309 Royal Palms Dr 2013 roof st, CITY OF ATLANTIC BEACH. ,,
J 800 SEMINOLE ROAD
r� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . 13-00003223 Date 8/08/13
Property Address . . . . . . 309 ROYAL PALMS DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4105
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Application desc
reroof
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Owner Contractor
-
------------------------
-----------------------
JESSICA PERRY RON RUSSELL ROOFING INC
329 AHERN STREET #4 4419 HUDNALL RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 714-1907
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Permit . . . . . . ROOF PERMIT
Additional desc .
Permit Fee 75 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 4105
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---
----- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 79 . 00 79 . 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: 0`rA L PALM 5 Permit Number:
Legal Description L&r- / 1 12 tcr i< L5 /I yAc-fr+L,,-s UAlx r Z A Parcel#
Floor Area o q. t. q t
non-heated/cooled
Valuation of Work$ Ins .0� Proposed Work 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 Reside
If an existing structure,is a fire sprinkler system installed?(Circle one): es No N/A
Florida Product Approval# 10/2 4./O
For multiple products use product approval form
Describe in detail the type of work to be performed: Re--(Q° f w��ti 3 }``� s�i �h5lt J . 11z101-f c h
Property Owner Information:
309 l2uY of f4/ E 136,
e55,' �U1 / Address:--
Name:
9 d
City ArrL,fwr�lt C P State - Zip '� Z?33 Phone 5 S 7-�f
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: A20h Rjs5r/l ,Qao�„ enc Qualifying Agent: 7ary Sod'
Address: / d City :S&C K�" Il c _State Zip zZ 0 7
Office Phone -1/t�-i g o 7 Job Site/Contact Number [.27 - z--79 -Fax# Vv y-6 6-9 coq
State Certification/Registration# C-C-C,/3 Z `? f
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 ton
the�curd
andardsofalllawthpisjurisdiction(. This permit becomes null
ork isd omenced.ot Iunderstand that separat permits must be for Electrical W ,1 Plumbing,Signs,aWells,PofolsxFuinaces Boilerst Healers,
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 ATTORNEYOMMENCEMERECORDING YOUR NOTICE OF
C .
I hereb certify that I 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 P.work will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel
provisions of arty other federal,state,or local law regulating construction or the performance of construction.
Signature of Owner_ /'7 nn-- Signature of Contractor
Print Name
S S 1 CaA a-(L2�.................. Print Name e�N/'1- .......'`%...1��-.. ..E....... ........................
So and subsc ibed before me Sworn t and subscribed before me
this Day of V5 ,20 L3 this U�G
Day of .2013
w
TERRANCE SAMTILLI TERRANCE SIWTILLI
Notary PLMW
otary Public
STATE OF FLORIDA 8TATE OF FLORIDA
Comm#FF016M C0nxn0 FFpj645&Revised 01.26.1
"017 9WftWM17
Doc#201 31 91 842,OR BK 15466 Page 973,
Number Pages:1
Recorded 07/24/2013 at 03:42 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
NOTICE OF COMMENCEMENT COUNTY
RECORDING$10.00
hate of FLORIDA Tax Folio No.
County of_DUVAL
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 7]3 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: LOT 11 BLOCK 15 ROYAL PALMS UNIT 2 A
Address of property being improved:_309 ROYAL PALMS DR.,ATLANTIC BEACH, FL 32250
General description of improvements:_ROOF,CABINETS,TILE,PAINT,HVAC,WATER HEATER,ELECTRICAL
Owner: JESSICA C.PERRY Address:_309 ROYAL PALMS DR.,ATLANTIC BEACH,FL 32250
Owner's interest in site of the improvement:_OWNER/OCCUPIER
Fee Simple Titleholder(if other than owner):
Name:
ontractor:_HIGGINBOTHAM CUSTOM HOMES,LLC
6 Address: 2418 STOCKTON'DRIVE FLEMING ISLAND,FL 32003
Telephone No.:_904-651-8774 Fax No:
Surety(if any)
Amount of Bond$
Address:
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: Dame:
.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):
T1I1S SPACE FOR RECORDER'S USE ONLY OWNER `
Signed: 1 V Daze: 7— Z- I
Before me this n6 ay of S in the County of Duval,State
Of Florida,has personally appeared
NATASHA NOWICKI. Notary Public at Large,State of Florida,County of Duval.
MY COMMISSION It DD941209 My commission expires- )}- 1W-122
J or
EXPIRES November,18.2015 Personally Known: v
39&0153 ;e.Ioon, Produced identification: