1917 Mealy St 2013 roof CITY OF ATLANTIC BEAC.
y 800 SEMINOLE ROAD
J
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003863 Date 12/23/13
Property Address . . . . . . 1917 MEALY ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3000
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Application desc
reroof
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Owner Contractor
_ _
_ ------------------------
CASTLE CORP OF JACKSONVILLE LEAKBUSTERS LLC ROOF
C/O OLIVER KRAUT 6040 GEORGEWOOD LN W
P.O. BOX 50859 JACKSONVILLE FL 32244
JACKSONVILLE BEACH FL 32240 (904) 778-4377
(904) 333-6607
----------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 65 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 3000
Expiration Date . . 6/21/14
---------------------
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 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 69 . 00 69 . 00 . 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: 1917 Mealy St S Permit Number:—
Legal Description I Parcel#
Valuation of Work$ OQ - Q d
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
Han existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval# fl 1956.3
For multiple products use product approva orm
Describe in detail the type of work to be performed: roof over
Property Owner Information: a� WUL 1411 2+
Name: -L LST Or— Address:
City AAS 8.e-L� State'p.ZipZ224QX_Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Leakbusters llc. Qualifying Agent:Charles Pegram
Address: 6040 Geor¢e Wood Ln.W. _City Jacksonville State FL. Zip 32244
Office Phone 904-778-4377 Job Site/Contact Number_334-5559 Fax#_904-772-6682
State Certification/Registration# cccl328512
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 uulicoted /certify that no work or installation has commenced prior to the
issuance oja permit and that all work will be performed to meet the standards of all laws regulating construdian i»this jurisdtdton. This permit becomes null
and void tf work rs not commenced within siz(6)months,or if construdion or work is susp�oded or abandoned for a per Po L6Y months at tHeaat after
work is commenced. /understand that separate permits must be.,. for Eltdrical rk P/xmbin8 SlSns W r
Tanks atd Air t otulltionus do
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 BN ORE RECORDING YOUR NOTICE OF
COM1 hereb certify that 1 have read and examined this plication and know the same to be true and correct. All provisiotts ojlaws and ordittances governing this
type ojYwork will be complied with whether specited herein or not. The granting of a per ott does not presume to give authority to violate or cancel the
prowsions of any other federal,state,or local law regulating construction or the Pedormatce of construction.
Signature of Owner -� Signature of Contractor
L .. �
Print Name ...... ..................._...
Print Name C L ...... . ... .. .
...
Sworn o and subsc before mc S subscribe 20
this Day of l 20 , s ay of
Notary Publi
n LISA G.MITCHELL
R vise 1.26.10
��� Notary Public,State of Florida
Commission00981686
M expires June 25,2014
Y comm, SHIRLEY LnU
by COMMISSIOEMPIRES:February
p� ,. Bonded Thru Notary P
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of F ori a County of duva
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:
Address of property being improved: 1917 Mealy St S Atlantic Beach Fl ;3� >,�
General description of improvements: roof over
Oliver Kraut
Owner rr _
Address .t.Qp 1
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Leakbusters L c
Contractor
t � Address 6040 George wood LN. W. Jacksonville Fl. 32244
v l-, Phone No. 904-778-4377 Fax No. 904-772-6682
Surety(if any)
Address Amount of bond$
Phone 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
Phone 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 Statutes.(Fill in at Owner's option).
Name
Address
Phone 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 QVVNER
Signed: � � ' DATE 1�
Before me this day of in the
county of Duval,S to ofFlorida,his personally appeared
herein by
himself/herself and affirms that all Itatements and de
Doc#2013325933,OR BK 16639 Page 21%5, are true and accur a �, LISA G.MITCHELL
Number Pages: 1 Notary Public,State of Florida
Recorded 12'23/2013 at 08:39 AM, Cott missibn#DD981686
Ronnie Fussell CLERK CIRCUIT COURT DUVAL l I mmm,4xpires Dyna Z6 2014
�,OUNTY Notary Pu is at La ge,State of Cou
RECORDING$10.00 My commission expires: or
Personally Known
Produced Identification