380 Main St roof 2013 CITY OF ATLANTIC BEACH
Ls) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002877 Date 6/14/13
Property Address . . . . . . 380 MAIN ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7100
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Application desc
REROOF FL10674R6
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Owner Contractor
-
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YOUR PLACE HOME PROPERTIES INC CARLSON ENTERPRISES LLC
GEORGE RANKIN 932 CANDLEBARK DR
380 MAIN JACKSONVILLE FL 32225
ATLANTIC BEACH FL 32233 (904) 370-4180
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Permit ROOF PERMIT
Additional desc . .
Permit Fee 90 . 00 Plan Check Fee . 00
Issue Date . . . . valuation . . . . 7100
Expiration Date . . 12/11/13
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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• ermit Number:
Legal Description I?-7 L(-?,F- 2 S 19 c/l tl��c.(•c Qc tf e arcel# n7/~GCS
/GO oo� rea of q. t. 'q Ft
Valuation of Work S Pro osed Work heated/cooled r t non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial R si
If an existing structure,is a fire sprmer s stem' s lied?(Circle one). es o N/A
Florida Product Approval# f''�-��%
For multiple products use product approval form
Describe in detail the type of work to be performed:
Property Owner Information: 0q1 Rrn1./���
Name:110tair lo tAddress: /� S
City State (_Zip _Phone fAl2 ^ o
E-Mail or Fax#(Optional)
Contractor Information: _ (CompanyNam"'. b^�S�`r`'' Yt f"r <<L Qualifying A�€yent: ✓t
Address: S-o @>. City 1 `t 'ijyc k_ State Zip .(p
Office Phone ok Sn the JZb Ste/IOnpc umber_&1?-I 6 b,-
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
.Ipplication 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 perjbrmed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes 171111
and void if work is not commenced within six(6)months.or if construction or work is.suspended or abandoned for a iwriod of six(6)months at am•time after
work is commenced. i understand that separate permits mitst be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Herders,
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 certifi,that I have read and examined this cpplication and know the same to be true and correct. all provisions of icnrs and ordinances goverriiiig this
hpe of work will be complied with whether specified herein or not. The granting pf a permit does not presume to give authority to violate orcancel the
jtrovisions ofany other federal,state.or local law,regulating construction or the performance ofconstruction.
Signature of Owner rrvr,"e Signature of Contractor l
Print Name � J. L.. . . Print Name ++O .........._..._ ISA! ......................._.........
�. ...r... .. ...................._....... �:. ...................._. V............
Sworn t and subscribed before me Sworn to and subscribed before me
this 1 bay of '�,e•n{ 1201$ thi -1�Da of d 201 3
o �Pub�,�--� Ic
►�"' ARCHNA PATELp`
=�'•' `yk� ;�"•"'�� ARCHNI�eIy���26.f
='c MY COMMISSION#EE181407 *: MY COMMISSION#EE181407
EXPIRES May 19,2016 = EXPIRES May 19,2016
(407)398-0153 Florldallotarr*wme.aom "
(407)398-0153 FbrldallofarySernce.com
Doc # 2013149452, OR BK 16407 Page 2037, Number Pages: 1, Recorded
06/12/2013 at 02:56 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVA7, COUNTY
RECORDING $10 .00
NOTICN OF OMMBNCEMN'T' ll
""AM IN OUPUCJU11
Permit No. Tsx Folio No. Il -
30e 01 12 2c i GtU _ COW*of�7vun
To vAumn R nay concern:
The undersigned hereby kdonns youthatutrore,Vl v;M lr be made to cwtdn road property.mod in
aaeordnnee vAM Section 713 afthe FMrWM Stfella r wwatlon is MAod tan MW NOTICE OF
COMMENCEMENT.
Legal description of Property being enproved:yj
L
Sec
Address of properly being WWowed:.
General descr"on of UrrprOvemarrls: t "'cc f
O Your Hvn,e (1)I4Gc Pref' ,iv — n
Address
I`
Owners interest in side of the in Ovierrre<tt
. FeeSirnpte Tidetwider Ort other than owner)
Name
Address
cawac Or Mgkbb� 'a
Address jjtjI
Phone No. Fax No.
Surety(d arTY)
Andress Amount of bgnd-$-
Phone No. Fax No.
Name and address d any Mm making a loan for the construction of the irnprovernents.
Name
Address
Phone No. Fax No.
Now of person vritltitt gte Stets of Florida.OM K then htmseM,deMigrabd by owner upon wham notices or otter
doaxnenis may be served:
Marne
Address
f '
Phone No. Fax No.
In addition,to himueld,owner dewgwfts ft erg pew to rea*we a copy of the Lienor's Notice as provided in
Secdon 713.06(2)(b),Florida,SEahrles.OW in at ow Ws option).
I
Name
S Address
Phone No. Fax No. g : .
Exp»rrlion date of
Notice�of CarrrrtertoetrteM( dale is one(1)year from the darts of recording unless a S
'3-
i different date is speCftd): ' Ilit '
TWS WACE FOfa R '$ E ONLY n _<
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