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112 Poinsettia St 2013 RoofCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 13-00002621 Date 5/06/13 Application Number 112 POINSETTIA ST Property Address . . • Application type description ROOF PERMIT Property Zoning . . . . . . TO BE UPDATED Application valuation . 4100 --------------------------- Application desc REROOF --------------------------- PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Contractor Owner ----------------- SHORE ROOFING COMPANY SMITH LORRAINE N 914 7TH AVENUE SOUTH 112 POINSETTIA ST FL 322334018 JACKSONVILLE BEACH FL 32250 ATLANTIC BEACH (904) 241-8842 --------- Permit . ROOF PERMIT Additional desc . 75.00 Plan Check Fee .00 Permit Fee . . . . Valuation 4100 Issue Date . . . . 11/02/13 Expiration Date . . ------- ------------------ -2.00 STATE DCA SURCHARGE Other Fees • . . . STATE DBPR SURCHARGE 2 00 --------------------------------------- Charged Paid ------ Credited Due Fee summary -- - -------- - ------ --- Permit Fee - Total ----- ----- -------- 75.00 75.00 .00 00 00 .00 Plan Check Total 00 00 4.00 .00 .00 Other Fee Total 4.00 79.00 79.00 00 .00 Grand Total PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. y.Sj��r1�a t� 'l ;:• s) r -r Y= ` 09 - 1 ulllC CITY OF ATLANTIC BEACH j ROOFING PERMIT APPLICATION Job Address: ---Ownerof-P /7U%NSA N��+ Telephone: ( C Address: e CC 05 /, J I ori Ra01'�^7 a State License Number. 71 Roof Contractor. ,y, _ G :/ , 7 2 � /(j Contractor's Address: I'/ IV M W4 J v Fam I — Email. Telephone: , — r " �+ rs � Roofing Material Scope of Work: / Valuation of Work: $ FL Product Approval #`� Required Inspections: Sheathing /In Progress -Dry In / Final Z.4 if re -roof: Assessed Value of Structure: $300.000/_>$300,000; Roof -to -wall improvements required? ( Applies to single family structures only] D NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING "WARNING TO OWNER: YOUR FAILURE TO RECR NOTICE O COMMENCEMENT MUST BE RECORDED AND POSTED TWICE FOR IMPROVEMENTS TO YOUR PRO ON THE JOB SITE BEFORE THE FIRST INSPECTION.NG YOUR NOTICE OCOMMENCEMENTU INTEND To OBTAIN JNANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORERECORD - -- - - - --- -- --- ;Z�� Date Sr- l �•� � SIGNATURE OF OWNER: AS TO OWNER: %` 01 . 20 3 Sworn to and subscribed before me this day of State of Florida, County of Duval Notary's Signatulprmn MELANIE ALLICE PARSONS ❑y known ' ,Produced identification tvlY C0: iN?ISSION # EE039997 LXpIF.c:i G cember 18, 2014 Type of identification produced (407' 39b•0�53 ('Ic;i�iardo;arySenice.com -- SIGNATURE -OF CONTRACTOR:__- -- -- – AS TO CONTRACTOR: ! �i'� 20� Sworn to and subscribed before me this _ day of State of Florida, County of Duval Notary's Signature: ,' Perso ally known ❑ Produced identification MS IF. ALLICE PARSONS Type of identification produced t�; 11flY I � ,MISSION # EE039997 i iISS Octoember 18, 2014 800 Seminole Road - Atlantic Beach, Florida 32233-544 NOW Serlt'-O"m Telephone: (904) 247-5800 Fax: (904) 247-5845 F-Nroof permit applicaton.doa 7/28/09 MMOT NOTICE OFF Cp=OMMM TaxFoNaNa 4 D00 permR No,. sb16e of To whom gamy conoww lrlp tee nada fa certafa real properW. and to TheWWwWUWdest lafonae you sut wb*Mwis ateled la'tirls 1112 Bad CW n a0coldoW Wo geo 773 of the Aoelda • the AbeL89d 60000 Of� ��!'r/ i 0, r7 � j iJr4G 1 ggaw. ownw b ktereet 1n dle oft w impeerw Wt Fee StrtI110 TNldv*W (If ofW Ilhen owra) Nems Phone wanly Of whAnwU t of bond i Ad*M Phone No, Fax No. , Name and address dawPCO° r0009 a loan Urso o �" Nance Address Fwc No. Phony A(m oUrerthan h "puled by owner W" whom nAm"Odw Name of perraoer wWn tlee 8lele of pa" . doonneente may ba awVed: Name Addraea Fax Phone No. in addMm lohknB&, owewr deeWgos the t (fBmm to reoeiw s oopy of lfee Riweof's Notloe � Pry � Sectloo 713M (2) Qe}, Ftodda Sf (FM'n at Owner's WoLgNOMM F Nw AddFaX No. Phone No. Ex *40 010 of Nonce ad ph° �qWon dale Is ane (1) yearfom the of W*"a Doc # 2013112359, OR BK 16356 Page 410, Number Pages: 1 Recorded 05/06/2013 at 12:25 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 C i- pXjt: _ bow r idMWAMawls cow aoerme sd�oa� ` to tesaiti d Cseyr mymeni�io4 � w E::: NIE ALLICE PARSONS 't4+MiSSION # EE039997RES December 18,2014 'aridr.Nota Y�'ioe.CDln