2008 Selva Madera Ct 2013 roof CITY OF ATLANTIC BEACH
r J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003221 Date 8/08/13
Property Address . . . . . . 2008 SELVA MADERA CT
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 16885
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Application desc
reroof
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Owner Contractor
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WHEATLEY, JAMES R TIER 1 CONSTRUCTION (ROOF)
2008 SELVA MADERA CT. 33 W 6TH ST
ATLANTIC BEACH FL 322334531 ATLANTIC BEACH FL 32233
(904) 610-7979
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Permit ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 135 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 16885
Expiration Date . . 2/04/14
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Other Fees STATE DCA SURCHARGE 2 . 03
STATE DBPR SURCHARGE 2 . 03
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Fee summary Charged Paid Credited Due
----- ---------- ---------- -
Permit Fee Total 135 . 00 135 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 06 4 . 06 . 00 . 00
Grand Total 139 . 06 139 . 06 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
4/ CITY OF ATLANTIC BEACH ad
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: '20C')6 Se(lJCt f r taw [ Permit Number:
Legal Description `TD-.37 cq-;95 crtoLWC LW Parcel#
oo�ea— t. 7- Sq F't
Valuation of Work$ I6,DF6, ' Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Uscofexisting/pro osed structure(s)((circle one): Commercial sidenti
If an existing structure,is a fire spri.nMr system installed?(Circle one): No N/A
Florida Product Approval# (--c- I O(0`7` " r
For multiple products use product approval
Describe in detail the type of work to be performed:
Property Owner Information:
Nam . JZ_ w ¢'fl Address: 2008_ �UCo-
City Stat Zip= Phone
E-Mail or Fax#(Optional)
Contractor Information: L �h
Company Name: 1 �- Qualifying Agent:
Address:I'3Z�I 5 q+ICiri4�r 1rG Suilr __ _ BoX ZtZ City �J RL:k-5C7Y1 n LIL State �( Zip ;3 ZZ2�
Office Phone - ' Job Site/Cont t Number Fax# c��4 Co -60cr(
State Certification/Registration# L C�1508 7 2
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 cert 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 rreegulating construction in this
jurisdiction(. This permit becomes!m!!
work and Disc ommenced.work is ot I understand that separacommenced within six te permits m if construction
be secured for Electrical Work,Plumbing,Signs,nded or aWells,Pols, urnaces,Boilers,months at time after
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 certtfy that I have read and examined this application and know the same to be true and corr rovisions of laws and ordinances overning this
type of work will be complied with t t
whet r s ced herein or not The granting of a es not presume to give author o a e mel the
provisions of any other federal,state, al regulating construction or the per ce of construction.
Signature of Owne Signature of Contractor
Print Name - Print Name �- � ���
.. ...r!'r... _.... ........._/! l`../�/ 1. ... ......................................................................._...........................
Sworn to and sub r fore m Sworn to and subscrib d before e
this Day of 130 If this Day ofC� 20j5
r
Notary lic Notart P*lic
Revised 01.26.10
BRENT PARRISH .ii�Notary PUbliC,State of Honda 9EE
IANNE MURPHYMy Comm.Expires May 14,2016 blic State of flpridaCommission No.EE 198156 .Expires Jun 9,2017FF 025264ssion#i
NOTICE OF COMMENCEMENT cy C
State of V�-L%�-�O+A Tax Folio No. t(V1
County of D V V
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: 40 25 -Zq6- S'1krA Kkyk
Address of property being improved: 2,o6o e%va NAac ke- C A- t6`ax�C- &, 3 22 3
General description of improvements: re- V"ro�-
Owner: �L2W1125 1`�- 41( Address: ! tyc�- rnCeG�QrC C��' hEg Z
Owner's interest in site of the improvement: (co
c
Fee Simple Titleholder(if other than owner):
Name:
Contractor: -TC r --I-
Address: i 6Z 415 P41"c 01)d 52 tic q -Z(2 �C.5O1�11�t �� J7 2_2.2-5r
` J Telephone No.: Cfcq-21�P- Fax No: CkX4''2m",- C)oq
Surety(if any) C,U:�t' -A Y-M m
Ikk
Address: Amount of Bond$
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: �* 1010 0"-
p
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: LA 1Z
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 r
Signed: Date: 1
Bef e m is day ofin the Coun of uval,State
Flo ' h personally appeared .'. 2//- —�
No P is at Large,State of Florida,County of Duval.
y commission expires: 14j,14 I2 G
ersonally Known: or
Doe#2013206316,OR BK 16486 Page 676, roduced Identification:
Number Pages:1
Recorded 08,,0812013 at 02:09 PM, BREW PANSH
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Notary Pubk,State of ftWa
COUNTY My Comm.Expires May 14,2016
RECORDING$10.00
Commission No.EE 198158