44 Jackson Rd 2013 roof CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003462 Date 9/27/13
Property Address . . . . . . 44 JACKSON RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
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Application desc
FL 479 . 7
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Owner Contractor
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HARRIS DARRYL LAMAR & LACRESHI BUILDERS TRUST CONSTRUCTION
1159 DORWINION DR 11620 HARTMAN RD
JACKSONVILLE FL 32225 (94JACKSONVILLE FL 32225
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Permit . . . . . . ROOF PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 60 . 00 2000
Issue Date Valuation
Expiration Date . . 3/26/14
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--------------------------------------------
2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2 . 00
_ ________ ----
Fee summary Charged
Paid Credited ----Due---
_ ------ --
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- . 00
Permit Fee Total 60 . 00 60 . 00 00 . 00
Plan Check Total . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00
Grand Total
64 . 00 64 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of F► Or* County of -r�, vv-...
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: L
A ss property being improved:
General description of improvements: e,42 Ar1e <'
ner �Cly-Q";k�
Ac�dfe , SCS i9 iy
Owners Interest in site of the improvement (-19 tA-iNt yU
Fee Simple Titleholder (if other than owner)
Name —
Address
JI)
` Address 'q A `3 ZZZ
Phone No. qU� 5o 92-0':F Z-9-7 Fax N .
Surety (if any)
Address Amount of bond $
Phone No. _ Fax No.
Name and address of any person ma a loan for the construction of the improvements.
Name
Address
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH �.-
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904)247-5845
Job Address: _ A_ck S RA Permit Number:
Legal Description Parcel#
t
d o c) °'° Proposed Work heated/cooled non-heated/cooled
Valuation of Work$ � p -
Class of Work(circle one): New Addition RepairDemolition pool/spa window/door
Use of existing/pro osed structure(s)((circle one):: Commercial l
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval # r= t_ ��
For multiple products use product approval form
Describe in detai the type of work to be erformed: j
Property Owner Information:in
6
E-Mail or Fax#(Optional)
Contractor Information:
Company N me T Qualify'ng Agent: A cc
` 0
Address: iv City �-� State r–
Office Phone f,[e – —74zaa _Job Site/Contact Number O Fax#
State Certification/Registration#
Architect Name& Phone# N A
Engineer's Name& Phone# 114--1/1~
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 thisjurisdiction. This permit becomes null
and work void mmenced.of Icommenced within six understand that separate permits mumonths, or st be sconstecured for Electricction or work is l Work suspended or Plumbing,Signs,aWells,Pools,xFur aces,Boilermonths at s,Heaters,
Heal rs,
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 FINANCINGCONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORERECORDING YOUR NOTICE OF
COMMENCEMENT.
I herebycertify that 1 have read and examined this plication and know the same to be true and correct. All provisions o laws and ordinances governing
cancel this
type of ork well be complied with whether 1 peci ied herein or not. The granting of a permit does not presumFt proveseons ofany otherfender state, o local Imv regulating construction the p mor() I "�7�—d
Signature of Contractor
S atu f Owner
Print Name G ........_......._ �.C�f(.�..... Print Name r 10�..&. .... .....................................................
� .......rc � �n ................................................
Sworn to and subscribed before me Swo}M�t and subscribed,j?effore �
e 20 3
this ��o Day of SCD k C'rn%� 20 this"Ly of
C 4=211
(}��
l�
H WILCO ,
Notary Public ,r• •"`. Notary Public-State of MY COM I SION Y FF011480
My Comm.Expires May 23,2015 EXPIRE :April 24, 0 01.26.10
%;;F* Bonded Thru Notary Public
:;;F„«o •� commission # EE 96625