115 Seminole Rd 2013 roofCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003038 Date 7/11/13
Property Address . . . . . . 115 SEMINOLE RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6860
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Application desc
reroof
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Owner Contractor
FEDERAL HOME LOAN
MGT CORP
GEO TECH DEVELPOMENT
CORP
5000 PLANO PKWY
3601 MARBON RD
CARROLTON
TX 75010
JACKSONVILLE
FL 32223
(904) 838-1620
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Permit . . . . .
. ROOF PERMIT
Additional desc .
.
Permit Fee . . .
. 85.00
Plan Check Fee
.00
Issue Date . . .
.
Valuation . . . .
6860
Expiration Date .
. 1/07/14
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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
----------
85.00
----------
85.00 .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.
State of FI-r7rida-
County of D u VGA•
NOTICE OF COMMENCEMENT
Tax Folio No.
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: 11
Address of property being improved: �7 �7SC, tY1 t ftp`
General description of improvements: Q� QG
Owner: Address: W7_2 7 S 0 n
Owner's interest in site of the improvement:
Fee Simple Titleholder (if other than owner):
Name:
Contractor: L-fc n Lj C
Address: 0 b rj V -N
Telephone No.: 9_3S 1! .'d
Surety (if any)
Address:
Fax No:
QX
Amount of Bond $
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improve�rnents
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
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWN
E
Signed 4Date: /0 3
;S�'P�'- DEANNA L HIGDON Befo a this 0 y bf in the Cou ty o Duval, State
& MY COMMISSION t EE 201262 Of Florida, haspersonally appeared
r:4€ EXPIRES: May 23, 2016 Notary Public at Large, State of Florida, County of Duval.
pF r r Bended fine Notary Pubbo Underwriters expires:
onaily Known or
Doc # 2013177478, OR BK 16447 Page 375, Produce enti ication
Number Pages: 1
Recorded 07/11/2013 at 08:43 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RFnoRniNf. Rin nn
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: { 15 ",C)p—ln,nn le- A41aAt,��32� Permit Number:
Legal Description L-6+ U S b J4l'tA itye '
/ mor ea o
Valuation of Work $ (L � • Proposed Work
# 170(.0(1
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 s stem installed? (Circle one): Yes No N /A
Florida Product Approval # 1 rJ
For multiple products use product approval form
Describe in detail the type of work to be performed: P - K6 5-�l 1 ns" s `305
Property Owner Information: �n P4or*,f COrf
Name: r a rtOty� Address. 8777 Stt,n L ZD3
City vn State LZip 3zPhone Dy-
E -Mail or Fax # (Optional) r C-arn b g 43
Contractor Information:
Company Na e: _ Quali ing Agent: m 1 C 1 t
X11
Address: O b v. City J fl n State Z p
Office Phone Job Site/ Contact Number 353 �6 Fax #
State Certification/Registration # CC1r C2 q y
Architect Name & Phone #
Engineer's Name & Phone # n
Fee Simple Title Holder Name an Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Aonpplication is hereby made to obtain er
a permit to do the work and inststr,allations as indicated. /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 rpegulating construction in thpis jurisdiction This permit becomes null
"k is
a "d ommenced.ot I understced hi
and that separa a perm s mufst be secured for Electrical Workl Plums ng, Signsr a wells�Pools,XFurnacemons, Boilhs at etstHeal Heaters,
Tanks and Air Conditioners, eta
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 BEORE ECORDING YOUR NOTICE OF
COMMEI hereb 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 whethar specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of arty other federal tate, or al law regu�ating construction or the performance of construction.
Signature of
Print Name ( 0 -/—
Sworn to and sub
this / Q_ Day of
lc
me
DEANNA L HIGDON
MY COMMISSION a EE 201262
EXPIRES: May 23, 2016
Bond. Th. Notary Public Undermters
Signature of Contractor
N