2252 W Oceanwalk Dr roof 2013 ,C,� . CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002946 Date 6/26/13
Property Address . . . . . . 2252 W OCEANWALK DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13500
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Application desc
reroof
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Owner Contractor
-
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SHEPHERD, JAMES & PAGE PETTY PRIME ROOF CONTRACTING LLC
2252 OCEANWALK DRIVE W 13792 HERONS LANDING WAY #9
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224
(904) 625-1446
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . 120 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 13500
Expiration Date . . 12/23/13
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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)247-5,82'6 Fax(904)247-5845
Job Address:�7�� C'f qAM j,L.C}L!- Q W Permit Number:
Legal Description 5244\12Aq- (A 11— jParcel#
�/
Floor Area o —Nq. t. Sq Pt
Valuation of Work S�- t�'�Proposed Work heated/cooled� non-heated/cooled_ f{ _
Class of Work(circle one): New Addition Alteratio Repair Move Demolition pooUspa window/door
Use of existing/proosed structure(s)(circle one): Commercial enti
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes _9 N/A
Florida Product Approval# AL-/�zl�
For multiple products use'pr_o uct appro a arm
Describe in detail the type of work to be performed: (�(70/�
Property Owner Information: C II0j� (n�
Name: r 1� Cli1 G ,S�e hC Address: 2 Z.5 Z O c ea_n W 6- (\4, yr i J e—
City \o, At\L Xb e P- U State FLzip 32 Z 3 3 Phone 0(Hg
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:Aej. 6 An� �N11 �l�9 Qualif}ing Agent:
Address: J-ML /3Tr 4-� J City State Zip
Office Phone 41.,4-666 i4�%6 Job Site/Contact Number_ jLlL Fax#
State Certification/Registration# C(161401-1505
Architect Name&Phone#
Engineer's[Jame Ate Phone# - — ---
Fee Simpk Tiik Holder Name and Address
Bonding Comparry Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations os 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 rretruction or work is egulating construction in thisjurisdiction.jurisdiction((. This permit becomes mull
nded or
months,or
wime after
ork is if work
not
I understand twithin
hat separate ee permits must bre secured for Electrical Work,Phtmburg,Signs,aWe/Is,Pools,Fa/.,non a,
�He s,
Tanks aid Air Cowdi[ionem Ue-
ARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMECEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YO,g PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOlffk NOTICE OF
COMMENCEMENT.
1 hereb certify that 1 have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this
type o 'work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfedera�l,state,or local law regulating construction or the performance ofcorutruction.
Signature of Owner /uc Signature of Contract r
Print NameJ ep eS, Print Name '
w and subscribed be o me Swo nd sub 'be before
f '>rA yt� 20 1 3 i Day of ZO
yvtG tC��tlCj
blic No
7LNational
S
ALBE =* ' MYCSt DD 957760
Notary PubliFlorida =.+ . ' i +XPIRES:February1420i4
My Comm.E6,2015 R °"oeGThntNr�tgryPublicCommiss846
Bonded Througary Assn.
x
Doc#2013163166,OR BK 16427 Page 1300,
Number Pages:1
Recorded 06/26/2013 at 10:48 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
' COUNTY
NOTICE OF COMMENCEMENT RECORDING$10.00
Permit No.
Tax Folio No.
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.
I.Descriptionof Property(legal description): 0-6&4 VWAk-- ( k'w.5
a)Street(job)Address: 7Z Ji7 �GbV a t[}�K az
2.General description of improvements:
)w
3.Owner Information �� ,
a)Name and address: �.' ;2- �� r.Amaye W— CAI/U A-A42 8469 `j Ely,ri�O
b)Name and address of fee simple titleholder(if other than owner)
c)Interest in property
4.ContractorInformation g /
a)Name and address: ✓!2//4fL KC2xi (�/dJfiQQrr)Ury /21�f �3r�`�r.rU (�A� LA�fL $ c
b)Telephone No.: Fax No.(Opt.)
5.Surety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.)
6.Lender
a)Name and address
Phone No.
7.Identity of person within the State of Florida designated by owner upon wham notices or other documents may be served:
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
8.ln addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(6),Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.(Opt)
9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date 'o;
is specified):
w 9.
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF %°9 •+»" 0c�
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
•pnn�N'
FLORIDA ST&TUTES,AND CAN RESULT IN YOUR PAYING TWICE IMPROVEMENTS TO YOUR PROPERTY. g � Z
A NOTI( 1t) L OMMENCEMENT MUST BE RECORDED ANJPOST THE JOB SITE BEFORE THE FIRST o c a
INSPX"�`6W.91ItOU INTEND TO OBTAIN FINANCING,COENDER OR AN ATTORNEY BEFORE
CON04ENCMG WORK OR RECORDING YOUR NOTICE OF NT. c �
Jn/ m w mQ m
STATEOFFLORIQA r* • ,,//� Z O O n
COUNrY OF KNEU AS IO. ((( m
Si alum ofera ei s Auth '�°�OffcedDvector edMaoager
Gt " mo�, � m
Print Name c r0 0 2
TNccoo M }, C
The foregoing instmment was acknowledged before me this I a' day of t4 tj 5- 2t)3,by 04 6, > N o
H O G
� � N
nEffy SAF-Pr►>;1zP as O A) "y"011
type andwrity,eg officer,trustee,
attorney in fact)for (name of par f om instrument was executed).
Personally Known_OR Produced Identification Notary Signa p Cry ���►^'10� �
Type of Identification Produced a0A 1 DA j Name
OR
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,l declare that I have read the foregoing and that
the facts stated in it are true to the best of my lmowledge and belief.
raaacawc-9010 4.C/ ', 4- J
Sigosme oiralum' Signing(in B.#10.)Above