1985 Mayport Rd 2013 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SA
Application Number . . . . . 13-00003653 Date 11/12/13
Property Address . . . . . . 1985 MAYPORT RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7200
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Application desc
FL 5680 . 1
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Owner Contractor
------------------------
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1985 MAYPORT LLC DAVID MERRITT CONST. CO. (ROOF)
7530 MERRILL RD 108 FLORIDA BLVD
ATLANTIC BEACH FL 322333711 NEPTUNE BEACH FL 32266
(904) 993-1697
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Permit . . . . . . ROOF PERMIT
Additional desc . . 00
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 7200
Expiration Date 5/11/14
Other Fees
STATE DCA SURCHARGE 2 . 00
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.
NOTI E OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of — 0.'1 County of
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 FIDrida Statutes,the following Information Is stated in this NOTICE OF
COMMENCEMENT. 7
Legal description of property being improved:
[� Feet 33 3
Address of property being improved:
General description of improvements:
Owner e)
Address t ads e Tt iojCai' Fla 2
Owner's interest in site of the improveme t
Fee Simple Titleholder(if other than ow )
Name
Address
1 Contractor C ,,`1 1 1.'_ f f d 0 C
Address -70 - -v<t V' J F 3ZZZ5
v Phone No. -114 3 r Fax No.
Surety(If any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a ban for the construction of the improvements.
Name
Address
Phone No. ! Fax No.
Name of person within the State of Florid other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates i following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes. 11 in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencem t(the expiration date is one(1)year from the date of recording unless a
different date Is specified):
THIS SPACE FOR RECORDER'S USE LY OWNER
_ fJ
Slgned: DATE
Before me thl y f in the
County of D 1,State orida,hes personally appeared
herein by
himselff herself and affirms that all statements and declarations herein
are tru nd accurate
Doc#2013289039,OR BK 16593 Page 1882, j
Number Pages:1
Recorded 11 12 2013 at 01:22 PM, C
Ronnie Fussell CLERK CIRCUIT COURT DUVAL ��.�' � DAVID E.MERfl-State oof
L.(,. f Florida
COUNTY Not Pu IiCatLarga,Slateof Of v---,
My commission expires: ices Oct 15,2017
RECORDING$10.00 . , ♦ ,;
1 Personally Known ' Ar# FF 063174
Produced Identification
-7177- r N ,,nal NNary Assn
.�r►., . _ww ,
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904)247-5845
Job Address: ��' `tel + Permit Number:
Legal Description Parcel#
Floor Area of Sq.Ft. Sq. t
Valuation of Work$ 00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one):. Commercial Residential
If an existing structure,is a fire sprinkler system)installed? (Circle one): Yes No N/A
Florida Product Approval# 5 ,90. )
For multiple products use product approval form
Describe in detail the type of work to be performed: J?Ujm
Property Owner Information:
Name: Ta;v.e.y g g.,+e- Address: 1075 $e M l Ny1 Z lid
City An StateftZip,31= Phone 4104 L l�ri 5
E-Mail or Fax#(Optional)-r S ID 14 it 14 O l . C.v m
Contractor Information• CONTRACTOR EMAIL ADDRESS: bejlol%fid?f pimaP,�A4
Company Name: V!q M"if i it O UYt S 4 ��6 Quali ing Agent: Mej 1-SsQ V� Y � i1
Address: r vl n iw State F10.. Zip 3n
Office Phone 93Lo-33 I IJob Site/Contact Number 99'3-1(a 9:7Fax#
State Certification/Registration# -C-& 1325919
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 installations as indicated. I 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 this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six p6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters,
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 BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereb 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 o work will be complied with whether specified herein or not. The granting of a permit does not presim�o, ve authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or thh r orra ncce�of cc_ true i
Signature of Owner - — Signature of Contractor w
Print Name fe t .� 1 it Print Name �� �-�1.�.............................................
... .... .............. .. ..................................................................... ...............c..,554.At.................. I
Befo a Befo;e 1— NOV 20
this ay of 4 DAVID E.MER 15 % this a of
Notary ublic-State o F16110,
Expires Oct 15,2017
�, o�� commiaa on N o 1 MY COMMISSION r F--011 AW
Notary ublic ,r ,. Assn. :., ,•
;sof F ,, Bor&dT}xouoNational �Y EXPIRES:April2a,2Ct7
`.ter• t� 'sed 01.26.10
.,E ud Fro?;•° gp��Thru Notary Public Ur�de