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1093 Cornell Ln 2013 Roof CITY OF ATLANTIC BEACH Is1 J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002583 Date 5/01/13 Property Address . . . . . . 1093 CORNELL LN Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3731 -------------------------------------------------- Application desc REROOF ----------------------------------------------- Owner Contractor - ------------------------ ----------------------- BELLACOOP FUND LLC RON RUSSELL ROOFING INC 2406 UNIVERSITY BLVD W 4419 HUDNALL RD JACKSONVILLE FL 32217 JACKSONVILLE FL 32207 (904) 677-6777 (904) 714-1907 ---------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . - . 00 Permit Fee . . . . 70 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 3731 Expiration Date . . 10/28/13 --------------------- ----- 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. State of 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 the Florida Statutes,the following Information Is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Address of property being improved:_ b q?a C'c1rnel I General description of improvements re-roof Owner 'fim l.rA- S '�►G �V Address qd - V/1 T"- t r(� 3ZZ 1 7 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor Ron Russell Roofing,Inc Address 4419 Hudnall Rd.Jacksonville,Fl 32207 Phone No.904'714-1907 Fax No. 904-636-9909 Surety(if any)n/a Address Amount of bond$ Phone 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 Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.06(2)(b),Florida Statutes.(t=ill 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 ONLYOWNER (� Sfgned: / DATE Before me this ' day of d in the County f uval.Sta%tq4f Florlda,has personally appeared Doc#20131 Gfi120,OR BK 16346 Page 2320, f�i` 'L'q ti IQeI herein by Dumber Pages:1 himself/-I rself and affiint that all statements and declarations herein are true and accurate WILLIE CARL RICHARDSON.SIR Recorded 04x29%2013 at 03:30 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL NOTARY PUBLIC COUNTY STATE OF FLORIDA RECORDING$10.00 �l 16539 .: Notary Public at Larg ,State off 61y commission expires: 0144 Personally Known or Produced identification BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 1093 Cornell Ln. Permit Number: Legal Description 38-2S-29E.115 B De Castro Y Ferrer Grant Pt Ree o/r 16328-1254Parcel Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 3,73 1.O3 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pooUspa window/door Use of existing/proosed structure(s)(circle one): Commercial If an existing structure,is a fire sprinkler system installed? (Circle one): Yes N/A Florida Product Approval# For multiple products use product approval orm r Describe in detail the type of work to be performed: wil ��-fab S �ale,5 Property Owner Information: Name: &flaw Q �11d LL Address: ZyO& Ur d �' City TqX Stater-t_Zip ZZI Phone 9051- 677-617Z E-Mail or Fax#(Optional) Contractor Information: Company Name: Ron /1PUS5P11 /en©,r A q C Qualifying Agent:�j�r�i —� // Address: / Ci cnac State E Zip Z Z o Office Phone 41-7/Lq 907 Job Site/Contact Numbe9-0'W--6-60---T t Fax# State Certification/Registration#(,C.CI 2-7Y?q Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address A6 th pplication is hereby made to obtain a permit to do the work and installation'ton 0,s as indicated. 1 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 rpegulating construction in this jurisdiction(. This permit becomes null work�s�mmenced.otl understand that sepaor rate permits in, st be secured for Electricua/WorklPlumbtngor �Signs,aWells�PoolsxFuinaces,Boitermonths at ys,Heaime t trs, 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 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEOR ENTE RECORDING YOUR NOTICE OF COMMEI hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether speci ied herein or not. The granting of a permit does not presume to give authority to violate or can the provisions of any other federal,state, or local law regulating construction or the performance of construction. aX a x.A 1 Jt ��t' Signature of Contractor Signature of Owner -� �(` Print Name Q ,'^ '�tT Print Name galdd.......................Vsl ..................................................... Swo to and subscrbed before me Swo to and subscrjbed before me 20 this to of 4-k<0�`S \ 201 his��Day of tic State of Florida Joyner otary Pub o,►ar P`. Notary Public State of Florida ry u lic =� KaExpves sand ra mission 07104!2015 FFoMio Kasandra Joyner ` My Comm _ My commissi 49��901.2 10 "ot ''+or f� ?or f\oi Expires 07/04