123 Jasmine St 2013 roof f Is CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003644 Date 11/08/13
Property Address . . . . . . 123 JASMINE ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7500 --------------
-------------------------------------------------------------
Application desc
reroof
------------------------------------
Owner Contractor
------------------------
------------------------ CARBON COPY CONST, INC. (ROOF)
CADIGAN PAMELA ET AL 12412 SAN JOSE BLVD #301
123 JASMINE ST FL 32257
ATLANTIC BEACH FL 32233 JACKSONVILLE
(904) 6S5-4186
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Permit . . . . . . ROOF PERMIT
Additional desc - -
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 7500
Expiration Date S/07/14 -----------------------
2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2 . 00
---------- -----------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 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: /d-, 1A 6 lAA izv L 5 7- - -Permit Number:
Legal Description /,0, 3 cS -;A5 o.c,q,� 4-444 �c�c ri Parcel# 7()8q6 -,S-'fC2o
—L
Floor Area ot SO.Ft. Sq.Ft
Valuation of Work$ (D Proposed Work he'ated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration (_"pa Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial Residential
If an existing structure,is a fire sprinMr system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use pr uct approval form
Describe in detail the type of work to be performed: 12-� C) f 'S 6-L&5 a4l %ZL,
IrL h-)id hi 2- ;t
Property Owner Information:
Name: My.vktE( i c e_,bf d)j &A Address:
City Ai�,AA)-r� State k:C Zip J22 3�5 Phone qSj ,,� 700 L 2
E-Mail or Fax#(Optional
Contractor Information:
Company Name: CA,,Q,, L)j1d L. Qualifying Agent:
State(--L ZiD 3-->>
Address: i Lo Z-�j� -T6 9L� �ity -IL�-
Office Phone ��9 6 - )I P)--� -,Job Site/Contact Number c966-�J(o�- Fax# (5,30 - dl &-S-
State Certification/Registration# C Cj-S
Architect Name&Phone# /J 4 ,�
Engineer's Name&Phone# /I//
Fee Simple Title Holder Name and Address
Bonding Company Name and Address �7A�
Mortgage Lender Name and Address /,)
h reb ade ba-rn er he ork and n tal a i nd�c or installation has commenced prior to the
a I I thisjurisdiction. This permit becomes null
0 1 1 s f sixP) fter
0 mit' 0 0 w tt i s ' "Fr 7 k a period a months at any time a
be e f ed to Z tan 2r 0
�', r t s 't t n r W
nc in rM t 0 e U,
I i P P(6 f
I wo k w
is e n 0 d -th 0 urnaces, Boilers,Heaters,
pp"ca'io i t t
""0 a P"_t a
'id if,,,k is e e w t
n t t"P r p , it, -ed or E ec c ells�Pools,
F is'o." g rt n m, t
rk d d a d ha a ate e be e
Tanks and Air ConiNioners,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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I here cergfy 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
1�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 ofany otherfederal,state, or local aw regz4ating construction or the pe�fomance of construction.
Signature of Owner Signature of Contracto�
Print Name
Print Name
Sworn to and subscribed before me Sworn to and subscribed be re.me
,20 this LL - -!,�Q 1�3
this u�Dljjaa/;of ALAM, - _Davof X�
UCE BOYER
MARK BR
State ol 1=1011da
Notary Public 0 '"J'13111 29,2
mm.Expires Nov 29.2015 pubt, 29,
S N
rom 1191
my Co Expire
commission #EE 119109 .5sjon# .26.10
lational Notary Assn. COMO akln Notat
Bonded Through zonded Wough N
NOTICE OF COMMENCEMENT
(PREP4RE IN DUPLICATEt
Permit No. Tax Folio No 70. 0 q�3
State of f 0 "t County of
To whom it may cc1cern.
The undersigni-d hereby informs yoj that improvements will be made to cgrtain real property, a I nd in
accordance with Section 713 of the Florida Statutes. the following information is stated In this NOT CE OF
COMMENCEMENT.
Legal description of Droperty being improx,ed:
A-dress of property �:eing improved: 123 Jasmine Street Atlantic Bch, FL 32233
General description -f improvements: Reroof
ner Michelle Cadigan c Bch, FL 32233
4--dress 123 Jasmine Street AtIanti
Clvmer's interest in s.,.e of the improvemer* Res.
Fee Simple Titleholc er(if other than owner 1 N/A
Name
Address
r Carbon Copy Construction Lenard Schonfeld
Contracto,
nville, FIL 32223
Address 12412 San Jose Blvd. STE 301 Jackso
Phone No. 904-880-2183 Fax No. 904-880-2185
Surety (if any) N/A Amount of bond
Address
Phone No. —Fax No.
and address c,: any person making a loan for the construction of the improvements.
Name N/A
Adoress
Phone No. Fax No.
Name of person with n the State of Florida. other than himself. designated by o;%-,ner upon whom notices or other
documents may be served:
Name N/A
Address
Fax No.
Phone No.
In addition to himself o%vner designates the following person to receive a copy of the Lienor*s Notice as provided in
section 713.06 (2) (t . Florida Statutes. (F� ' in at owner's option).
Name N/A
Address
Fax No.
Phone No.
f recording unless a
er t (the expiration date is one (1)year from the date o
Expiration date of Nc-,ce of Commencem
different date is spec';led): ow ER
--t-H I S—SPAC 71 E I U 1, DER'$ USE CNILY DA 7 E LdLno)h
Sig in the
ned:
OW R
C 7,J Ly
DER S 7USE DATE
Before me thl��.. day of j . , ___,
county of Duval.State oll Florida. has personally ippeared here�,_bv
'9
Dor,#2013287/446,OR BK 165-0`1 Page 1649� himself;herseif and affirms that
MARK BRUCE BOYER
are true and accurpte
State of Florida
Number Pages: Notary Public
-0812013 at 11:44 AM,
i My Comm.Expires Nov 29,2015
Recorded 11; CO Commission #EE 119109
K CIRCUI URT DUVAL
Ronnie Fussell CLER
'^COUNTY Bonded Through National Notarvksn.
RECORDING$10-00
unt;of
No ry lic a rge.State
i,,jy co mission pires:
perso ally Kno', ri� .>,
Pr uced Identi ation-