379 6th St 2013 roof , CITY OF ATLANTIC BEACH
St 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
' INSPECTION PHONE LINE 247-5814
Application Number
13-00003239 Date 8/12/13
Property Address . . . . . . 379 6TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3900
-------------------------------
Application desc
FL 1956 . 1
-------------------------------
Owner Contractor
_ ------------------------
SHORE ROOFING COMPANY
CODDINGTON CHRISTOPHER S
914 7TH AVENUE SOUTH
379 6TH ST
ILLE
ATLANTIC BEACH FL 322335347 (904)0241-884BEACH FL 32250
-------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc REROOF plan Check Fee 00
Permit Fee . . . . 70 . 00 3900
Issue Date Valuation
Expiration Date . . 2/08/14
-----------
--------------------------------------------
2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2 . 00
------------------______ ----
Fee summary Charged
Paid Credited ----Due---
----------------- ---------- ----------
------- - 00
----- . 00
. 00
Permit Fee Total 70 . 00 7000 _ 00 . 00
.
Plan Check Total • 00 . 00
Other Fee Total 4 . 00 4 . 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.
pg
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date: _
Job Address:
_- Ownerof Pr
Address:
37 1 �2�33 Telephone:
r ���w� State License Number.
Roof Contractor:
r
Contractor's Address:
Telephone: t� Email:�..�'�. —
Roofing Material
Scope of work:
FL Product Approval# `I S�
Valuation of Work:
Required Inspections: Sheathing/In Progress-Dry In J Final
If re-roof: Assessed Value of Structure: <$300'0W/—>$300,000,Roof-t0.Wall improvements required?
(Applies to single family structures only)
F COMMENCEMENT MAY RESULT IN YOUR PAYING
"WARNING TO OWNER: YOUR FAILURE TO P RECOA NOTICE OF TICE COMMENCEMEN MUST BE RECORDED AND POSTED
TWICE FOR IMPROVEMENTS TO YOU_R PR
ON THE JOB SITE BEFORE THE F INS . IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY 8 RECO N OUR NOTICE OF COMMENCEM
--- -— -
- ------ --
Date:
SIGNATURE OF OWNER:
AS TO OWNER: I a day of 20 1 3
Sworn to and subscribed before me flys
State of Florida,County of Duval o �s Signature:
: - MELANIE ALLICE PARSON Personally known
=+ •: My COL-,MISSION#EE039997 Produced identification
EXPIRES December 18 14 Type of identification produced ,
(40T)388 0753 �IoridallotaryServi com
�� /�i
Date:-__
ate: ---
-- e--
-- SIGNATURE-OECONTRACT :— •
AS TO CONTRACTOR: day of 20
Sworn to and subscribed before me this
State of Florida,County of Duval tary's Signature:
7v1ELANIE erso ally known
]embw
CE PARSONS produced identification 1/ L
•_ MY CC3;,,MION#EEO 20 94 Type of identification produced
EXPIRES 18,
7)3 i D3 '''" Sc.SwvI800 Seminole Road•Atlantic Beach,Florida 32233-5445
(407)398 0 `
Telephone: (904)247-5800•Fax:(904)247-5845 F.\roof permit appiicaton.dooc 7/28/09
c
NOTICE OF COMMENCEAWNT
0,REPARE IN puPUCATEE)
Tax Folio No.
pennit No. County of
State of
To whom it may concern• will be made to Cern real property,and in
you that imProvemet�ta In this NOTICE OF
The undersigned heraby lrrforms Y the following Information Is Stated
accordance with Secdon 773 of the Florida Stag.
COMMENCEMENT. 7Log
of property being Improved:
°� ✓ Improved:
Ad" 77
General desalptlor►of i
�
- r
111.1141,
Owner
Address
Owners interest In site of"krvmwmef4
Fee Simple Titleholder Cf other than owner)
Name
Address
`r
a \� Contractor 0 { l
i Address q2_ Fox No.
Phone No.
Surety of any) Amount of bond$
Address Fax No.
Phone No.
Name and address of any person
ma"
di
a loan for the cpngfluon of`tiie improvements. -
Name
Address Fax No.
phone No. whon notices or other
Name of person within the Stare of Florida,other than
himself,designated by owner upon
documents may be served:
Name
Address Fax No.
Phone No.
nates the following palsan to receive a copy of the Lienors Notice as provided in .
In addition to himself,owner desig FBI In at Owners option). •
Section 713.06(2)(b),Florida Statutes'
Name
Address Fax No.
phone No-
ex0,
p
iration dais is one(1)year from the date of recording unless a
Expiration daof Notice of Commencement(the
Wferent date Is specified): _ —/7
Rpg�S USE ONLY DATE✓
THIS SPACE FOR RECO - bon
doF
CU*
MELANIE ALLICE PARSONS
Doc#2013208530,OR BK 16489 Page 353, = MY COfviMISSION#EE03907
Number Pages: 1 '?;� EXPIRES December 18,2014
Recorded 08x12(2013 at 11:03 AM, `'' SFateC�4�
Ronnie Fussell CLERK CIRCUIT COURT DUVAL MY P eac-
or
COUNTY KWW
RECORDING$10.00 Pmd10°l
/n142 79j-
I