1958 Beachside Ct 2014 roof v CITY OF ATLANTIC BEA
sj 800 SEMINOLE RO �.
J v ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J!tit
Application Number . . . . . 14-00000076 Date 1/21/14
Property Address . . . . . . 1958 BEACHSIDE CT
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 6700
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Application desc
FL 10124-R7
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Owner Contractor
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------------------------
SMITH JAMES JAY JR SUNSTATE ROOFING CONTRACTORS
P.O. BOX 51528 1946 BEACHSIDE CT
JACKSONVILLE BEACH FL 322401528 AEACH
(9�4NT613B6517 FL 32233
-- -------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . . 00
Permit Fee 85 . 00 Plan Check Fee .
Issue Date . . . Valuation 6700
Expiration Date . . 7/20/14
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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
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----------------- ----------
---------- ---
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: 1958 BEACHSIDE CT ATLANTIC BEACH,FL 32233 Permit Number:
Legal Description 42-14 09-2S-29E BEAC14SIDE LOT 24 BLK 1 Parcel#169542-0555
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$6700.00 Proposed Work heated/cooled non-beated/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 Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval# FL10124-R7
For multiple products use product approval form
Describe in detail the type of work to be performed: RE-ROOF EXISTING SINGLE FAMILY RESIDENCE
Prope V Owner Information:
Name:
SMITH,JAMES JAY JR Address:P O BOX 51526
City
JACKSONVILLE BEACH State FL Zip 32250 Phone 904-5W-1100
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:
SUNSTATE ROOFING CONTRACTORS INC Qualifying Agent: THEODORE W ALESCH
Address:1946 BEACHSIDE CT City ATLANTIC BEACH State FL Zip 32233
Office Phone 904-945 5421 Job Site/Contact Number 904-613-6517 Fax#604-247-
WO
State Certification/Registration# CCC 1330039
Architect Name&Phone# WA
Engineer's Name&Phone# WA
Fee Simple Title Holder Name and Address
Bonding Company Name and Address WA
Mortgage Lender Name and Address WA
A plication is hereby made to obtain a permitl work .to do the work and installations as indicated. l certify that no work or installationconstruction in this ,has commenced prior to
becomes null nd Vaal ifworktiisnotl commenced be performed
(6)months,meet or ilreonstructioe standards n ofr work ws is�s/usapended or abandoned,for supe od Jsix 6)months
Bo my i Heame l rs,er Tanks and Air ced i u de setc.d that separate permits must be secured for Electrical Work,Plumbing,Mans,iYelLs,tools,(Furnaces,
Co;i
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 ATTO NEYBEFMENCEMEORE
NTCORDING YOUR NOTICE OF
COMng
this o(worthat I k ill be complied with whether spectJ�ed hetrein not The grantin ofa perm doeap h at'n and know the same to be true and s not t. Aresume to giv rovisions ojl ho aws andordinances 6ncel+
prove' ns other federal,state,or local l gelating construction or t�•r�ormgry Al nstruf�on.�t(�
Signature of Contractor
Signature of Owne
Print Name
Print Name TH, AMES JAY JR
Swotfj�o !subscribed b
Swo and subsc b before a20 this (�Day of
this Day of
Notary Public h Notary Public State of Florida
N ry lic
_ ` t� Denise M Beaver nY ri JENNIFER WALKER
My Commission 00916200 _*: * MY COMMISSION#FF 011480
Expires 0410112014 g EXPIRES:April 24,2017
or r� n
F,k,r'- Bonded Thtu Notary Public Underwriters
NOTICE OF COMMENCEMENT
State of FLORIDA Tax Folio No. 169542-0566
County of DUVAL
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: 42-14 09-2S-29E BEACHSIDE LOT 24 BLK 1
Address of property being improved. 1956 BEACHSIDE CT ATLANTIC BEACH,FL 32233
General description of improvements: RE-ROOF EXISTING SINGLE FAMILY RESIDENCE
Owner: SMITH,JAMES JAY JR Address: P O BOX 51528 JACKSONVILLE BEACH,FL 32250
Owner's interest in site of the improvement: FEE SIMPLE
Fee Simple Titleholder(if other than owner):
Name:
Contractor: SUNSTATE ROOFING CONTRACTORS,INC
Address: 1946 BEACHSIDE CT ATLANTIC BEACH,FL 32233
Telephone No.: 904-613-6517 Fax No: 904247-9330
Y'Surety(if any) N/A
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: N/A
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: N/A
Address:
Telephone 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 Statues. (Fill in at Owner's option)
Name: N/A
Address:
Telephone 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 aptaryPu
/
Date:
Doc#2014014790,OR BK 16666 Page 468, / day of fX}r►Kei in the County of Duval,Stat
personally app e 3
Number Pages:1 at Large,State o a, ountT o uva.Recorded 01/21/2014 at 03:58 PM, n expires: p1*"I"w No ary Public State of Florida
Ronnie Fussell CLERK CIRCUIT COURT DUVAL personally Known:
COUNTY or
RECORDING$10.00 Produced Identification: + ' r 04101/2014
i
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