2235 W Oceanforest Dr Roof 2013 CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J =" ATLANTIC BEACH, FL 32233
�.x
INSPECTION PHONE LINE 247-5814
Jjilt
Application Number . . . . . 13-00002692 Date 5/20/13
Property Address . . . . . . 2235 W OCEANFOREST DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13720
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Application desc
reroof FL 10674 . 1
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Owner Contractor
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DEVAULT, KENNETH R & SHELLY N TAYLOR CONSTRUCTION CO
2235 OCEANFOREST DR.W. 3617 CAPPER RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32218
(904) 710-8946
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 120 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 13720
Expiration Date . . 11/16/13
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120 . 00 120 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 124 . 00 124 . 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
Job Address:Z d Permit Number:/
Legal Description oor ea o 't Parcel# k 09 ` ,'cA
Valuation of Work S 10i" Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Re Moya--Demolition pool/spa window/door
J
Use of existing/proposed structure(s) circle one): Commercial 4 fj al r
If an existing structure,is a fire rin er ctem installed? (Circle one): Yes No
Florida Product Approval#
For multiple products use product apprd-val form
Describe in detail the type of work to be performed:
Property Owner Information:
Name: Address:
CityState �
_ ip 327?.Phone
E-Mail or Fax (Optiona
Contractor Information: /�
Company Name: Ka Quali n A ent: � ►' izip��-39_7 Address: City State
Ofce Phon -0 Job Site/Contact Number Fax# !^till,
State Certificatio egistration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indica;�d. I 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 lawsgulatingconstruction in this jzrrisdiction. This permit becomes null
nd vid if work is not commenced within six(6)months, orif construction or work is suendeorabandonedfor a period of six6)months at any time after
work iscommenced. I understand that separate permits must be secured for ElectricaWork, Plumbing, Signs, Wells,Pools, urnaces,Boilers,Heaters,
Tanks and Air Conditioners,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 FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 here b 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 o1Ywork will be complie with whether speci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other feder ,state to al law regulating construction or the performance of construction.
Signature of Ow ne Signature of Contractor �—
Print Name �N J'' �►............. .... EQ (-1 Print Name 1✓.. .....�.... ...��"...... -.......
Before Before me
thi ay of 20 3 this '"Day of 20
i
Not Public Not PAMHEN�RIX�FR� i
�� LYNDA D.WIDDI MS
' MY COMMISSION 8 EE 183864 .� Notary Public,Stateof, 10.24.12
EXPIRES:June 26,2016 Commissionl�
''�, a Bonded Ttuu Notary Public UnderwritersM,�mm;,000a ,
NOTICE OF COMMENCEMENT
(PP.EPARE IN DUPLICATE)
i nQdn'2_nr-7n
Permit No, Tax Folio No.
State of FLORIDA County of DUVAL
To whom it may concern:
The undersigned hereby Informs you that Improvements W.III 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: 42-013 08-2S-29E 09-2S-29E
STIT3DMSION 04161 OCFANWAL.K ITNTT n2
Address of property being improved: 2235 OCEAN ORES T DR WEST ATLANTIC LANTIC BEACH FLORIDA 322233
General description of improvements: REROOF
Owner KENNETH R DEVAULT
Address 2235 OCEANFOREST DR WEST ATLANTIC BEACH FLORIDA 32233100
`o
Owner's interest in site of the improvement I W
Fee Simple Titleholder(if other than owner) N/A
Name
Address
Contractor TAYLOR CONSTRUCTION CO
Address 3617 CAPPER.RD IACRSONVII T E FLORIDA 32218
Phone No. (904)7104G46 Fax No. N/A
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 N/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 N/A
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 N/A
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 O ER fir.
i4— Signed: DATE
Doc#2013126913,OR BK 16375 Page 1321, Before me this I.Mclay of in the m
Number Pages: 1 C of .stpte of F� as onally geared
A" E i!t D �.4�1� 7`
Recorded 05/20/2013 at 10:55 AM, himself!herself and affirms that all statements and declarations herein in by Q<'"
Ronnie Fussell CLERK CIRCUIT COURT DUVAL are true and accurate m
COUNTY ` im
RECORDING$10.00
a
'N
P10,m
Nothtf Public at Large.State County of VIZVA Lo
ersona11 Known or
ProUce�7denfifi cation