The URL can be used to link to this page

1679 SEMINOLE RD 02 ROOF PERMIT SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002540 Date 4/24/13 Property Address . . . . . . 1679 SEMINOLE RD 02 Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4000 ---------------------------------------------------------------------------- Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HURD, MARY KAY TRUST GREAT WHITE CONSTRUCTION INC 1912 SELVA MARINA DR 4320 DEERWOOD LAKE PWY ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 838-1659 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4000 Expiration Date . . 10/21/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 74 . 00 74 . 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. 17 State of County of 'T 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: V",4 ,.A X4� V_ 1+A— A c 7 e_t4" 61-va_ 7, Address of property being improved: -7,117— FL General description of improvements: Owner S90 (jo v Address— I Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name A Address d Contractor A./4011rill AAO&�A_r Address ///7 - g1W4VW P --ax No. 7 f7e -Phone No. IN' Surety (if any) dress of bond Phone No. Fax No. Name and address of any person making a loan for the construction of the Improvements. Name A- 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. 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 Statutes.(Fill 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): THIS SPACE FOR RECORDER'S USE ONLY ER Sioned: DATE J? thin—day of County of Duval,State of Florida,has personally appeared -----herein by JAYSON DACKS himsel herself and affirms that all statements and declarations herein I V Notary Public -State of Florida are true and accurate s 0 My Comm Expi:res Oct 7,2014 # Commission # EE 33207 OF f �f'.' I 'ary s sn ...... Bonde.o rruoug:nNahonal Wary Assn �eo=u.b State%f CounV 121 -4 1 rrq:li�i� aexpi if re as: VAI rsonalh Doc#2013101712,OR BK 16340 Page 1858, ersonally Known or Number Pages:I Produced Recorded 04124/2013 at 12:09 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10-00 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 U-- Z�, Job Address: k�li 5e-r,�Nbte- ?-k - �� Permit Number: Legal Description Floor I Area of Sq.Ft. Parcel# hq.Pt Valuation of Work S 1�,000 —Proposed Work heated/cooled non-heated/cooled- Class of Work(circle one): New Addition Alteration Repair Move Demolition Pool/spa window/dOOr Useofexisting/pro osedstructure(s) eireleone): Commercial Residential If an existing structure,is a fire spnWer system installed? (Circle one): Yes No N/A Florida Product Approval# lot 24 -V- For multiple products use product approval torm Describe in detail the type of work to be performed: y- Property Owner Information: Name: v!� —Address: 10 S_ C,�"C K city State IPLZip 12--k2- hone efoy 7fq_ 7e E-Mail or Fax#(Optional� C.-_ Contractor Information: Company Name: Cr&4 W 1�14C Qualifying Agent: _�M%Ap city Rr State TL_ Zip 3 Address: 463-p VP—nowc6h, kxko—_ OfficePhone q0LLt3k-iL-S-9 .- Job Site/Contact Number Fax# State Certification/Registration# 139165-7 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 4pplication 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 ofa permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null and void If wbrk is not commenced within six'(6)months, or if construction or work is suspended or abandonedfor a period ofsi%)months at any time after work is commenced I understand that separate permits must be securedfor Electricar Work,Plumbing,Signs, WdIs,Pools, urnaces,Boilers,Heaters, Tanks andAir Conifitioners,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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I herelb�certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified 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 law regulating construction or the p&formance ofconstruction. i Signature of Owner Signature of Contractor Print Name Print Name —X V-aav ................................................................ ................................................................. ..................................................V........................ ................. ............ .......... Sworn tpand subscribed fb�e e Swo" 0 su.sc i ed me this //Ir"lVay of 20 f 3 t I D o 20 ic c Not Ic Revised 01.26.10 SHIRLEY L GRAHAM My COMMISSION#DO 957760 JAYSON DACKS State of Florida EXPIRES:Februar Notary Public PtIbly 14,2014 Bonded Thru Notary lnd—m— My Comm Expires Oct 7.2014 C EE 33207 Ion # Bonde'dmThmrousg�h National Notary Assn.