59 Shell St 2013 roof ?s% :L`1,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
rj ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002738 Date 5/28/13
Property Address . . . . . . 59 SHELL ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3500
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Application desc
REPLACE ROOF
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Owner Contractor
-
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GRANDY, GEORGE SOUTHERN COAST ROOFING & CONS
59 SHELL STREET 4557 EAST SENECA DR
ATLANTIC BEACH FL 32233 904 333-5915
JACKSONVILLE FL 32259
(904) 305-8887
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Permit . . . . . . ROOF PERMIT
Additional desc . . REROOF 106 . 74
Permit Fee 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3500
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 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 ONLV 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
S9 S 1�1_I 3- '� )
Job Address: Permit Number:
Legal Description - 2 0 9- 2 S -29 65 0, Parcel#
oor ea o q. t. h t I s JD PTl�7 t
Valuation of Work S S� Proposed Work heated/cooled _300 non-heated/cooled_ K ,14'
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial esi
If an existing structure,is a fire sprinkler system installed? (Circle one): es;ZDNo N/A
Florida Product Approval#
For multiple products use product approval ora
Describe in detail the type of work to be performed: 1 mer c�-(: Z o n C4 �O
Property Owner Information:
Name: r� � Address: j P c3a
City 1qn i 4v State YJZip Phone boy 401 0QQQ=
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:C�koy nro.y4 Pc -j" ad ,(on Qualifying Agent: MQ&rn _A d�
Address: P S s_'1_ f S�-�ezo City _" ter: s _State - Zip 32 Z'5;1
Office Phone 1cq '3C< iq 8-_Jt' Job Site/Contact Number 9g— 3 Fax#
State Certification/Registration#
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. 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 regulating construction in thisjurisdiction. This permit becomes null
work is and work er
void if
s work is commenced not
commenced within six I understand that separate permits mumonths or st be secuconstruction
red for Electrical Work,l Plumbing, Sigor ns,or aWells�P o1s,XFurnacesmonth Boilers,s at tHeaters,
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 BE OR ERECORDING YOUR NOTICE OF
COMMEN1 her eb 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 of 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 cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner
Signature of Contractor
Print Name Print Name 1 1i'Yu21�..........Q..-to If........................................................
Befo e Befo%e e 20 (�
this Day of \(i (� 20 this Day of /`✓�(�
J
Otai y Public ORD O Pu lic
" d 10.24.12
i"Tlt6�i Cl"?1'iU t�ily,r„11
MYfiONiF.1SS[ONM 1
T1.K::l T 0.* x t A.,zm Co. EXPIRES:October 23,2014
1-F;x,3•Ti�3T.s..': I7.No•.vi'Discaunt/uiaw.Co.
viv«vi
To whom it may concern: r
erty
prop
,and in P:
The undersigned hereby informs you that improvements will be made to certain real
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE O
i:.
,
COMMENCEMENT. q -
/ 5�Z
Legal description of property being improved: / � S T L
Oce
he l( Sf
Address of property being improved: ;
General description of improvements: k
i.
Owner
7U
Address ku
t
Owner's interest in site of the improvement
t,
Fee Simple Titleholder(if other than owner)
,
Name '
Address
! 4 �
OYContractor
\� Address 1
V Fax No.
j P one No.
Surety(if any)
Amount of bond$
Address
Fax No.
Phone No.
Name and address of any person making a loan for the construction of the improvements.
q I
r Name
Address
k Phone No. Fax No.
k
State of Florida,other than himself, designated by owner upon whom notices
Name of person within the or other
documents may be served:
Name
Address
Fax No.
Phone No.
e a copy of the Lienor's Notice as provided in
In addition to himself, owner designates the following person to receiv
Section 713.06(2) (b), Florida Statutes. (Fill in at Owner's option).
Name
Address
Fax No.
Phone 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): OWNER
THIS SPACE FOR RECORDER'S USE ONLY Cy DATE
Signed: in he
Before me this d y
County of Duval,S a of Florida,has pers nally appeared herein by
a
himself/herself and a irms that I statements and declarations herein
are true and accurate ��+� GRETCHEN ANN ALFORD