1977 W Sevilla Blvd 2013 roof CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003413 Date 9/16/13
Property Address . . . . . . 1977 W SEVILLA BLVD
Application type description ROOF PERMIT
Property Zoning . . . . . . . PLANNED UNIT DEVELOPMENT
Application valuation . . . . 13975
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Application desc
REROOF
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Owner Contractor
------------------------
----------------------
BAKER, SARAH LINDA HARDEE B. SMITH ROOFING, INC.
1977 SEVILLA BLVD W 13525 SAWPIT ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32226
(904) 378-8605
-----Permit .
. ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 120 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 13975
Expiration Date . . 3/15/14
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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 120 . 00 120 . 00 . 00 . 00
Plan Check Total--- . -0-
0 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 124 . 00 124 . 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: 1977 Sevilla Blvd. West Atlantic Beach. Fl. 32223
Legal Description t{5'1 0$' S ' "�9 S ek'•`IA �, r a«., U,;4 o;- Parcel#
oor rea o q. t. q t c
Valuation of Work$ 13,cj-15,oo Proposed Work heated/cooled a�G J� non-heated/cooled 3o 5
Class of Work(circle one): New Addition Clter:Vi5onLpair Move Demolition pool/spa window/door
Use of existing proposed structure(s)(circle one):. Commercial �sidentiIf an existing structure,is a fire sprinkler system installed? (Circle one): o /A
Florida Product Approval# FL • l`�5� 3
For multiple products use pro uct approval form
Describe in detail the type of work to be performed: AC-4,00T 51 s 5tUk«5 j 5h"Lit
Property Owner Information:
Name: ka4--t SAY-4, Address: 191-1 W Se.k,IlA B10�
City AN%4\c Bench State 9L Zip ikI33 _Phone a,oLA- 6,3--i$).j
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: RoA'r%1 r- Qualifying Agent:
Address: '±35X5 Soni 1 N City TAI& State ft• Zip 3;4X4
Office Phone Go4- Job Site/Contact Number 4115- $3-75 Q, b6A) Fax# )o--3�ts16(o$
State Certification/Registration# cxx- 132.0 l X
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Applicatior
on 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 ancommenced that all work will be performed to mZ
t the standards of al1n,
lawer
s rpegulating construction in thpis jurisdiction. This permit becomes null
work isd om o kis .of I understand that separate per 6 n is m t be secstr'ured for Electricua!Workd Plums ng�Signs,or aWe/ls,Pools,eriod of
urnaces Boilermonths at ys,Heatime ers,
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 BEOMENTRE RECORDINGYOUR NOTICE OF
I here b certify that 1 have read and examined this plication 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 spect 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 local law regulating construction or the performance of construction.
Q
Signature of Owner R Signature of Contractor �!
�Uron
Print Name r A.....�.... Print Name w.+±7.._E..., r } ...............................................................................
a.. Q.A......N.-....4 .k .................................................................. Q
Sworn to and subscribed before me Sworn to and subscribed before me 20
this 15 Day of 5 e z,,.b-a 2013 this 15' Day of S�-/ .�
r"""""•.y LISA L.REAGOR ,�, ""Y IS L.REAGOR
Nota Publib - :;r Ex res November 8,2014 No ub c Expires November 8,2014
'f 00,AW "Tfal Fwn lnmusmce 800 3857019 '+,t pv =!=800-3&57019
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No. 169462-0380
County of Duval
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: 45-708-2S-29E 2 SEVILLA GARDENS UNIT 02
3 LOT 25
Address of property being improved- 1977 Sevilla Blvd W. Atlantic Beach, Florida 32233
General description of improvements: Re-roof
Owner: Linda Baker
Address: 1977 Sevilla Blvd W. Atlantic Beach, Florida 32233
Owner's interest in site of the improvement: N/A
Fee Simple Titleholder(if other than owner): N/A
Name: N/A
Contractor: Brian Smith- B. Smith Roofing
Address: 13525 Saw it Road Jacksonville, Fl. 32226
Telephone No.: 904/378-8605
Fax No: 904/378-8606
Surety(if any) N/A
Amount of Bond R
Address:
Fax No: Doc#2013237904,OR BK 16528 Page 397,
Telephone No: Number Pages:1
Recorded 091/16;2013 at 09:19 AM,
Name and address of any person making a loan for the construction of the iml Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Name: N/A COUNTYRECORDING$10-00
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: JBL Corporation,Inc. c/o John Behrens
Address: 1949 Jersey Street Jacksonville,Fl. 32210
Telephone No: 904/381-0074 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 �D.val,
DateSigned:Beforeme this _day of ���\ _ in the Coun
Of Florida,has personally appeared T
Notary Public at Large,State of Florida,County of Duval.
My commission expires:
Personally Known: r p" S
Produced Identification:
,1 c• MY COMMISSION#EE885124
EXPIRES May 4.2017
`1 (4071398-0153 Floridallotaryservice.com