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2400 Seminole Rd 2014 Roof CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD s) ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 �JF3 � 14-00000048 Date 1/15/14 Application Number 2400 SEMINOLE RD Property Address . . - Application type description ROOF PERMIT Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . • 158500 ------------------------ Application desc reroof ------------------------ Contractor Owner _________ ------------------------ --------- GLOVER S TAYLOR RESCUE ROOFING & CONSTRUCTIO 150 HIDDEN RD STE 311 2400 SEMINOLE RD FL 32081 FL 32233 PONTE VEDRA ATLANTIC BEACH (904) 923-0359 ------ -----Permit . . . . . . ROOF PERMIT Additional desc . • plan Check Fee . 00 Permit Fee . . . . 657 . 00 158500 Valuation Issue Date • • • • Expiration Date . 7/14/14 _ ---- STATE DCA SURCHARGE 9 . 86 Other Fees 9 . 86 • STATE DBPR SURCHARGE --------- --- ------------------ ------------------------------ Credited Fee summary g ----Due Paid Charged --- 657 . 00 657 . 00 . 00 . 00 Permit Fee Total 00 00 . 00 Plan Check Total 19 72 00 . 00 Other Fee Total 19 . 72 . 00 . 00 Grand Total 676 . 72 676 . 72 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: 7-40 0 SEMIN 0 1t Jzt Permit Number: Legal Description RC - lruai n '" 6 W-0- r Parcel# .-floor Area of--Sq. t. Sq.Ft Valuation of Work s16,16 b d 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 Residentia If an existing structure,is a fire s rmkler system installed? (Circle one): o N/A Florida Product Approval 4iL-1 _ For multiple products use product approval form Describe in detail the type of work to be peribrined: Property Owner Information: - Name: �011� ��.L..O✓E/�.� Address Zt!O_.M - ` �•- _ City_._ State_Zip Phone_S,'%p E-Mail or Fax#(Optional) - - -- Contractor Information: CONTRACTOR EMAIL ADDRESS: reSCU EX00i M } Qualifying Agent: / Y� --- Company Name:q?e__. t,� rSota f f1_._�� --� -- �L' Address: . (QQ4 0Ce trtt „� �s-� ` moo_ city )4%j 1��1 11p State__FL ZipZ Office Phone Cl�4-Ppb-q 1q-1-_Job Site/Contact Number Fax# 904-834- State Certification/Registration# G - -" Architect Name&Phone# _ 1A Engineer's Name&Phone#•__ - __.. Fee Simple Title Holder Name and Address -- Bonding Company Name and Address ___ ------ Mortgage Lender Name and Address_ j, __ --_ 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 and void i work is nut commenced within six(6j months, or if construction or work is sus+ended or abandoned far a eriod of six 6J months at any time after work is commenced I understand that separate.permits must be secured for Electrical'Work,Plumbing,Signs, Wells,Pools, urnaces,Bolters,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEN'T'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFOR ENTE RECORDING YOUR NOTICE OF I hereby certify that 1 have read and examined this a plication and know the sante to be true and correct. All provisions of laws and ordinances governing this type of work ivull be complied with whether speci red herein or not. The granting of a permit does not presume to give outhori. late or cancel the provisions of any other federal.state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contrlacto -- Q- Csl✓oV�)e- ame T7. ...,?'�.`...... ..................... Print Print Name ��►�ilt �t�i'i Before me 20 ��vP�•Ma • . '' 20 this of ay of Notary' 1c = 2'� ��: �sYe' IR LGRAHAM !NGCo.,GE.��V�� g .a: ,<` EXP IRES:February l4,?014 ••...... I � 9ondFd Thm Notary Public Underwriters YtPVp`` ., _._ _ NOTICE OF COMMENCEMENT Permit No. (4 b O 0 O tQ A.,% Tax Folio 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 avail bl : y../ ,-}`` &0-66+ 1,22-11 2, General Description of improvements: 3. Owner information: /�'�1�.�l�f G ISM a)Name and Address: TA14L,00 �''�V�� 24-00 , b)Interest in property: U 4.l t4 r,-K11 _ c)Name and address of simple titleholder(if other than owner): 4. Contractor Information: tZ�5G� A��' lv-4 O ip a)Name and Address:__— ,C� --- b)Phone Number: -- 5. Surety Information: a)Name and Address: -- ----- b)Phone Number: c)Amount of Bond:$ _..._..._.._ -- 6. Lender Information: l . a)Name and Address: I ........ _..___.. 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: N I A 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(l)(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 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. The foregoing instrument was acknowledged before me this day of �G, 2014- ^\ ``��Ututiit►tp111i °�aIIIN NOT Y UBLIC,STATE OFn � 1�►SSION �� l� U. = f •• Print; 'am ( �t1 C� l � •i OCTOCi'r 94n I Personally Known ; 2016 ;*� ❑ Identifrcation/Type: !• Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the �i�� 'p••.v�:�••'��`N�� foregoing and that the facts stated in it are true to the best of my knowledge an Ii P ON�� Signature o ro m'Owner Doc#20114011099,OR SK 16661 page 74!, Number Pages:1 Recorded 0115%20":4 at 11:52 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL Revised 10/1/2009 ('OUNTY RECORDING$10 00