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717 Vecuna Rd 2013 roof �t r''`'I CITY OF ATLANTIC BEACH I:Z 800 SEMINOLE ROAD y) ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 '"�JJIIa� Application Number . . . . . 13-00002568 Date 4/30/13 Property Address . . . . . . 717 VECUNA RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 ------------------------------------------------------- Application desc reroof ------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- RAY, LARRY D JSL COMPANY INC 717 VECUNA ROAD P O BOX 50002 ATLANTIC BEACH FL 322333929 JACKSONVILLE BEACH FL 32250 (904) 309-3045 ----------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5000 Expiration Date . . 10/27/13 ----------------------------- Other Fees . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 -------------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 79 . 00 79 . 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 1 6 h—t Tax Folio No. County of O uy b¢ L- 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 COMMENCEME Legal Description of property being improved: Col 3 ? �.5 �2�� a j� II / Address of property being improved: v �' General description of improvements: - r Owner. f2l2 Address: 7l 7 Yff'y h�` • �� Owner's interest in site of the improvement: 1� ��-- Fee Simple Titleholder(if other than owner): Name: ��Contractor: J � d �v 1tc ^Y `-1 b `- - Address: ( �o S - �a Telephone No. Fax No:: Surety(if any) Amount of Bond$ Address: Telephone No: Fax No: Name and address of any person making a loan for the.construcriDoc#2013106367,OR BK 16347 Page 912,on of the Number Pages:1 Recorded 04/30/2013 at 08:20 AM, Name: Ronnie Fussell CLERK CIRCUIT COURT DUVAL Address: COUNTY RECORDING$10.00 Phone No' Fax No:_ Name of person within the State of Florida, other than himself,designatea oy owner upon wnom nuuces yr ULI1CI uMuiucuw way Ur, 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 713.06(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 date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNE4thnis—J::] te _ � - Date: r�-- Signed: � in the County of Duval,State�1 efore m �\J� %rp 1� f Florida,has personally appeared '� , �u , tary Public at Large,State of Florid��Cf un of Duv . go �asY My commission expires, ///�a N or Personally Known: =; ` 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: V 49 1 Permit Number: Legal Description 'oej 3� l � 2 Parcel# oor ea o t. q t Valuation of Work S -.i bb� ab Proposed Work heated/cooled non-heated/cooled __ Class of Work(circle one): New Addition Alteration 4 Depai 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 No /A Florida Product Approval# A-r'`u - F( -7606- For multiple products use product approval orm Describe in detail the type of work to be performed: k06F Property Owner Information: Nam"orFax Address: 7>7 Vp- v� - City State/Zip . 21-3 3Phone F04- l c/f E-Mail #(Optiona Contractor Information: ^,L Qualifying Agent: Company Name: '1 S <- , State r Zi 32zyo Address: cr �,x ��ov !2 —City '5 Acr5�+- ��RB•�l —� - P Office Phone 3o4 - 3 Li S� Job Site/Contact Numb e Op q) Fax# ,1�n Q .s 1 5.e �e� State Certification/Registration# < 6 e- Ca r i Sc V G�- Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address that no work or installation has rior the isPuatncetof a perm t amade to nd that all work will bel performed tot to do the omeet the rk and standards of all laws allations as tregulatinconstruction in this jurisdiction. This permit becomesonull and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period 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,eta 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 E��� CORDING YOUR NOTICE OF CONSULT x YOUR LENDER OR AN ATTORNEY MMENCEMENT. 1 hereby Ncert w 11 that have red6staor aneerminehhetherd t is.aedlhertein oand r not.o Theegt tinting of same to be to perue au t does nd cnot prt. All esumetoto go laautho ws dty tot violatences gor'a, el tthe typ 9I work of any other federalocal aw regulating construction or the performance of construction. Signature of Owner Signature of Contractor Print Name �� p- y. Print Name So. K........L� tn16 ........................................ ............................ Befo e e Befor e 20�� t ' Day of /°A-) 4, 20 this Day to Public a� ,.,; 'AY C'"ISSION If DD`�� _ COMMISSI DD 95P60 ` ° EXPIRES:November 3 ., , PIRES:F brua 4,2 4 '3!`` Ba,ded Thru iI;6Y PubNc ~ PF , Bond 7hru Not ry Public nde d 10.24.12 bg3vg -o