222 Magnolia St 2013 roof CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002459 Date 4/11/13
Property Address . . . . . . 222 MAGNOLIA ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7995
----------------------------------------------------------------------------
Application desc
REROOF
----------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
WAINWRIGHT, LISA BENTON INTEGRITY ROOFING
3830 9TH ST N 5570 FLORIDA MINING BLVD. S .
APT #202W STE #310
ARLINGTON VA 222035819 JACKSONVILLE FL 32257
(904) 260-1372
----------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 7995
Expiration Date . . 10/08/13
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
--------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 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
32233
Job Address:- "&_C K ^' 'A Sr�TLO�NTIC �' Permit Number:
Legal Description io 8 (lp"2S-2% 6AL'rAj 2 - Parcel Parcel# 17�d5 `I-0 of 0
Floor Area OTq. f Sq.Ft 6"
Valuation of Work$_I qqb •00 Proposed Work heated/cooled 1251,T non-heate coo ed
Class of`York(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures)((circle one): Commercial 0
If an existing structure,is a fire sprinlder system installed?(Circle one)E��to /A
Florida Product Approval# L�012�j w
For multiple products use roduct app oval orm
�1.(( & lt�z-b► ., n.
Describe trf detail the type o work tt)be performed:7Z-9406E. -
w GAS o
Property Owner Information:
Name:
Al N W P� T Address: a0 'r A $ W
City AV-ul TCS State t1k Zip ZZ2 5Phon 202 VA O LAt AS
E-Mail or Fax#(Optional) --
Contractor Information:
Company Name:_. Benton Integrity Roofing Systems Qualifying Agent: John Albritton
Address: 5570 Florida Mining Blvd..#310 City Jacksonville State FL Zip 32257
Office Phone 904 262-7663 Job Site/Contact Number 904 260-1372 Fax#_904 260-1355
State Certification/Registration# CCC 1.329868
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 tot e
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 f work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a_penod of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work,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 BEF
COMMENCEMENT. YOUR NOTICE OF
this
type of work x that I have read Il be complied with whether sthis
peciaedlhertein or not know
The granting of true
o pe does not correct.
notpAll
provisto ions go e aw authority to violateces gor cancel he
provisions of any otherfederal,state,or local taw regulating construction or the performance of construction.
Signature of Own Signature of Contractor
/� W�� Print Name 1d 7-4 Punt Name ! �5`! vYra�l1 !...._.... ,.1_.._......_.............._ M............_..... _.__..__._........
Sworn to and subscribed bcfore me Sworn to and subscrib d before me
this ay of ,�/trcr 2Q�3 this ay of 20/4
Nota u
Revised 0l.26.10
Doc # 2013089511, OR BK 16324 Page 457, Number Pages: 1 , Recorded 04/10/2013
at 03:40 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
State of FL wn pts{ Tax Folio No_
County of
To Whom It May Concern:
The undersigned hereby informs you that improvements will be trade 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: 1 C �k_ 2S -IQ .
6 C 1
Address of property being improved: 7-2.2 MAG,NOLI A STAT1(- �
LANrt1-k
17_Q2,2?
General description of improvements: - OF T N�Z�
Owner j�1_.__srflt WL�I NINQIG _Address:
O N APT #2OZy yyA22 ,CG
Owner's interest in site of the improvement:ve�L- QQb f leer
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Benton Integrity Roofing Systems
Address: 5570 Florida Mining Blvd.,Ste 4310.Jacksonville FL 32257
Telephone No.: 904 262-7663 Fax No: 904260-1355
Surety(if any)
Address- Amount of Bond 9
Telephone No: Fax No:
Name and address of any person malting a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No.-
Name
o: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:
Telephone No: Fax No:
In addition to himself owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
71 3.06(2)(b),Florida Statues_ (Fill in at Owner's option)
Name:
Address:
Telephone No Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the state of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: :y C�x _ Dstc: a 13
KEN H liTOUT Before me this day.of r .fir 3 in the Counn f J3nval,Slate
`}
Notary Rtnbtk $tate of Florida Of Florida,bas personally appeared /_{sem UL 11 It +$`
. ? My Comm.Ezpkes Jan 9,2015 Notary Public at Large,State of Florida County of Duval.
a+ Commission N EE 45420 My commission expires:
Personally Known- nr
Bonded Through National ary Assn.
Produced Identification: 114/