1655 Beach Ave roof 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002556 Date 4/30/13
Property Address . . . . . . 1655 BEACH AVE
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 30000
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Application desc
REROOF
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Owner Contractor
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HAAS, ERIC OLD WORLD CRAFTSMEN INC
165S BEACH AVE P.O. BOX 1815
ATLANTIC BEACH FL 32233 LAKE CITY FL 32056
(386) 758-3264
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Permit ROOF PERMIT
Additional desc . -
Permit Fee . . . . 200 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 30000
Expiration Date . . 10/27/13
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 3 . 00
STATE DBPR SURCHARGE 3 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 200 . 00 200 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 6 . 00 6 . 00 . 00 . 00
Grand Total 206 . 00 206 . 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 APR-H 2nn
->> L-j
vj�7 C Perm
Job Address: AL-r-, _Je4r� j--OZ;Z�3 itNumber: a,-
Legal Description 03ocls > Parcel#
FloorAreaot Sq.vt ed
Valuation of Work S c6D Proposed Work heated/cooled non-heated/cool —N—tq
Class of Work(circle one): New Addition Alteration 6�;�D Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Q-Residential-
If an existing structure,is a fire sprinkler s1stem installed? circle one):��es N o 2:/AD
Florida Product Approval# QA 0— d r-� -d
For multiple products use product approva orm
Describe in detail the type of work to be performed: C)tc�
- 5 S. �3
144,
Property Owner Information:
Address:
Name 4-r,05 7,
State E��&Zip _712– 3 Phone -73
city O"q
E-Mail*orFax#�i(�Eptio:nal)�Y-I C-<P- �V- J y--f- e-+
Contractor Information:
rid- Crci�+5 A-60 ) X�Yl-(]Oualifying Agent: 9��-k—� C, rls�
Company Name: 0/c
' ' - -1-3 0)� j C> city U;*Y.— -F7z- Zip 3
Address: Job Fax# --2,3 6--7 2t--12 E 7
Site/ ntact Number
Office Phone 5'9-3-1 �§ ;�L 2--3
State Certification/Registration 4 C C--(-�-
Architect Name&Phone#. A or
Engineer's Name&Phone# A 4
Fee Simple Title Holder Name and Address_���
Bonding Company Name and Address /V
Mortgage Lender Name and Address /'�It ?d prior to the
4pplication is hereby mad,to obtain a permit to do the work and installations as indicated I certify that no work or installation has commencl
fall laws regulating construction in this jurisdiction. This permit becomes null
fter
issuance of a permit and that all work will be performed to meet the standards o ended or abandonedfor a eriod ofsixg)months at anytime a
and void if work is not commenced within six(6)months, or if construction or work is su r, urnaces,Boilers,Heaters,
separate permits must be securedfor Electrica Work,Plumbing,Signs, F ells,Pools,
work is commenced I understand that
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
NT"AIT S
COMMENCEMENT MAY RESULT IN YOUR PAYING T
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN F1 4,
YOUR LENDER OR AN ATTORNEY BEFORE RECO coffamssion#EE 177M
COMMENCEMENT. rw V, BonM ncoql WwW"Am.
'Myvff�u�01"UNK! this
,erti e read and examined this a lication and know the same to be true and correct. "FIMT771mv -1-1!j romjaut��—c� Pt the
I here c fy that I havp f, give authority to vi
,�work will be coff, lied with whether sreci Ned herein or not. The granting of a permit does not presume to
typ e c construction or the performance of construction.
provisions of any otherfederal,state, or local aw regulating
Signature of Contractor
Signature of Owner �44 y-L S vv-:�D�D
Print Name 1,� 4 y . . .1.... ......................................
Print Name ........................................ .. ....................................................................
..Ey..... ........... .......................
Befo e Before me j3
20 this J2-Day ol AV r�,
this, D 0 dtL�" D r-
Notary u lic
EX Fab
ota ru,ary 14,2014
gm-i Ttru Public Urklerwders Revised 10.24.12
RECORDING $10.00
NOTICE OF COMMENCEMENT
State of -TIC Tax Folio No.
County of
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
ta - in this NOTICE OF COMMENCEMENT. Fz- 32'z 53
the Florida Statutes,the following information is I ;e,
Legal Description of property being improved:
Address of property being improved:
General description of improvements: MP
Ce-d S:Al)Yj 42— 5�A a--?L
Ownen Address:
M-53
Owner's interest in site of the improvement hQ fte,
Fee Simple Titleholder(if other than owner):
Name:
or
Contract r: Tf,� P DICILA20rld- _CkraJ 11711e11
Address: ZaA —7/0 C-61 k-C,
TelephoneNo.:(-Z�u Fax No:
Surety(if any)
Address: Amount of Bond S
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
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:
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(#b),Florida Statues. (Fill in at Owner's option)
Name: N ft -- -
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 OWNER
Signed:.. Date: 13
Before me this day of" in the ty of Duval.State
Offlorida,has personally appeared 0 uval'
7Cou
Notary Public at Large,Stat F r* Cou o uval.
xp S at
ssion expires
or
GRAHAM
SNRLF.Y L ally nown:
ers'
f,��od L
my 00MISS"0 DD 9577
n;F -ed Identification-
Ex
MAE&Februarl 14.20
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