777 Vecuna Rd 2014 Roof ?i!rL`J1'
`S �l lrl
s f CITY OF ATLANTIC BEACH
s)
800 SEMINOLE ROAD
JATLANTIC BEACH, FL 32233
*F
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 14-00000047 Date 1/15/14
Property Address . . . . . . 777 VECUNA RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6500
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Application desc
reroof
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Owner Contractor
-
------------------------
-----------------------
CRUZ, EUGENIO LEAKBUSTERS LLC ROOF
10599 NOEL RD 6040 GEORGEWOOD LN W
GLEN SAINT MARY FL 32040 JACKSONVILLE FL 32244
(904) 778-4377
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Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . 85 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6500
Expiration Date . . 7/14/14
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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 85 . 00 85 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 89 . 00 89 . 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:TQ VEW,. JAL, D Permit Number:_
Legal Description Parcel#
i
Valuation of Work$ ��oc7
Class of Work(circle one): New Addition Alteration Repair Move Demolition pooUspa window/door.
m
Use of existing/proposed structure(s)((circle one): Comercial Residential
If an existing structure,is a fire sprinfder system installed?(Circle one): Yes No N/A
Florida Product Approval#-- f11956.3 —
F
11956.3For multiple products use pr u approvaFform
Describe in detail the type of work to be performed: rifirMer_ _ry
Property Owner Information:
Name: Oliver Kraut Address:
City State_Zip Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Leakbusters Ilc. Qualifying Agent:Charles Pegram
Address: 6040 George Wood Ln.w. City Jacksonville StateL. Zip 32244
Office Phone 904-778-4377 Job Site/Contact Number_334-5559 Fax#_904-772-6682
State Certification/Registration# ccc1328512
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 cert 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 thiisejnunsdiction/. This permit becomes null
andwork oil is ommenced.work is not
commenced I understand that
n six separate permits mor u be seta ed for Electrical
lam al suspendedonstruction or work is work,Plumbing,
aWtlLs�Pafols,Fainaca,Boilamonths at s,tHeate,
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 ATTORNEYOMMENCEMENECORDING YUR NOTICE OF
C .
I herebv certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type!9f work will be complied with whether sped d herein or not. The granting of a permit does not presume to give authority
t violate or cancel the
provisions of any otherfedeal,state,or local law regulating construction or the performance of c�ruction ]t/V�'
Signature of Owner '�+ Signature of Contractor
Print Name1, , t`G.vL Print Name V �._� .. ........_� _.. r��_!�' ....
..re .-_ -.._K....-_-_-t.__.--.._... _.
Sworn to and subscribed before me Sworn to and subscribed before me 20
this g Day o .201%4 this _Day of
0A 1ti/�
Notary ubli Notary Pu tc
Revised 01.26.10
AG USA Q.MITCHELL
Notary Public,State of FbrWa
Commission#DD981686
1MycDmm.expires June 25,2014
JENNIFER WALKER
._ MY COMMISSION#FF 0114P0
EXPIRES:April 24,2G17
4 Bonded Thru Notary Public Uncerw"
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: f
Address of property being improved:711 U EW NA- tlantic Beach Fl
General description of improvements: roof over
Oliver Kraut
Owner �1
Address Z—\7��C �c ��•t I P � 4n L-.
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Leakbusters L c
Contractor
Address 6040 George wood LN. W. Jacksonville F1. 32244
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
Signed: \JCJu�^'
Before me i-his day of n the
Coun f Duval,Stat of Rol has Rersonally appeared
Doc#2014010773,OR BK 16660 Page 2371, ��tjt ` ,,..JC _herein by
Number Pages:1 himself/herself and affirms that all statements and declarations herein
are true and accurate
Recorded 01:15/2014 at 09:58 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL A LISA G.MITCHELL
COUNTYl� Notary Public,State of Florida
RECORDING$10.00 f It Commission#DD981686
Notary Public at Large,State of V , Coun of comm.expires June 25,2014
My commission expires.
Personally Known or T
Produced Identification �,