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1656 Sea Oats Dr 2013 Roof CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002743 Date 5/29/13 Property Address . . . . . . 1656 SEA OATS DR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6850 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MOSES, CARL W. & DENT C TRUST LOCKHART CONSTRUCTION & % DENT C MOSES TRUSTEE ROOFING SERVICES LLC 1656 SEA OATS DR JAMES L LOCKHART ATLANTIC BEACH FL 322335836 JACKSONVILLE FL 32277 (904) 994-3865 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . - Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 68SO Expiration Date . . 11/25/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 8S . 00 8S . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 89 . 00 89 . 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 Permit Number: Job Address: 11..� SLP, oq_rS r_ MegAwarcel 4 Legal Description _--sA-,-51 09 -Os -�2- Vloor Area or Sq.FtNJW Sq.tt Valuation of Work 0 roposed Work heated/cooled non-heated/cooled G-- t:fcx�) i7l rA Q- Class of Work(circle one): New Addition Alteration (!Eeep:a:i�r) Move Demolition pooUspa window/door Use of existing/proposed structure(s) (circle one): Commercial Gesidentiq rcle one): es No N/A If an existing structure,is a fire spri kle stem installed? (Ci Florida Product Approval# . 3 — For multiple products use approva form Describe in detail the type of work to be performed: A C4 K�q I fA 131 n r sy pr6duct a�pprov�a Property Owner Information: Name: C tAos Address: q6aa rn i ovzxrat,� Fle Cyree, Ai01r,67cj I Phone q a 3 city J-,t Q,K5.4, Stater�Z Zi a.3.4 Phone '-t__ p E-Mail or Fax#(Fptionalj__,�t.-��. ��WC7 Contractor Information: Cvr LL Company Name: N;g�eqqnV1,k -4 23 ig Agent: _XA4ne:5. *'0 <� Cp - I )n vdF AA24��QW( i I State t- Zip :3 Address: C) Lem 1��Z� 4. Fax# Office Phone -3 Ce-S Job Site/Contact Number State Certification/Registration# C 00 2-3 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 indicated 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 laws regulating construction in thisjurisdiction. This permit becomes null oi-a diod of sixpo)months at any time after and void if work is not commenced within six(6) months, or if construction or work l*s.sust?ended or abandonedf work is commenced. I understand that separate permits must be securedfor Electrzeat Work,Plumbing, Signs, H ells,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. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type p�work will be coTplied with whether,specified herein or not. The granting of a Permit does not presume to give authority to violate or cancel the provisions of any otherfederal,state, or local law regulating construction or t peifi�rmance of construction. Signature of Owner Signature of Contractor 2)En 7 C) Print Nam ..........1_0 '0i Print Name e .......... ....................... A.9.................................................I................... . ...... f ................... . ....... ........ Befor je B F 20 s.4 -)9� t Day o thi Day of 'V`� 20/Z P& tary Public MY COMMISSM I EE 202132 MISSrN P 9577,60 EXPIRES:FebrUarY 14,,2014 evised 10.24.12 EXPIRES:May 28,2016 Bonded Thru Notary Public;U erpter %7.q,F1141e BmWThrulludggNatoySer�m 4-6 NOTICE of COMMENCEMENT Return to: (self addressed stamped envelope enclosed) Lockhart Construction and Roofing Services,LLC Doc#2013134910.OR BK 16386 Page 1302, 5380 Timberline Drive Number Pages:1 Jacksonville,Florida 3227; Recorded 05/29'�2013 at 09:09 AM. Ronnie Fussell CLERK CIRCUIT COURT DUVAL This Instrument Prepared by. I James Lenard Lockhart COUNTY 6380 Timberline Drive RECORDING$10-00 Jacksonville,Florida 32277 Property Appraisers Parcel Identification Number Tax ID Nuff SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE-ABOVE THIS LINE FOR RECORDING DATA NOTICE of COMMENCEMENT State of Florida County of Duval The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with section 713.13 of the Florida Statutes,the following information is provided in this NOTICE of COMMENCEMENT. Legal description of property: 34-51 09-2S-29E Selva Marina Unit 6 Street address of property: 1656 Sea Oats Drive Atlantic Beact Florida 32233 Description of improvements: Re.Roofing Property Owner Name: Dent C. Moses Property Owner Address: 1656 Sea Oats Drive Atlantic Beact Florida 32233 owner's interest in property: Owner Fee Simple Title Holder Name: Dent C. Moses Title Holder Address: 1656 Sea Oats Drive Atlantic BeaGt Florida 32233 Contractor Name: Lockhart Construction and Roofing Services, LLC Contractor Mailing Address: 5380 Timberline Drive Jacksonville Florida 32277 Surety Name: None Amt of Bond $ None Surety Mailing Address: -None Lender Name: Lender Mailing Address: Person within the State of Florida designated by Owner upon which notices and other documents may be served as provided by Section 713.1130)(a)7.,Florida Statutes. Name Dent C. M I pses Address 1656 Seabats Drive Atlantic Beact Florida 32233 In addition to himself,the Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b),Florida Staturtes. Name Address Expiration date of this Notice of Commencement: This Notice of Commencement expires in one year. 'r/V 7 Signature of Owner Printed Signature or Owner APPLY NOTARY SEAL HERE I have relied upon the following identification of the Affiant: Sworn to and subscribed before me thts-_2<�— day of 0-) tz MY COMMISSION#EE 202132 EXPIRES:May 28,2016 Svnature �e%nefe Bonded Thru Budget Notary Services