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134 magnolia St roof 2013 CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . 13-00003524 Date 10/15/13 Property Address . . . . . . 134 MAGNOLIA ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3900 --------------------------------------------------------- Application desc reroof ---------------------------------------------------- ----------------------- Owner Contractor - ------------------------ ----------------------- KERR PAUL G LOCKHART CONSTRUCTION & 12625 HIGH BLUFF DR #315 ROOFING SERVICES LLC SAN DIEGO CA 921302054 JAMES L LOCKHART JACKSONVILLE FL 32277 (904) 994-3865 ---------- ----------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3900 Expiration Date . . 4/13/14 ---------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 74 . 00 74 . 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 BE,ACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904)247-5845 Job Address:-Z 3 Permit Number: Legal Description 0- z -z Flo-or Area Mof ;qq Nq kt Valuation of Work$ 9-ee7o.ex)Proposed Wo k heated/cooled non-heated/cooled Class of Work(circle one): New Addition (A-1-te—ra-t-ion Repair* Move Demolition pool/spa window/door Use of existing/proposed structure(s) circle one): Commercial �'esidentia If an existing structure"is a f, e spriler system installed?(Circle one�', es 0 N/A Florida Product ANproval 471- /2g& S �i� For multiple proi ucts use product approval form -2 e2 Describe in detail the type of work to be performed:- Propertv--Owner Information: Name: '—�40 f C __z Address: A UF;r 21�14V,,5 city 1, Iggep Sta((,>AZip-go74ACPhone E-Mail or Fax 4(Optioeal Contractor Information: CONTRACTOR EMAIEL ADDRESS: I Company�Name. LAa� 6 Address: S - M 6---T 1004C�VAWT- a (�ity S tq t e z i Office Phone !SgV-C- Y94- ;Va;� Job Site/Contact Number State Certificatio gistration 6)0 2 9 94 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address 314- Bonding Company Name and Address <--:�4-4 'i Jienq�o U44iPOelYlp y",W-1 �3-0 Mortgage Lender Name and Address e- '4 4pplication 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 0 it and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null and void ff�aorekrmis not commenced within six(6)months, or ifconstruction or work is suspended or abandonedfor eriod of six_(6)m onths at any time after Tanks andAir Conditioners,eta awl e j work is commenced. I understand that separate permits must be securedfor Electricar Work,Plumbing,Sikits, �11s, Pools,Furnaces,Boilers,H a ers, 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 hereby certify 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 p�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 of any otherfed ca nstruction or the perfo�mance ofconstruction. Signature of Owner Signature of Contracfor Print Name ........... �.............& Print Name --Ttq OIL. ............ .............. ....................... .................... '0 ............ ............ Before me Before e this—Day of this D of 20 Notary Public No Public LzRon Jones Revised 01.26.10 COMMISSION f EE 188108 *EXPIRES:APR.09,2016 A-R0NNnM2VC= CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CML CODE§1189 c State of California County of :�U v, On 0 Of 1 ,2013 before me, Am`' Loy teak 1,✓✓, 11 c vioL, Date -�-- I Here Insert Name and Tide of the Officer personally appeared Pa"\ G kLey r Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(§) whose name(s) is/are subscribed to the within instrument and acknowledged t me that he/she/theyexecuted the same in /her/their authorized capacity(ieh), and that by AMY l0Y NALDER s/hey/their signature(s) on the instrument the Commission # 1918 DER person(s), or the entity upon behalf of which the a =w~ Notary Public -California i person(s) acted, executed the instrument. Z San Diego County M Comm.Ex fres Dec 25,2014 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature: Place Notary Seal AboveOPTIONAL ature of Notary Public Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: F)k d t i� I V elV IM r�p l Glt"h V-\ Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Individual ❑Individual ❑ Partner — Limited ❑General Top of thumb here ❑Partner — _ Limited I General Top of thumb here ❑ Attorney in Fact ❑Attorney in Fact ❑ Trustee ❑Trustee ❑ Guardian or Conservator ❑Guardian or Conservator ❑ Other: ❑Other: Signer Is Representing: Signer Is Representing: ©2010 National Notary Association•NationalNotary.org•1-800-US NOTARY(1-800-876-6827) Item#5907 NOTICE of COMMENCEMENT Return to: (self addressed stamped envelope enclosed) Lockhart Construction and Roofing Services LILC Doc#201326461-6,OR BK 16562- Page 1164, 5380 Timberline Drive Number Pages:2 Jacksonville,Florida 32277 Recorded 10115/2013 at 12:18 PM, RT DUVAL This Instrument Prepared by: Ronnie Fussell CLERK CIRCUIT COU James Lenard Lockhart COUNTY 5380 Timberline Drive RECORDING$1&50 Jacksonville,Florida 32277 Property Appraisers Parcel Identification Number Tax ID Nuff SPACE ABOVE THIS UNEMR RECORDING DATA SPACE ABOVE THIS LINE FOR PROCESSING DATA NOTICE of COMMENCEMENT S State of Florida C ounty of Duval [The undersigned hereby gives notice that impr.ovements will be made to certain real property,and in accordance with section 713.13 of the Florida Statutes,the following information is provided in this NOTICE of COMMENCEMENT. Legal description of property: 10-8 21-2S-29E.057 Saltair Sec.1 Street address of property: 134 Magnolia Street Atlantic Beact Florida 32233 Description of improvements; New Roof Property Owner Name: Paul G Kerr Property Owner Address: 12625 High Bluff Drive#315 San Diego California 92130 Owner's interest in property: Owner Fee Simple Title Holder Name: Paul G Kerr — Title Holder Address: 12625 High Bluff Drive#311 San Diego California 92130 Contractor Name: Lockhart Construction and Roofing Services LLC Contractor Mailing Address: 5380 Timberline Dirve Jacksonville Florida 32277 Surety Name: None Arnt of Bond $ None Surety Mailing Address: None Lender Name: Lender Mailing Address: Person within the State of Florida designated by Owner upon which notices and other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes. Name Paul Kerr Cailfornia 92130 Address 12625 Hiqh Bluff Dr#3115 San Die_qo In addition to himself,the Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(i)(b),Florida Statutes. Name Address Expiration,date of this N t f Commencement: This Notice of Commencement expires in one year. 07�0' n Printed bignature Or UWneT signature Or uwner the following identification of the Affiant: APPLY NOTARY SEAL HERE I have relied upon Sworn w and subscribed before me this day of 19 Notary-5ignalure C-? ................ ... ........