257 1st St roof 2013 CITY OF ATLANTIC BEASA�
J 800 SEMINOLE ROAI
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003748 Date 11/25/13
Property Address . . . . . . 257 1ST ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5275
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Application desc
reroof
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Owner Contractor
-
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SCHULTZ CLARA BIG FISH ROOFING INC
257 FIRST STREET 830-13 AlA N #146
ATLANTIC BEACH FL 32233 PONTE VEDRA BEACH FL 32082
(904) 422-1660
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Permit . . . . . . ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 80 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 5275
Expiration Date . . 5/24/14
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Other Fees STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee sUmmar�' Charged Paid Credited Due
_ _ ----------
---------- ---------- -
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 84 . 00 84 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
State of awl( _ Tax Folio No.
County of MM
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: IT 3 Y I6 'aas d l%%
[3PQGh T re PZ- or
Address of property being improved:(75`I%L(e l I S�54 .32Z13 ) .25-7 15� 5f . 3az3 3
General description of improvements:
Owner: r Address: 32-273-3
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: O
Address: �n h G fY e 3 Z S� G� q�
Telephone No.:9,OV6, 5' 3J y Fax No: goy 33 / .97� /
Surety(if any)
Amount of Bond$
Address:
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Doc.#20 13301879,OR BK 16608 Page 222'i,
Name: Number Pages-1
Recorded 11;2512013 at 11:20 AM,
Address: Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Phone No: Fax No: COUNTY
RECORDING$10.00
Name of person within the State of Florida, other than himself, design
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER O 13
Signed: LJ Date:
Before me this day of in the County of D v 1,State
Notary Public state of Florida Of Florida,has personally appeared
Carmen E Peet Notary Public at Large,State of Florida CPun of Quval.
My Commission EE 206707 My commission expires:
x oe�tcr2016 or
0,R
E ti»fres Personally Known:
Produced Identification; I �
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach,FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address:Qc�J s� 5� .3001 3 3 201 154 s� 3u rmit Number:
�5,3y �r,-as-z9E Parcel# 17,253S'OODQ
Legal Description /ar,�t c �,-r s p re A5�
t
oor Area o q• t• ��b—_ non-heated/cooled
Valuation of Work$ ,5� Proposed Work 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 A,,,7—j,Mf—Ks.
stem installed. (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use porm O
Describe in detail the type of work to be performed: /fir 01T old �t�k� n�(� y y
2`� � s1' 64,-„ef 3 2233
Property Owner Information: C259�
5� 322
Address: 257 / '$ ' 33
Name: ��I�Q SGh� StateF(Zip Phone 90c1 ” c/77-/oY/
City
7 I I C
E-Mail or Fax# (Optional)
Contractor Information:
Quali ing Agent Zi
Company Name:81rl
EL� ,'
5Qu State F[ p
Address: Fax#
Office Phone Job Site/Contact Number
State Certification/Registration# 3
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
that
s commenced
Application is hereby made to llbwork will belt erformed toto do the omeet the standards ofall laws tregulating construction in thisjurisdiction.work or llation This
permit becomerior s null
issuance of a permit and that a Phs or p p
and void if work is not commenced understand that separamont te permits must be securedfor Electrical Work,Plumb ng,Signs,aWe11seri�P olsx urnncemonts,Boilers,tHenters,
work is comment
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE
RECORD
OED CE OF ENTS
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE TROVEM
NG
CONSULT
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN YOUR NOTICE OF H
YOUR LENDER OR AN ATTORNEY MENCORE CORDING
COMMENCEMENT.
1 here b certify that I have reand whether t eciaedlhertetn or not.o Theegranting of asame to be Zpermit doese and cnotpa0ft. All tos and latences gor cancel this
type of work will be compliedp
provisions of any other federal,state, or local law regulating construction or the performance of construction
da4:_
Signature of Owner Signature of Contra
u tZ/ Print Name ......-.........
..................
Print Name ( .!e�
.................G.................................................................
... ... .... .......
efo e �J Before me Y ov2
s Day �"' 20 this Da COf1 #EE12M-
29,2015
� Notary Public State of Florida 9ad�d1lwTnyFiaMru"amXR
otary Public My commission EE 206707
otary P is
„w Expires 06/10/2016 Revised 10.24.12