1315 Jasmine St roof 2013 CITY OF ATLANTIC BEACH.
j 800 SEMINOLE ROAD
!J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Jit
Application Number . . . . . 13-00003001 Date 7/05/13
Property Address . . . . . . 1315 JASMINE ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5800
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Application desc
roof
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Owner Contractor
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MARCIA A . JAWITZ LIVING TRUST SOUTHERN EXTERIORS
104 SOUTH STREET 7682 COLORADO AVE
NEPTUNE BEACH FL 32266 KEYSTONE HEIGHTS FL 32656
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5800
Expiration Date . . 1/01/14
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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 80 . 00 80 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 84 . 00 84 . 00 . 00 . 00
PERMIT IS APPROVED ONLt' 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: 13IS 3asw-,kr e- ,Sk • Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 5 $00 Proposed Work heated/cooled 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 Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: coo
Property Owner Information:
Name: ; Address: X0,-1 SOv. y
City ., e_o.Q C State oZip M66 Phone '(Q4 - 891 - M4'1
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Qualifying Agent:ol
Address: 7�Si•? C�cc� c� /ave City 4_s Ao..e �\t zgL, s Atate FL Zip 32CSS
Office Phone 90ti-G27- Gac I Job Site/Contact Number Fax#_3 52-y 13_- I fo
State Certification/Registration # Cc-c— I"?901 a
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 this jurisdiction. This permit becomes null
and void if work is not commenced within six(6j months, or if construction or work is suspended or abandoned for a period of sixP6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, 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.
1 hereb certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o7work will be complied with whether speci red 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 taw regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name �I i} /d G, 11 h`I.. .F..r. ....Z... ....... Print Name Secw.� .,� ...................................................................
Sw to and subscribed before me - S
this ay of -1 20 \ i 20
— :" r�y S:Febr a o 2014ers
Notary Pub i o'M1 StateofFWft o
My Commission Expires 02/2912016 L
C
Commission No.1332370 Sed 01.2_fi.l'H
NOTICE OF COMMENCEMENT
State of Flee:rip. Tax Folio No.
County of kUa I
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 COMMENCEMENT.
Legal Description of property being improved: 13-39 F-2 S'- tri � �• 1 Zo � e s
6 V\C,'I 19: ��e ct C.
Address of property being improved: 131-S i c ear-"1
General description of improvements: Qe - CO f
Owner: I�rciU \G.uJ,�Z ,v �v fi Address: _ JO`f 50A, S raE NeD +�e
Owner's interest in site of the improvement: Tv%v e S�rhe,
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Sov.�1n�cr �k}t�.QKS
,7)Ad
dress: 7682 Cau tdja Ave. R4%4ST01%4L B,-,.%A S FL 3:x%
Telephone No.: pK- G22-SOS 1 Fax No: FA 3S2-473-1110
Surety(if any)
Address: Amount of Bond S
Telephone No: Fax No:
Name and address of any person making 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
Doc#2013172607,OR BK 16440 Page 622,
Number Pages: 1 DWNER
Recorded 07/05/2013 at 02:29 PM, -'f —
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Signed: 1 �'���� L`t ` G�� '' Date:COUNTY S 1
RECORDING$10.00 Before me this ay of �� ( in the County of uval,State
X Florida,has personally appeared �Z-
Notary Public at Large,State o Florid County of Duval.
My commission expires: o'Z i 1 lD
Stephonte poem Personally Known: I-;0 __or
�Public Produced Identific tion:
My Cor�sslon Expires 02/26MS ��4'�C�� -{,S O-y, S
Commission No.1332.370