683 Sturdivant Ave roof 2013 'S�LyrJv�
CITY OF ATLANTIC BEACH
S 800 SEMINOLE ROAD
J v ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
/D ilt
Application Number . . . . . 13-00003278 Date 8/20/13
Property Address . . . . . . 683 STURDIVANT AVE
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6880
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Application desc
reroof
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Owner Contractor
_ ------------------------
KRITSKY, MARY ANN ET AL ALIGN ROOFING, LLC
128-7 SEMINOLE RD 2242 NEWBERRY RD
ATLANTIC BEACH FL 322334154 (904)JACKSONVILLE
FL 32218
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Permit . . . . . . ROOF PERMIT
Additional desc . • Plan Check Fee . 00
Permit Fee . . . . 85 . 00 6880
Issue Date Valuation
Expiration Date . . 2/16/14
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2 . 0
STATE DCA SURCHARGE
Other Fees 2 . 00
STATE DBPR SURCHARGE
__ _ ________ ---
Fee summary Charged
Paid Credited Due
_ _ ---------- ----- --
----- ----------
- . 00
Permit Fee Total 85 . 00 85 . 00 . 00 . 00
Plan Check Total • 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00
Grand Total
89 . 00 89 . 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 100f az)
Office (904) 247-5826 Fax(904) 247-5845
Job Address: 4J3 51x'4 0 "A' 441VE RtL. &M' 32 2 -12 Permit Number: 133 Z 7 p
Legal DescriptionParcel#
/ oor Area o q. t. q• t
Valuation of Work � Proposed Work heated/cooled 9,_ '',-=— non-heated/cooled_
IQC 467v��
Class of Work(circle one): New Addition Alteration Repair Move ltion pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial ide
If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A
Florida Product Approval # FC.. ��� y / fid' 7 4,+b`/v�j"'r'�
For multiple products use product appro orm
p
Describe in detail the type of work to be performed: /� e 4odP
Property Owner Information: pQ
Name: /.A t Address: 6d-3 .f Yf''t4 ✓d all Aden RZ .72 46.7 2
City 01 -- *vt State fc.Zip17 t1) Phone G e Z—102
E-Mail or Fax# (Optional)
Contractor Information:
Com an Name: z-' 0 COV4 L I-C Qualifyin Agent:
p y State fz Zi
Address: /Z/ +M S� City N�-/� p
Office Phone V 7` 3%- Job Site/Contact Number 72f 7446} Fax# E:7 V '24 .21-
State Certification/Registration# CX C Z 3 L **11+
Architect Name&Phone# 1
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address r 4
Bonding Company Name and Address i 4 4
Mortgage Lender Name and Address i►
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 to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six t6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wel/s,Pools, rurnaces,Boilers,Heaters,
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 BEOR ERTCORDING YOUR NOTICE OF
COMME1 hereb certify I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofiny other federal,state,or local law regulating construction or the performance of construction.
Signature of OwnerC.��i�_ h Signature of Contr ctor
N1E A 80T
t �>
Print Name �;� ,y;...... ....... ..A..SOTG..............
it
Print Name _.:... tt ................
SWO �o and subs > b W&4@MMISSION#1 EE149931 Sworn to and subs n f0€RCffES November 30.205>
rg EXPIRES November 3It iot
Day of t FlOfida�1Of°`Ys""�C 6O 20
this 3 D of
7j1�� FwrteaNae g�vice.com
tary u lic u lc
Revised 01.26.10
T
Doc # 2013215032, OR BK 16497 Page 2334, Number Pages: 1, Recorded
08/19/2013 at 02:38 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
Tax Folio No.T ---
- of
Z+.V AL
in:z, v; :,nat imprrnements wiii he made to cenain real propem.and in accordance iih section r i?of
fai}.Nins information is stated in this NOTICE OF COMMENCEMENT.
^aopem being improved:_ i 4 3
I ^
a�_+=;;:'^r. m ta rebeing improved:� �,� ��C�-i��L ��--��--�r- �(►�
Gene-a:description of improvements: � T �1/t1A1 5[L1►T1AI T-- ��-ry
Owner. — Address:
rtiv.ner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner): _
Name:
Contractor: —
Address:
Telephone No.:_ Fax No:��/L•�L� e
Surety(if any)
Address: ___ ., Amount of Bond S
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
ty be
Phone No: Fax No:
Name of person within the State of Florida.other than himself.desienated by owner upon whom notices or other documents may be
served: Mame:
Address:
Telephone No:
Fax No:
In addition to himselfowner 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 Nc: tte is
Expiration date of Notice of Commencement ithe 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
Signed: _ Date: 3 ate
Before a is yo t lay% in the CouniN of uval.State
Of Florida.has personally appeated
-A-
Notary Public at large.State of Florida.C vA DAHM A SOTO amt
M%commission expires: •' )�
Personall% Known:
Produced Identification: o