1974 Beach Ave 2013 Roof CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r SA
Application Number . . . . . 13-00002737 Date 5/28/13
Property Address . . . . . . 1974 BEACH AVE
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7400
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Application desc
FL 10124 REROOF
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Owner Contractor
------------------------ ------------------------
DEWEY ROBERT H III CENTURY CONSTRUCTION INC
1974 BEACH AVE 509 PORPOISE POINT DR
ATLANTIC BEACH FL 322335935 ST.AUGUSTINE FL 32084
(904) 669-8411
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 7400
Expiration Date . . 11/24/13
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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 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 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: i'114 ` Permit Number:
Legal Descriptio �J ��' '2�ri N r 111 �1 �1Y1>T 3 Parcel # W-102-0
Description
�� Oy ProFloopos d Work heated/cooled °V5Area of SYt. �1 non-heated/cooled ` 05
Valuation of Work$ � I�' p
Class of Work(circle one): 0 Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed,structure(s) (circle one): Commercial ReeNo
1
If an existing structure,is a 7fiesgink�er system installed? (Circle one): I /
Florida Product Approval#
For multiple products use product approvalorm
Describe in detail the type of work to be performed:
Property O,,,[/IA w��n��nner Information:
Name; b[! do\�N Address: ql� 6• G C�
k_b
City _ ku G 6W state-�1 zip32233 Phone quo. 1-41. 5i'o-i
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Quali in A ent: w � �e�il664
S
Address o5n v city, Sth-,/_ State_n zip , %
Office Phone 10 U l I Job Site/Contact Number/04.1IO-64\1- Fax#
State Certification/Registration# ('C 132 S1$1
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
.-Ipplication is hereby made to obtain a permit to do the work and installations as irulicated I certify that rto work or installation has commenced prior to the
issuance of a permit and Hurt all work will be per ormed to meet the standards of all la»s reg:dating consm4ction in this jurisdiction. This pe»nit becomes Trull
mrd void tf x ork is not commenced»dthin six(6 months, or if construction or work is suspended or abandoned for a penod of sis(6)montlu at arty fime a r
T:
is commenced. I urulersW d drat separate permits must be secured for EleclricaC{f'orl�Plumbing,Sigm, WeHs, Pools, Furnaces,Boilers,H en,
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.
I hereby certify that I have read and examined this application and larow the same to be true and correct. All provisions of laws and ordinances govenung this
type of work will be complied with whether sppeeci red herein or not. 77re granting of a pernrit does not presume to give authority to violate or cancel the
provisions of any other federal,state or local lax regulating constriction or the performance of construction.
Signature of Owner Signature of Contractor �.
g g
Print Name _......... � C�2a. ------..... - . . ... - ............. Print Name _ .�. l ...-........ ...................... .._..
Sworn to and subs •bed before me Swo o and subs r•bed before me
this 2,Q> 7 of Mai 2013 thi D of II/1 I 2013
Otary blit �►'�'� lic 4xrr� ERINP17TS
j'� MY COMMISSION#EE884599 Pf ''� MY COMMISSION#EE88",
EXPIRES ;,,,,. 1! 2017
OF Bonded thr
4� a,;�o "�r�insurance�� EXPI�S:MAR 17,2017
__. 0F1� Bonded through let State Insurance
NOTICE OF COMMENCEMENT
State of 10.�Jj4k Tax Folio No.
County of a
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 COr��� � 'J�,Q
a
Legal Description of property being improved: 15-q 3 �� ����
Address of property being improved: °))J OC �CiV11 t G 3 Z X 3 3
General description of improvements: I�
Owner: V� Address:
Owner's interest in site of the improvement: 'V1Qi rn�'
Fee Simple Titleholder(if other than owner):
Name:
C ntractor:� r1,
Address: O01 0baz6A
Telephone No.q Fax No:
Surety(if any)
Address: Amount of Bond S
Telephone No: Fax No:
Name and address of any person[Waking 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(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 OWNER `
Signed: yDate: S 2A
Before me t day o in the o al,State
Of Florida, personally appeared W
Doc#2013133733,OR BK 16385 Page 312, Notary Public at Large,State f lorida,County of luvrd
Number Pages:1 My commission expires: 1�1 1A �►'w PITTS
Recorded 05/28/2013 at 10:36 AM, Personally Known: _ •, COMMISSION#►EE884599i
Ronnie Fussell CLERK CIRCUIT COURT DUVAL :MAR 17,2017
Ma
COUNTY Produced Identification: St k ur
RECORDING$10.00