363 Skate Rd 2013 roof CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
- � ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003222 Date 8/08/13
Property Address . . . . . . 363 SKATE RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4000
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Application desc
reroof
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Owner Contractor
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KRAUT, OLIVER J ET AL LEAKBUSTERS LLC ROOF
POST OFFICE BOX 50859 JACKS6040 GEORGEWOOD LN W
JACKSONVILLE BEACH FL 32240 (904)0778-4377 NVILLE FL 32244
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Permit . . . . . . ROOF PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee 70 . 00 .
Valuation . . . . 4000
Issue Date . . . .
Expiration Date . . 2/04/14
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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
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Permit Fee Total 70 . 00 70 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 74 . 00 74 . 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: �le >K � — �� Permit Number:
Legal DescriptionParcel#
Floor Area o q. t. q. t
Valuation of Work$ 4 C�i 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/proposedstructure(s)(circle one): Commercial Residential
i
If an existing structure, s a fire sprinkler sy tem installed? (Circle one): Yes No N/A
Florida Product Approval# e
For multiple products use pro u tappr—ovalform 1
Describe in detail the type of work to be performed: t`Qf Jz>t-
Property Owner Information:
Name: V,vp r• _�.�ut
Address:
City c �' �C State�LZip ZZ I Phone 2 -;1-21 - Co(o 01
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: L 1eV-hj eS4�e!--i- L Le, Qualifying Agent: %s �,
CitState �Zip
ZZ
Address: l r 3Sel dJob Site/Contact Number Fax T?p-ce
OffcePhone '� �{
State Certification/Registration# C Z
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
commenced
ior
issuance f is a permitland tito t allbwork well the
bet performed t work
ee he standards
ds of allaws rregulating construction inthat no work thppiinstallation
jurisdic'on.his permit be omes null
and work is commenced ommenced.not
I understand twithin
hat sesix parate permonths,
is muor st be secured for Electrical construction or work is Workd Plumbinor g Signs,aWells,Poeriod ols x u�naces Boilers,nths at time after
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 BEFR ENTE RECORDING YOUR NOTICE OF
COMplication
fno correct. provisions laws
otrgethis
ythat
andined this
i teherein oo The granting of a per doenot psumegive authoriry violate or cancel the
work will e complied whet
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner lM �� Signature of Contractors l �'
Print Name (,1 1J G V-7-A\�.................. Print Name .....�...... .......�.�................�'. L. G�..! >...........
Sworn toan d suosc ibe before me Sworn�`df bscribe efore me
this zpbay of [ 20 this Day of
Nota is Notary P «"'",,,� DEBORAH AMANDAWHfrE
MY coAstII aM t)FAWd .26.10
'`• - EXPIRES:May 21,2015
Bonded Thm Wotoy Rft Undetwrkers
4A% Notary Pubk,State of FW& 7
Commission 0 EE 878892 FIL- 1)L
comm:expires Feb.27,2017
9My14�1
7
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No Tax Folio No.
State of County of
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: ' '1
Address of property being improved:
-� skate - -' tl ,nfii r hPach fl .-
General
LGeneral description of improvements: reroof
Owner
Address _`
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor
r Address 6040 george wood ln .w . Jacksonville fl 3224
Fax No.
Phone No.
Surety(if any) Amount of bond$
Address
Fax No.
Phone No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Fax No.
Phone 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
Fax No.
Phone 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 Statutes.(Fill in at Owner's option).
Name
Address
Fax No.
Phone No.
ration date is one(1)year from the date of recording unless a
Expiration date of Notice of Commencement(the expi
different date is specified):
_� yyNER
THIS SPACE FOR RECORDER'S USE ONLY / DATE
Signed: in the
Before me this day of ally appeared
C ty ou 1,State of Florid s Pe herein by
Doc#2013206323,OR BK 16486 Page 716, himself/herself and affirms that all statements and declarations herein
are true and accurate
Number Pages:1 , DANIEL U.STEPHENSON
Recorded 08,08/2013 at 02:11 PM, 4�
Ronnie Fussell CLERK CIRCUIT COURT DUVAL k Nary Ppb 'State of Fonda F
' 4 EE 878832
COUNTY y expires Feb.27,2017
RECORDING$10.00 otary Public at L rg ,State of
My commission exp' s:
Personalty Known
Produced Identification