��Zzi )-,Jgj, �hon'ez
city 4�z
E-1�44if or Fax#(Optional
Contractor Information:
Company Name:65-;A Qualifying Agent:
Addressr-- State JEZ, Zi
2 od rqc,75� CitvQ122se APA p
Office Phone Job Site/Contact NumbeF]Dxq_���^�-;Gg Fax# 64 7-9A��g
State Certification/Registration# eL�;-O-
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 cat i he eb ade b an a do he work and insta or installation has commenced prior to the
P ' ' er-i'')o orin to mZ t
0 s y I ork p be e ed a thisjurisdiction. This permit becomes null
r to 0
st c fsix(6)months at any time after
pp'i i i t tm a period o
ssu nce o agerm t a t a f :
I a 0, � r so co!at ,I w 11 i'P(6 r'Ol i,or, Cobe sec, Wells, Pools, Furnaces Boilers Heaters,
nd", d k i me ced within s
wo is c mec . I u, rs th t s p per s M, t
rk ed de tand a e arate
Tanks and Air Conditioners,e1c.
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I herelb certify that I have read and dth- plication and know the same to be true and correct. Allprovisions of laws and ordinances governing.this
'm"' 'is
9.work will be complied with whether sEci7ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfederal,state, or local aw regulating construction or the p&formance ofconstruction.
Signature of Owner 4Lj Signature of Contractor
PrintName ...........41�?,�..........Alle....................................... Print Name ............................
S FOM and subscri�ed before me Sworn to and subs��d befin,me
t'hwits Dayofe---m A 20/-6 this Lq Day of —42A 20 ,81
HUMUNU ULAMIN 1736
ROSALIND CLARK li$Y COMMISSION 9 EE 00,1736
6-
- - . _ 'I
01
Ux .a4ers vised 01.2t
%;®r.011 F-
ih,
MY COMMISSION#EE 001736 EXPIRES:August 25,2014� vised 0 1.26.10
EXPIRES:August 25,2014 Bonded Thru Notary Public Ur�erwriters
Bonded Thru Notary Public Underwriters
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. -'5-- e:22�
State of Fiori la County
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
Address of property being improved:
General description of improvements:
Owner
Address <
Owner's interest in site of the improveme
Fee Simple Titleholder(if other than owner)
Name
Address
C tractor Douglas A. Schultz/Schultz Roofing Co., Inc. CCC-036989
ddress 216 North 20th street Jacksonville Beach, Florida 32250
hone No. 904-246-2315 Fax No.
Surety(if any) Amount of bond$
Address
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
L