358 (356) 8TH ST 2013 Roof CITY OF ATLANTIC BEA k
f21
s -- 800 SEMINOLE Rte =
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003726 Date 11/21/13
Property Address . . . . . . 358 8TH ST
Tenant nbr, name . . . . . . 356 AND 358
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 5000
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Application desc
REROOF
------------------------------------------------------------- --------------
Owner Contractor
-
------------------------
-----------------------
THERRIEN, BENOIT JUSTIN LARSEN CONSTRUCTION INC
186 CHEMIN DU TOUR PO BOX 1942
CANADA CN H8V-3138 4784 CATTAIL ST
MIDDLEBURG FL 32068
(904) 241-0320
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Permit . . . . . . ROOF PERMIT
Additional desc .
Permit Fee . . . . 75 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 5000
Expiration Date . . 5/20/14
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
III tIIt,IFIINI. 1 1'.KtVll1 /%1'1'1 A( "X1IPIN
CITY OF ATLANTIC BEACH
800 Seminole Read, Atlantic Beach, FI, 32233
Office (904) 247-5826 Fax (904) 247-5845
.lob Address: Ver•nlit Number:
Legal Description - - Parcel #
Fl
oor Area o d*_. 44
, q. t
Valuation of Work S x006• Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration (
Repair Move Dcnwlition pool/spa window/door
a
Use of existing/proposed structure(s) (circle one): Commercial tesidcnti�
If an existing structure, is a fire sprinkler system installed? (Circle one . es o N /A
I-'brida Product Approval # 1=1.14LqLr5. $-P-
For multiple products use product approval ornt
Describe in detail the type ofwork to be performed:
CA
Property Owner Information: ,�! n
Name: �-� �(,�,-� Address: ID(D l', M �f� -7;;. 17 _
City LAAZ 9'(, State�ip Phone_ _ _ 703- X08- a/53
E-Mail or Fax # (Optional)
Contractor Information: QQ
Company Name: _ 1,� 1Q - -- - Qualif in +eat:
A 'IY1
Address: Q _r2/ ____City State r'2 Zip
Office Phone 2 20 Job Site/Contact Number p - 2_ - Fax# -241-d324.
State Certification/Registration # CCG 15
Architect Name& Phone #
Engineer's Name& Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Ippliculion is hrrebv nutde ro obtain a p.rttrit to clu the work and installations its indicated. I certify that no work or installation has cownntenc•ecl prior to ilre
is;�trnnce o/a perrttil aneI that.111
ll+rock rvill be perforrne(l to meet the standards r f all hays regulating eortstrnc•tiot in this jurisdiction. "1'ltis permit bec•ocnec null
uad void iJ'+rork i.r mt couurtenced within silt(G)months, or if concn•ut-liutt or work is susltencled ur abandoned lot•a periotl of sir(G)months at any little after
+rock is cununenccd. I uncicrslund that separate permits nttast be secured jot•Glectrica/ Work, Pltnnbing,Mkits, Wells, Peiols, Furnaces, Roileis, ffeniers,
Tanks atml Air Condiliouerc,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 hereby eer iiji,that I have read anal evandnecl this aytpGcatiun curd kaon•the s•cune to he Imre•and cor•rec•l. .Ill provision, i , 'rne irtarrces governing Phis
ww of work hill be conwhecl with whether s/recvfred herein or not. "I'he granting of a permit dues nal prestunr r„ ,r nnh„ h !r yin/ntr or cancel the
irovisions a any other ealeral.slate, or local tear re ithitin•construction or the per 0illianc•e o construction.
l J l � � I I I
'Signature of Owner- _ - _ ` Signature of Contractor_- -_-----------_- .----- _--
'Print Name Qe ,+ J Print Nance
S`orn to nd tb cribed to me Sworn to and s scribed e ' re are
this _ pzj Lk this a AL Ak�
H P" .°* RIA PIMIENTA
.� �'• ARIA PIMIENTA
to ublic-State of Florida Site Florida
No ark' u I ll I ,�, o�c My Comm. — s Jan 26,2015
:N My Comm. Expires Jan 26,2015
,F„ OFF„ ••' Commission POP EE 59080 aF F, Commission #EE 59080
,
Doc#2013298986,OR BK 16605 Page 1253,
NOTICE OH• COMNIFNNC'EME:NT Number Pages: 1
----- ------ Recorded 11;21/2013 at 03:28 PM.
