349 3RD ST ROOF 2013 S
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003153 Date 7/26/13
Property Address . . . . . . 349 3RD ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 12253
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Application desc
REROOF
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Owner Contractor
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BROWN ASA D JR ROZAFA BUILDING ENT. (ROOF)
349 3RD ST 9313 WESLEY COVE CT
ATLANTIC BEACH FL 322335231 JACKSONVILLE FL 32257
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 115 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 12253
Expiration Date . . 1/22/14
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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 115 . 00 115 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 119 . 00 119 . 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: 349 3rd Street Atlantic Beach, FL 32233 Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 12,253 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 orm
Describe in detail the type of work to be performed:Re-roof
Property Owner Information:
Name: David Hoffman Address: : 349 3rd Street
City Atlantic Beach State FL Zip 32233 Phone fq 04'
E-Mail or Fax# (Optional)
Contractor Information:
Company Name: Rozafa Building Enterprises, Inc. Qualifying Agent:
Address: 9313 Wesley Cove Court City Jacksonville State FL 32257
Office Phone 904-674-2253 Job Site/Contact Number 904-377-0866 Fax# 904-674-2312
State Certification/Registration# tr C C ' �1 77, � (o
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. 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 regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is susp ended or abandoned for a period of stx 6)months at any time after
work is commenced. I 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.
I hereby 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 o1 work will be complied with whether specified herein or not. The granting of a permit does not presume t the 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 A4AceISignature of Contractor
Print Name �txv+(� nOra�/ Print Name f
...................... ...................................................................................................... (..�c�.�� .............+F-.u.f-� ..........
Sworn to and subscribed before me Sworn to and subscribed before me
this Z3` Day of 20 this 2 l Day of 1 A-.IJ ,2013
Notary Public Notary Public
Revised 01.26.10
I
Coo#2013197M.OR BK 113473 Page 2092,
Number Pages:1
Recorded 071=2013 at 03:13 PM,
NOTICE OF COMMENCEMENTCOUN�ussell CLERK CIRCUIT COURT DUVAL
I RECORDING$10.00
State of Tax Folio No.
County of b V llok
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: (D — �T -2� _� �1��`f�� Ddl
Address of property being improved: '7j L4C[ 2 td Sr'r+U, A 11 Q n f1*r- CL-t "
General description of improvements:
Owner: DAyl�d a� Address:49
Owner's interest in site of the improvement: 5t M 12 VtAAt QY4166�
Fee Simple Titleholder(if other than owner):
Name:
Contractor:
Address: 74' r� X
74 -c2510
Telephone No.:Q�Q`jb-j - oCo2 S Fax No: �D14
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person tnal 9 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 l Tenor's Notice as provided in Section
713.06(2xb),Florida Statues. (Fill in at Owner's option.)
Nance:
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 OWNER ��day�of_JA�,L-
4
Signed: a JYDate:Before a this aI`� in the CountyofDuval,State,Y TINA L.WOFFORO 4f Florida,has personallybs Notary Pubtio•State of Florida Notary Public at Large,State of Florida,County of Duval.
My Comm.Expires Sep a,2015y commission expires: f ,,�r- S
Commission EE 118346 personally Known.
or
'•;�;;;,(,;�`° Bonded Throo4h National Notary Assn.
l, Produced Identification: