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227 BelvedereSt 2013 roof ..i 1 8, \J. CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 � ffll- INSPECTION PHONE LINE 247-5814 "JJ �Jr Application Number . . . . . 13-00003285 Date 8/20/13 Property Address . . . . . . 227 BELVEDERE ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6100 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ YARBROUGH INES MONAHAN ROOFING 227 BELVEDERE ST 2050 KING CR S ATLANTIC BEACH FL 322334108 NEPTUNE BEACH FL 32266 (904) 568-4920 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6100 Expiration Date . . 2/16/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 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 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 2Z-7 Qe3y e_d e,c e ,5 Permit Number: Legal Description Parcel# 4 q. t Valuation of Work S G j 100-o Proposed Work heated/cooled 1'"1 cw. non-heated/cooled LI[DO. I?eroo F Class of Work(circle one): New Addition Alteration epair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system )Installed? (Circle one): Yes No N/A Florida Product Approval# T- L 01(,o3 1 -2 For multiple products use product approval orm Describe in detail the type of work to be performed: `f-:eroo F sti n u r \yt`ALjtr ,h �TC.{'1rkrc Shi 1 -�. Property Owner Information: Name: J SY AN98 ()U 6 Address: a a 7 6 E LV l� D CA 1 S 7`" City i- 1-- � fid- State�Zip 22 Phone I O 4 2-`1. 9 S 9 4-S" E-Mai�Fax#(Optional) Contractor Information: Company Name: ® DP i Qualifying Agent: �� P� ©/.r.6i} A l�f Address: 2- 0 e -Qi S City KI lie Q Clk State l- Zip, ZZ�o(o Office Phone Job Site/Contact Number TQM -rd8-YS e-- Fax# State Certification/Registration 1ZC o o k 2 3" 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. 1 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 ertod of six16)months at any time rafter work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, E urnaces,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 YOUINTEND BEFORE RECORDING YOOBTAIN ITR NOTICE F CONSULT H YOUR LENDER OR AN ATTORNEY type 701cert w 11 t complied with whetheed r t ecihis aedlhertein or not n and a Theegranting of same to be to perue on t doesnd cnot. �presumetto gions ve authority laws to Violatences gor cancel this provisions of any other federal,state, or local law regulating construction or the performance of construction. r Signature of Owner Signature of Contract r (R Print Name n'! ................... ..e ncLicz..' ................................. Print Name ��....5.........y....n'..........g..R..F1._u..��.................................. 2 JeA 13 Bef 20 J 20 fa da Notary Public My Commission Expires 02012016 State of Florida Commission No.1332370 Revised 10.24.12 My Commission Expires 02121MG Commission No.13=70 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. l Legal description of property being improved: 2, J 13 e 'cul�" '(� �'` � L + Address of property being improved: 2. 2 .7 �)[i Al L 6 7- -General description of improvements: 3 LA ' 6 k -Etit - Owner LN �/ (� � �% Address 3 2 2 J Owner's interest in site of the improvement vylz Fee Simple Titleholder(if other than owner) N1 La Name Address Contractor (Y)ar c-t-KL C r< < t t c Address 7 IGc 1 f L c ( � �c 1�� ��r� E Nn �'c'c 1 1 •: Phone No. Fax No. Surety (if any) Amount of bond $ Address Phone 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: Name Address Phone 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 Statutes. (Fill in at Owner's option). Name Address Phone 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): THIS SPACE FOR RECORDER'S USE ONLYOWNER r L P�C-10 DATE ��► ! Signed: % Before me this ay of in the Count Duv I,State of I� per nally app red S herein by Doc#2013215862,OR BK 16499 Page 124, himself/herself and affirms that all statements and declarations herein a e true and accurate ,= Number Pages:1 Recorded 08,'20/2013 at 11:22 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 Notary Public at Largrity of My commission expires: 7 Personally Known or PM Produced Identification A�COIIM�MOMI . CMM�iOR