Ronnie Fussell CLERK CIRCL!T COURT DUVAL
COUNTY
Permit No. --_ RECORDING$10.00
I ax Folio No.
'I I11: (!NDERS16Nt'1)hereby Fives notice that improvements will be made to certain real property,and in accordance with Section
71,.11 of thr Florida Statutes,the li,llowinp, information is provided in this NOTICE OF('OMMLNCEMEN'I
r
I.Descliptionofpropert) (legal de3I i/rri)
a)Street(%rah) Address: 8 �
2.6eneral description of improvements: l
±.Owner Information
a)Name and address
h)Name and address of fee simple litleh(Aler(if other than owner) ./
') Interest in property ry`�
4.('ontractor Intormation
a)Name and address: A� Lo
b)Telephone No.: 107 Q4—0 1 Fax No (Opt.) (1 J
5.Surety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.)
(,.I,ender
a)Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address:
b)Telephone No.: Fax No.
8.In addition t6 himself,owner designates the followi rson t receive a copy of the f,ienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a)Name and address:
b)'1'elephone No.: _ __._-- _-_- _-- _. - -- - --- Fax No.(Opt.)
9.Expiration date of Notice of Commencement(the expirati d ne,year from the date of recording unless a different dale
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE;BY TI1E,OWNER AFTER THE EXPIRATION OF IT1E NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS 11NDF.R CHAPTER 713,PART 1.SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPRO\'I:MENTS-1'0 YOUR PROPERTY.
A NOTWE OF('OMMF.N('EMEN'r MUST PV RWORDY11) AND POSTF D ON'riw,IOP SITN. RVI"OlI1 VIAE FIRST
INSPEIt,ITON. IFV011 INTEND TO OBTAIN FINANCING,CONSI.11,T YOUR LENDER OR AN A'I'FORNF V HF:FORE
('ON1MF,N('lN(: NVOPK Oil l2F,('0IM11N(. YOUR NOT'WE OF('OMMI?N('F:MFNT._
SFA'1l.0l(FMIURInAJ �—
Cot IN71 F WYAL 10.
r�
Signalurivol*0wim 01 0"iMa's Author /ed U(liu:r/l)i,u!u,/Parutci/Maiwger
flriiisiNamc
7 �zrr ;,~,
The foregoing instrument wits acknowlalged before me this 0291 day of /,�V,jyt8 �2-0 20/3,b)
{•1 as ®�„'//1� (type of Aulbovily,c.p. officer,trustee,
8 C 32 3 (name of party or tie f whc 1 i strunrenl " �executed).
alt lrnel in fact) fm- 556
personally Known OR I'I(K1lICed ldenlificAtion ✓ Notary Signature r
lam'.
N
a aro I�/
I ypc of Identification Pn �
xlnc�xi : lySd'06a'� Namc(print)
ll lY1 l
OR
Verification pursuant to Scclion 92 t2S, 1 lorida Statulcs. lln(Icr p(.milticS of IKljury, 1 dcclarc Thal 1 havc read IIIc fitichoinf,anti that
the facts stated in it are ITU( to tllc best of my knowledpc Rnd belief.
Y
left,,,
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�,••.r" "e�" MARIA PIMIENTA
IIIH M.i NIN =�®,I
z ' z Notary Public-State of Florida s,,•I. I,n•n! ti;,l„I:,!P,I ti„,,,.,r•I„I!I,1 11 W !nl.,•••
,j My Comm.Expires Jan 26,2015
Commission#EE 59080