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1855 Live Oak Ln 2013 Roof CITY OF ATLANTIC BEACH. J 800 SEMINOLE ROAD J � ATLANTIC BEACH,FL 32233 " INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003650 Date 11/12/13 Property Address . . . . . . 1855 LIVE OAK LN Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8801 --------------------------------- Application desc FL 10124 ------ -- ------------------------------------------------------------------- Owner Contractor -------------- ------------------- _ ---------- WYLIE TODD & SILET COASTAL BUILDING SYSTEMS ROOF 1509 1855 LIVE OAK LN P.O. DRAWER T ATLANTIC BEACH FL 32233 1603 S 8TH ST FERNANDINA BEACH FL 32035 (904) 261-2233 ---------- ----------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 95 . 00 8801 Issue Date Valuation Expiration Date . . 5/11/14 ---------- -------------------------------------------- 2 . 00 Other Fees . . . . . . . . . STATE DCA SURCHARGE STATE DBPR SURCHARGE 2 . 00 _ ----- -----Fee summary--------Charged------------- Paid Credited ----Due--- ----------------- ---------- --------- 95 . 00 . 00 Permit Fee Total 95 . 00 00 00 . 00 Plan Check Total • 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 Grand Total 99 . 00 99 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r CITY OF ATLANTIC BEACH 09— I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 .� \l OFFICE:(904)247-5826•FAX NO.:(9(M)247-5845 J BUILDING-DEPT@COAB.0 BUILDING PER PPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2,VALUATION OF WORK SQ.FT.UNDER ROOF �v�5 L..� e, �a� L-Yl . 880► , a-•$ 4.LEGAL DESCRIPTION: CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION DIIESIDENTIAL LOT BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER ❑REPAIR ❑POOL/SPA 11YES WA ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER: 9.NAME: —k dd r S�i .Q-Ir- w�( 1 i'�-+ 15.COMPANY NAME. ��Dp �� 23.COMPANY NAME: �X:CtS t\ obi T\ AY\( 16 AME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENS NO.: 25.STATE OF FLORIDA LICENSE NO.. 1855 ,�e oak Ln . cCc �3a� 5; o 18.ADDRESS: (� �� Cj�C't U5 26.ADDRESS: MNOr�L R�CSiC� ��133 �"kSar�� , i�Z� )a2-tt 11.OFFICE PHONE: 12.FAX NO.: 19.OF ICE PHONE: 20.FAX NO.: 27.OFFICE PHONE-, 28,FAX NO.: 3'3b- "7505 '730-33x9 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 5 (Jo-15S S318 , -,Gc,-3 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: -\-c ic)voe_C C.-cmAC«S�. FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33,NAME: 35.NAME: 32.ADDRESS: 34,ADDRESS: 36.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 a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATT RN Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. PVYNE o ENT CONTRACTOR (If Age P f tto ey r gency Letter Required) (Qualifier Only) Signed: kl� Date: (� J Signed: Before y of (-Ar-)ioz-r ,£8B3in the county of Before me this day of cCAL�&—,.r 2966 In the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared TC&A L'l'" I "(' 6rcuoAcr1 L. �C vi C� ✓1 herin by himself/herself and&ffirms that ail statements and declarations are herin by himself/herself and affirms that ail statements and dedarations are true and accurate. true and accurate. Notary Public at Large,State of G� ,1c County of Liv. I Notary Public at Large,State of (71011,4- ,County of t)I A JC] 1 G Personally Known W/Personally Known ❑Produced Identificatio ❑Produced Identification- Notary Signature: ri o r '17U Notary Signature: <KvCr L- - J, e''SY�V9 SHANNON KAE GATES SHANNON KAE GATES BLDG01 Permit Application Bldg:REVISED:12/182008 =;' ° _ MY COMMISSION#FF049735 € MY COMMISSION#FF049735 EXPIRES August 29,2017 9 EXPIRES August 29,2017 ' (407)39" 398-0153 Florid allotaryService.com (407)398-0153 FloridallotaryService.com NOTICE OF COMMENCEMENT State of r 1 0 c Tax Folio No. I`1 a c�"�i - 1'-i(moi County of A Qv cl \ 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: 3"� 7�y Gcl - 'R 5 - a G E- S e\,J Ct 11l u r q Address of property being improved: % 655 Lw e Lia K LcA vi E k*t a y\-�,(, General description of improvements: i?e-- a-ac4- Owner:l o ckC� �,P- 1- w 1 Address: 1 SS L-\,f e_ C)C1 l; L 1'G 3 a Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: (k)a5\Qt 2 j c Address: Pb �>o`t S le`�l�`J J c k S o�nv i\� �, 3a a-k\ Telephone No.: V`1-33 03 Fax No: 90'1- -73C 3 Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: 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: Address: Telephone No: 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 _ Signed: Date: U Z 3 Before me thi 3rct day o �' t o n r in the County of Duval,State Doc#2013238520,OR BK 16593 Page 64, Of Florida,has personally appeared C1 C Number Pages:1 Notary Public at Large,State of Florida,County of Duval. Recorded 1111,212013 at 09:56 AM, My commission expires: JV rl Q. a-a , Z 1 1p Ronnie Fussell CLERK CIRCUIT COURT DUVAL Personally Known: —" or COUNTY Produced Identification: RECORDING$10.00 BRANDON L ENTERKIN MY COMMISSION 8 EEIMM EXPM8 June ZZ.2014 ntoo s$eo+sa