1757 Ocean Grove Dr 2013 roof t �S fiiJtl flv�
CITY OF ATLANTIC BEACH
J' 800 SEMINOLE ROAD
. � ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Jit
Application Number . . . . . 13-00002490 Date 4/17/13
Property Address . . . . . . 1757 OCEAN GROVE DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5900
-----------------------------------
Application desc
REROOF
------
-- ------------------------------------------------------------------
----------------------------------
Owner Contractor
------------------------ --------------
----------WATERS ANGELA M ET AL TIER 1 CONSTRUCTION (ROOF)
WATERS JAMES DESMOND III 33 W 6TH ST
1834 OCEAN GROVE DR ATLANTIC BEACH FL 32233
ATLANTIC BEACH FL 32233 (904) 610-7979
---------- -----------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 80 . 00 5900
Issue Date Valuation
Expiration Date . . 10/14/13
-- - - --- - -- - ----------
- - - - - ----- --
2 . 00
Other Fees STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2 . 00
Fee summaryCharged Paid Credited Due
_ _ ------ --
----- ----------
----------
- . 00
Permit Fee Total 80 . 00 80 . 00 _ 00 . 00
Plan Check Total • 00 . 00
Other Fee Total 4 . 00 4 . 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.
NOTICE OF COMMENCEMENT
State of :4�Dgo, 42- Tax Folio No. I l.0 9 LP Woo
County of j a0�
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: 7..0 - Zo [:>9 - .ZS - 29 cg:
t,t h J- kA 0 2 17
Address of property being improved:_I::z S 7 hGe G,-d,.�_ ac
General description of improvements:���Y6�M- Q
Owner:A w G .., t� ',4^S Address: 17 5 7 �e-c,-, G1 rte V L
L
Owner's interest in site of the improvement: 1
Fee Simple Titleholder(if other than owner):
Name:
ontractor: -I-
Address:
ZAddress:t, 2 SIS Q�,a.... }�� 1't"� Z)2 .=l•.Lle x v�`h e- EL .37 Z Z'5-
Telephone No.: -1 c 4 ^ 21)&-Dtr.0 Fax No: -w 1# Z t4 6 bU 9
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the jconstruction of the improvements
Name: ti.( m �- �A�►"��b��
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: "o h p t( a Wc,
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
713.06(2)(b),Florida Statues. (Fil in at wner's option)
Name:—�6-T�T n�i�t.e l
Address:
Telephone 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):
THIS SPACE FOR RECORDER'S USE ONLY OWN R jl
Signe — Date: 3
Before me his day of in the ou of D val,State
Doc#201 Of Florida,has personally appeared
3095616,OR SK 16332 Page 1389, Notary Public at Large,State of Florida, o of Duval.
Number Pages:1
Recorded 04/17/2013 at 01:25 PM, My commission expires:
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Produced PersonIdenly ofi ation: or
COUNTY
RECORDING$10.00
BRENT PARRISH
Notary Public,State of Florida
My Comm.Expires May 14,2016
Commission No.EE 196158
BUILDING PERMIT APPLICATION Iwo
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: t'1 S 1 �Le..., -r vt
�` Permit Number:
Legal Description Zo tt> " l5 - 2.di E cc-s- yPGrcel# (PS U0 th Rada
oor Aredo q. t. q t
Valuation of Work'-.n GAO Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair �Movve Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Besider�ti
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed:�s ra
Property Owner Information:
Name: ri e w 1 JV S Address: 11
City State l3_Zip L ;S Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: •� '�-- Qualifying Agent: �-�6 Yn S�, L Z L S
Address: btv �} "Ll 2 City==jN..l�Sa.-s,� _ State Zip
Office Phone L Obtr'LZ_Job Site/Contact Number 2-4 (2 Dnq D Fax# ?-4 (, ohs'1
State Certification/Registration# 1
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Ad ess
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 to the
issuance of a permit and that all work will be performed to meet the standards of all laws rreended or gulating construction in thiiss jurisdiction/. months at This permit bectime omes null
work void if
mmenced.not
/understand within
that separate permiisomust be setconstruction
ed for work
i ei�ica%Work,PlumbingnSig�ns,br aWells,Poriod ols, ui aces,Boi[e s,Healers
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
BE OR ENTE RECORDING YOUR NOTICE OF
lherebyce
pe pj work wthat I ill be come he readand
ith whether sreci pt etci ledlherein or notn and . Theesame to be granting of perms and cdoesct. All notpresume to girovisions ve yuthoi ordinances
to
violateor cancel this
the
type. . comp
lie
of any otherJeder ,. ate,or local Imv regulati oast Ilion or the performance of construction.
Signature of Owner Signature of Contractor
o,/{/S Print Name
Print Name ........ ......... ............_ .........................................
.....
Sworn tfbl'
bscribe befo��e me Sworn to and subscribed befor 0 ,
this," f 20 this tel) y of
Notary otary PuTfic
Revised 01.26.10
BRENT PARRISH
NAY Pt�ar Std of I9oridI =ftblle,
INI
My Comm,Expire:Msy 14,2018 ,,�� of FloridaCommission No.EE 196158 c.16,spa
c.16,2014