70 Ocean Breeze Dr 2013 metal roof CITY OF ATLANTIC BE
s� 800 SEMINOLE RbAD- '
ti ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003751 Date 11/26/13
Property Address . . . . . . 70 OCEAN BREEZE DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 20000
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Application desc
REMOVE SHINGLE ROOF, INSTALL METAL ROOF
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Owner Contractor
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FOX CARL K & G CONSTRUCTION CO INC
70 OCEAN BREEZE DR 7587 WILSON BLVD
ATLANTIC BEACH FL 322334377 JACKSONVILLE FL 32210
(904) 509-8888
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Permit . . . . . . ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 150 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 20000
Expiration Date . . 5/25/14
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_ --------
Other Fees STATE DCA SURCHARGE 2 . 25
STATE DBPR SURCHARGE 2 . 25
Fee summary Charged Paid Credited Due
----------------- ----------
---------- ---------- -
Permit Fee Total 150 . 00 150 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 50 4 . 50 . 00 . 00
Grand Total 154 . 50 154 . 50 . 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. —10 0c6.t§� '9� C7-� D2 PaI�� Permit Number:
Legal Description Parcel# 9 -8 5a
oor Area o q. t. q. t
Valuation of Work 004b0b 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 #
For multiple products use product approval form 1
Describe in detail the type of work to be performed: E'rY`t�lC �Xt�R SUt���1✓ jZc7( 1 NSA f� J
N eW 5--MA fl1 tJim S16rrC51�'\ TZ���
Property Owner Information: _
Name: COALL PO Address: �� faC� ) B�-�'ZI`-, ��
City t t�Psi ccac State_Zip 33 Phone Qt9- a91-3
E-Mail or Fax# (Optional)
Contractor Information:
Company Name: Ka-� Cp S��too eo, INC- Qualifying Agent: 1ARoa �at
Address: -15 k4l jSoN 1OLyO City .�Px State Zip iD
,'7
Office Phone -1'7 a— t 31(o Job Site/Contact Number Fax
State Certification/Registration# C C, 13 9-6yo
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
k and installations as indicated. /certify that no work or installation has commenced prior to the
Application is hereby made to obtain a permit to do the wor
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 sixp6)months at any time after
work is commenced. 1 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 BEOMENTRECORDING YOUR NOTICE OF
COMMEtype q work that I have read and 11 be complied with iambwhethrtpecihis aedlherein or not.n and The granting of a pew the same to be true rmit doesnd not. t ll gns ovelaautho ty tows and violatences gor canceltthe
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner �/� Signature of Contracto/r, -
Print
Print Name C.AQ�-...._(r' Name ARW ......................................................................
......
Sworn to and subscribed before me 1.3 Sworn to and subscribed before me 20)1
this'4-L Day of 20 this Day of N
Notary Public Wa Notary is
Kevisea 1.26.10
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Cortnnissiat No.FF 51178
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No. S9
C4, ^}"
County of n Uy pdi
To Whom It May Concern: i
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:
eta -7 �S -��i (�Can� 13Q�r-7 y 2FU I5C-
Address of property being improved: "70 bC f(-W ITO
General description of improvements: Re.
Owner: Address:
Owner's interest in site of the improvement: + ao 0
Fee Simple Titleholder(if other than owner):
j Doc#201;3393474,ORBK16611 Page 327,
Name: Number Pig :1
Recorded 1/ 2013 at 01:35 PM,
Contractor:K&G Construction Co Inc Aaron Gallen Ronnie Fu I rLERK CIRCUIT COURT DUVAL
COUNTYi, i
Address: 7587 Wilson Blvd.Jacksonville,Fl 32210 RECORDING $10.00
' ° Telephone No.:904-509-8888 Fax No:904-771-7912 i
Surety(if any)
Address: Amount of Bond$
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/AGENT
Signed: Date: l
Before me is da Y of Duval,State
Of Florida,has ersonally appe ed
Notary Public at arge,State of 1 &punty "
`R
My com Nota:,Public,Stale of Florida
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'& : e ;�",y r,,mmission Expires 9-4-2017
OF '� - 1178
Commission No.FF 5 ��