1956 Sevilla Blvd 2013 roof Sl, CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�r )r�
Application Number . . . . . 13-00003336 Date 8/29/13
Property Address . . . . . . 1956 W SEVILLA BLVD
Application type description ROOF PERMIT _
Property Zoning . . . . . . . PLANNED UNIT DEVELOPMENT
Application valuation . . . . 16810
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Application desc
reroof
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Owner Contractor
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STRAUB, EDWARD B. SMITH ROOFING, INC.
1956 W SEVILLA BLVD 13525 SAWPIT ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32226
(904) 378-8605
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Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 135 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 16810
Expiration Date . . 2/25/14
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 03
STATE DBPR SURCHARGE 2 . 03
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 135 . 00 135 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 06 4 . 06 . 00 . 00
Grand Total 139 . 06 139 . 06 . 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: 1956 Sevilla Blvd. West Atlantic Beach Florida 32233
Legal Description 45-007 08-2S-29E Sevilla Gardens Unit 02 Lot 34
Parcel#
oor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 16,718.00 Proposed Work heated/cooled non-heated/cooled
CIte
p
Classof Work(circle one): New Addition o Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one):. Commercial Residenti
If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A
Florida Product Approval# PL, 1956,
For multiple products use product approval orm
Describe in detail the type of work to be performed: 4-aoA 5'4 J,sKmlo k sa-,RvG n•OLW C P—14-19)
Property Owner Information:
Name: U 544u'10 Address: 1956 Se,,, IIA Blvd W
City Staten Zip 3XAW_Phone cw4- atit-0-440
E-Mail or Fax#(Optional) WA
Contractor Information:
Company Name: Qualifying Agent:
Address: 1354-5 'tAL-eyF P City flak State R.., Zip 3! �
Office Phone 9014-3"64 60S Job Site/Contact Number 9pLt-al3-a6o.,LqO� `ms-SIVFax# 9ou-3TT-$606
State Certification/Registration# <<•C_d 3ady a
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 installatiFsas
indicated. I cert that no work or installation has commencedprior to the
issanceof a permitand that all work will be performed to meettstandarofallawthis jurisdiction. This permit becomes null
and voidfwork isnotcommenced withinsix6months, orif costruction work is suspended or abandoned for aper►od of six 16)months at any time after
work is commenced. I understand that separate permits must be secured for Elec rlcal Work,Plumbing,Signs, Wells,Pools,t urnaces,Boilers,Heaters,
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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereb cert that 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 o work will be complied with whether s eci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or l :elating construction*or the performance of construction.
Signature of Owner.k Signature of Contractor .._->
PrintName ,Ed Print Name :...............-..... -.4h...................................................................
........... ............................................................ _..__
Sworn to and subsced before in Sworn to and subscrid b
this a Da of /�oG 5T LI f�GOR this %tel Da of /r uc r LI L REAG 0/
y - E 040514 y
� ss 8 2014 : Commission#EE B40614
November , 7018 Aires November 8,2014
No ubl' Nota u
Revised 01.26.10
NOTICE OF COMMENCEMENT
State ofTax Folio No.
County of 1J U•�
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.
Legal Description of property being improved: q5-00-1 0`6-15'D"i E
BEV 114 GR( �NS [Jr.•�OZ �t3'� 3`i
Address of property being improved: I`'5 6 j e v.11,^ El 1 Ly A•NF.Ati,� 6eiNn.I R- 3aa-3-
General description of improvements: 5644, 1 Sair•f- tY4 L�W
Owner: r: c1 Address: l`l56 50y lla
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: E I J
c R� 3ivx 5�.b
Address: 1315,15 .�1<,��
Telephone No.: Fax No: 93 L,1-31-lt rS'COb
Surety(if any)
Address: Amount of Bond$
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: Name:
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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
�' Date: ?`6,i/13
Signed: +� ,s� tJ �
Before me this i;L 1 in County of Duval,State
Of Florida,has personally appeared
Doc#2013224299,OR BK 16509 Page 1115, Notary Public at Large,State of Florida,Coun
Number Pages:l M expires: ;� ISA L.REAGOR
Recorded 08;29/2013 at 09:54 AM, ersonall K *' 4
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Pr`o3ucedTdenriic�ation: brut Fankaurance8003Bb7019
COUNTY
RECORDING$10.00