318 Royal Palms Dr 2014 roof 11 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
s) ATLANTIC BEACH, FL 32233
J v INSPECTION PHONE LINE 247-5814
vC
14-00000046 Date 1/15/14
Application Number . . 318 ROYAL PALMS DR
Property Address . . . . .
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3000
----------------------------
Application desc
reroof
---------------------------
Contractor
Owner
------
MAYO, MARIA LEAKBUSTERS LLC ROOF
318 ROYAL PALMS DR 6040 GEORGEWOOD LN W
JACKSONVILLE FL 32244
PO BOX 49144
JACKSONVILLE BEACH FL 32240 (904) 778-4377
------
Permit
. _ ROOF PERMIT
Additional desc • Plan Check Fee . 00
Permit Fee . . . . 65 . 00 Valuation • 3000
Issue Date . . • •
Expiration Date . . 7/14/14
2 . 0
Other Fees
STATE DCA SURCHARGE 2 , 00
STATE DBPR SURCHARGE
---------------------------------------Paid------credited
Due
Fee summary Charged
--------- ---------- . 00
00
Permit Fee Total 65 . 00 65 . 00 00 . 00
Plan Check Total • 00 . 00 . 0
4 . 00 4 . 00 0 . 00
other Fee Total 69 . 00 . 00 . 00
Grand Total 69 . 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
+ U Office(904)247-5826 Fax(904)247-5845
Job Address: 1 �/�17-AW Permit Number:_
Legal Description Parcel#
Valuation of Work$ D Ofl
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 afire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval# 111956.3
For multiple products use product approvaryorm
Describe in detail the type of work to be performed: roof over
Prooertv Owner Information:
Name: Oliver Kraut Address:
City State_Zip Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Leakbusters 11c.
Qualifying Agent:Charles Pegram
Address: 6040 George Wood Ln W. City Jacksonville State FL. Zip 32244
Office Phone 904-7784377 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 indicated. I cer16 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 ofall laws reon or work is gulating construction in thiisejrunsdiction/. This perat mit becomes null
work void o menced.not
I understand�thattn six sepalrote permitsomt st bessecutred for Elewica/Work.Plsmbing Signs ded or abandonedfor aWeGs Pa°Li Fa)rnaces sBoiltrsy tHea�
Tanks and Air Conalionem eta
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 ATTORNEYOMMEN NTORE RECORDING YOUR NOTICE OF
C .
I hereby 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 pf work will be complied with whether speci�d herein
e ninon not.
7h ogtae ting orfina not
iatresume to give authority to violate or cancel the
a pen
pro vtsuons of any other federal,state,a local taw regul g pe f° f
Signature of Owner 0,cJ(J�" ""' .✓/ Signature of Contractor
Print Name `.W{r . K r^`"� ....... Print Name (_Y�4.f._.� .. .._..... �! d•v�
_... ........_.._._..........._._.._...................
Swo to and subscribed before me Sworn to and subscribed before me 20
this Day of w t • 20 �� this _Day of
Notary Plibli Notary Public
LISA G.MITCHELL Revised 01.26.10
0 ° Notary Public,State of Florida
Commission#DD981686
my comm.expires June 25,2014
i>"'''• JENNIFERWALKER
ti
MY COMMISSION$FF o1 i480
EXPIRES:Apri►24 2017
' 1lf, Bonded Thru Notary Public imoerwrken
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of F ori a County of duva
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT. _
Legal description of property being,' proved: �+• ��
c�
Address of property being improved:3l9' 00'f/4'L (� 1 ntic Beach F1
General description of improvements: roof over
Oliver Kraut
Owner j cp
Address o `=' CEJ Y=so
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
`
Leakbusters L c
[,tY Contractor
Address 6040 George wood LN. W. Jacksonville Fl. 32244
Phone No. 904-778-4377 Fax No. 904-772-6682
i
Surety(if any)
Address Amount of bond$
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 OWNE
Signed: DATE
Before me thisday of in the
County of uyal,State of Florida,h9s personally appeared
Doc#2014010774,OR BK 16660 Page 2372,
e r �-! herein by
himself/herself and affirms that all statements addecillatrons ereiNumber Pages:1 are true and aecurat � o =Pubfic,State
HELLRecorded 01!1512014 at 09:58 AM, $ of FloridaRonnie Fussell CLERK CIRCUIT COURT DUVAL 981686COUNTY 1Ane 25,2014
RECORDING$10.00
Notary Public at Large,State of C—%.-
My
%.-My commission expires:
Personally Known or
Produced Identification