1451 Beach Ave 2013 roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003257 Date 8/14/13
Property Address . . . . . . 1451 BEACH AVE
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 11000
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Application desc
roof
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Owner Contractor
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WATKINS, BROOKS ET AL JUSTIN LARSEN CONSTRUCTION INC
1451 BEACH AVENUE PO BOX 1942
ATLANTIC BEACH FL 32233 4784 CATTAIL ST
MIDDLEBURG FL 32068
(904) 241-0320
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 105 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 11000
Expiration Date . . 2/10/14
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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 10S . 00 105 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
IX U 11,101 IN k I I 1"I'L IVII I I '%I'I'I A k A I R)IN
CITV OF AI'LAN'I'lc BEACIi
800 Seniinole Road, Atlantic Beach, FI. 32233
Office (904) 247-5826 Fax (904) 247-5945
,lob Address: V471 Perrnit Nurnber:
Legal Description (0-i Parcel 9
Floor Area ol- Sq.Ft
Valuation of Work S Proposed Work led non-heated/cooled
Class of Work (circle one): New Addition Alteration ��e Move Deniolition pool/spa window/door
ercial e-*
Use of existing/proposed structure(s) (circle one): Conlin
Ifan existing structure, is a fire sprinkler systei
0 iistalled? (Circle one): Yes No
-oduct Approva�l 4 eL�I
I-'k)rida Ili
For niultiple products use product approva orin
Describe in detail the ty e ot'work to be perl'ornied: r-e rw�_
Property Owner Information:
Nanie: 5kkfn'-"--CS'('-C'_ 'V()bAk_k_s' Address: 1<4s-�
iA-w-&�,k- State)r-CZip 3QQ�33 Phone
E'-Mail or Fax # (Optional) c_\toL-2rKRe_5'W C_&nCICA_� . 6e:r_
Contractor InformatiM
Coinpany Naine: 1�)A Qualifviniz Ajwnt:,\Lsi'n
Address:'q69--70- —Cit �D45CAIZA—State R Z' 2�ab(o
Off-ice I'llioneqD4
Job Site/Contact Nurnbe Y 3 11 L/ Fax# �tQ qe)V1 e
State Certification/Registration # CLC I 31Q9 ky:]
Architect Naine& Phone #
l-'ngineer's Naine& Phone #
Fee Siniple Title Holder Naine and Address
Bonding Coinpany Narric and Address
Mortgage Lender Naine and Address
i
Application is herebt,inade to( (lin a wrinit/a do the work and insiallafions as indicated I cer10,then no work or installation has conintencedprior to the
1�b
-init becomes null
issuance ol'a pertnit and that a Wor belperfortnedto ineel the standards in thisjurisdiCtion. 7hispet
ond void it'work is not commenced within six(6)months. or iftonsiruction or work is suspended(;r abandonedlior a perioil qf.si.v(6)months tit(1111.litne after
.10)-4 is commenced. I understUnt hat separate 1perinits inust be sectiredfin-Electrical Work, Plumbing,Sikits, Wells, Pook, Furnaces, Boileis, flettiers,
Tanks and Air Conditioners,ete.
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 vertyi,thin/have reatj and exatnined this ty)plication and know the sante to be true and correct. Al/provisions ot laws and ordinances i�overnini!this
(We !)f v"Ork iri/1 be complied with whether s1k,citted herein or not. 7he i�ranting ol'a permit does not presione to git", authoritY to violate'or canc�l the
provisions(Y'an't,otherft(leral,state. or local law regulating construction o�the pety6riniance oj'construction.
Signature ofOwner SignatUre 011*�:O�tor
Print Naine I rint Nanic
...........
Sworn to and subscribed before ine Sworn to and subscribed bel'ore nie
this /!�� Dav of "Aj�e.. this Day of' 101JI
20/�
WWAM L FUrl:
Notary public,State of Florida Notary Public,StaW of Fjp"*
MV Comm.ExpVr6_s_6____
Notary-Public- My Comm.Expires Oct.19,2015 NotarN, Public ct 19,2N
Commission No.EE 128745 Commission No.EE IF46
kevised 01.26.1
Doc#2013211530,OR 13K 16493 Page 357,
,,.N QTI('E Q F (1)N1 N1 F N('E N4 E NT Number Pagev I
Recorded 08/14/2013 at 0414 PM. DUVAL
Ronnie Fussell CLERK CIRCUIT COURT
Permit No, COUNTY
RECORDING$10-00
1 ak Folio No,
I I It: I,NDI-,RS I GN I-J)hereby gives notice that improvement,
kill be made to certain real property,arid in aLC(irdancc vkith Section
V
71'),13 ofthe Florida Slattift-�. the follomoni, information 1�.provide(] in this NOTICE OF('0.1v1rVJEN(+MEN'1
I.Description of piopert) (legal description):
a)Street(joh)Address:
2.General description of improvements:
3.0%vner Information
a)Name and address:<j-V
Icirl k3p-,;,a 4--
b)Name and address of fee simple titleholder(if other than owner) �c
c) Interest in property
4.('ontractor Infiviriation
a)Name and address: �rz
b)Telephone No.: Fax No.(Opt,) - -Irq
5.Suretv Information .7 L 2
a)Name and address:
b)Amount of Rond:
6 I.endrr O'Felephone No.: Fax No.(Opt.)
a)Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address:
b)Telephone No.: I-axNo,(Opt.) __
8.In addition ft;�himself,owner designates the following person to receive a copy of the Uenor's Notice w;provided ill Section
713.13(11)(b), Florida Statutes:
a)Name and address:
b)'I'elephone No.: Fax No.(Opt.)
Q.Expiration dale of Notice of Commencement(the expiration date is one year from the date of recording unless to different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE 8V THE.OWNER AFTER 111E, EXPIRATION OFTHE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1.SECVION 713.13.
FLORIDA STATUTES,AND CAN RVStI1,T1N YOUR PAYING I-WICY IKOR 1MPROVVMFNTS TO VOUR PROPERTY.
A NOTICE OF RVCOR0VD AND POSTED ONT11F.10H MTV "VFORV.*1,11E FIRS'l,
INSPFA�1'110N. It,'YOU INTENDTO OBTAIN FI1NAN('1NC,CONSUIA' VOUR 1,FNDE1A OR AN AT`1*ORNFV BEFORE
('ON1."V.N('1N(; NVORk Ott RF.It''ORDIN11". V011111 NOTWE 0V(*OM1MF1N(*FMENT.
SI A It OF V1,01AIIIA
COUNIII OF IIINVI LAN 10.
Signature ol'Owoei 0i Owner's A talum/ed 0111cet/I)it LX i0j/P41 I,ledivIdIlag4�F
V
Print Nanic
lie foregoing instrument was ackno"ledge'd before file this dav of 20 b)
as (type of 110horilly,ir.p. officiel,(rusite,
HItfil-liel in (Illinle of pse-ty on 1wholf of-Alloill ills(I-IfIllell( -ANS executird).
Personally Known OR 111(idticed Ideillifiefi(ioll Notary Signalure
WILLIAM L.POPE
I ypc ofldcritification Producod Nanic(print) Notary Public,State of Florida
0 lz My Comm.Expires Oct 19,2ft15
Commission No.EE 129745
Vetification pur-mant Io (Nczlion 92 �2�, 1 Jorlda S'inhil(s Undci Ix-nallics(if IK ijkli), I dck Itl( 111;11 1 hm Ichd It$( foll.-P.oilij, find that
the facls slait-d in it at(.true to Ilic J,e.,.( of my kilowic(If-c Fold k-li(f.