715 Sabalo Rd Roof 2014 CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
J r� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
14-00000032 Date 1/13/14
Application Number - - � 715 SABALO DR
Property Address . . • . •
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . 4850
----------------------------
Application desc
reroof
----------------------------
Contractor
Owner
--------------------
SOUTHERN COAST ROOFING & CON
p.NASTACIO, LOLITATE
715 5ABAL0 DRIVE 4557 EAST SENEGA DR
ATLANTIC BEACH FL 32233 904 333-5915
JACKSONVILLE FL 32259
(904) 305-8887
----------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 75 . 00 4850
Valuation .
Issue Date . • • . 7/12/14
Expiration Date
2 . 00
STATE DCA SURCHARGE
Other Fees • 2 , 00
STATE DBPR SURCHARGE
Char
_ed ---------------Due---------
------------------------ --------------
Fee summary g Paid Credited
-------
_ ---------- . 00
. 00
Permit Fee Total 75 . 00 75 . 00 00 . 00
Plan Check Total • 00 ' 00 . 00
4 . 00 4 . 00 . 00
Other Fee Total 79 . 00 . 00 . 00
Grand Total 79 . 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: ?t n '44i oma- ftl ,- �) F:L,--Permit Number:
3223 3
Legal Description Parcel#
_ Floor Area of q•Ft. q• t
Valuation of Work$ LA's a `'Q Proposed Work heated/cooled I%no 0 non-heated/cooled \10a
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one):• Commercial esid tia
If an existing structure,is a fire sprinkler system installed? (Circle one): es o N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed: T<m t- a t
CAUP. 4-
Property Owner Information:
Name:.(Taw _ ^ Address:? T- ')aba1t, cJjr
City &-N-kar\N .AA StateR,_Zip 5,g,33_Phone
E-Mail or Fax#(Optional,
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: ate. �� �.� co ro�Q� - Qualifying Agent: V�cZ�pAyi� Zi z
Address: �-t `' City�-t -��c►,.'n ` `— p��a-
Office Phone y o S 88 �- Job Site/Contact Number o� q$I�- Fax#
State Certification/Registration# C.CG t1!5 IR
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 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
ix(6)months, or if construction or work is suspended or abandoned for a period of siXP6)months at any time after
and void if work is not commenced within s
work is commenced. I 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 N YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YO
U BE ORE RECORDING YOVIi NOTICE F ND TO OBTAIN FINANCING CONSULT H
YOUR LENDER OR AN COMMENCEMENT.
I hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of OwnerSignature of Contractor
Print Name ..............G.s.......... .. ........ Print Name .......... .¢l�!►rv��".........� ..........................................................
Before me Before me 20
this ay �► 20 0
S" G 9577
a�YCOMMISSIO
•L
N ry lid, :g E
Slate of on a
Not 1 MmLssion#EE 49709
t;ty cflm
xfi .exaires Dec.16
,2014 d 01.26.10
NOTICE OF COMMENCEMENT
Tax Folio No.
Permit No.
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
2. General Description of improvements: r`
3. Owner Information:
a)Name and Address: r z i C���t S��to t�i` (���••�:r RP ot�t�� ZZ
b)Interest in property:
c)Name and address of simple titleholder(if other than owner):
4. Contractor Information:
a)Name and Address: r'Ce.5 4,
it b)Phone Number: OA4 31g5
f�5. Surety Information:
�J a)Name and Address:
b)Phone Number:
c)Amount of Bond:$
6. Lender Information:
a)Name and Address:
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13(1)(a)7,Florida Statutes:
a)Name and Address:
b)Phone Numbers of Designated Person:
8. In addition to himself/herself,Owner designates
of to receive
a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
a)Name and Address:
b)Phone Number of person or entity designated by owner:
9 Expiration date of Notice of Commencement(The expiration date is one(1)year from the date of Recording unless a
different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART
Q
I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR vi
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND M Q
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, w
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING a O
YOUR NOTICE OF COMMENCEMENT. co 2
oU
to r U
The fore rument was acknowledged be a this day of �1✓�I 20 O �a o
v ow
Cs m7N5 r
CO0 01
r —
m'o z
,S OF FL A oa�
�✓l N �� AZO
Print Name: Q�� >�'71/C'�- # v E=v
o a) oOw
QZLC(YUK
❑ P onally Known �. L
dentification/Type: �
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the
foregoing and that the facts stated in it are true to the best of my knowledge and bell f.
ORT£NC[T__7
public,Srida S afre of Prperry O r
mmissionm,expire2014
Revised 10/1/2009