341 sargo Rd 2014 Roof CITY OF ATLANTIC BEAU
800- EMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 14-00000070 Date 1/21/14
Property Address . . . . . . 341 SARGO RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3800
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Application desc
REROOF 7006 . 1
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Owner Contractor
------------------------ ------------------------
FORE, STUART ASHBY HOMEOWNER BLDG SVCS INC(ROOF)
1616 BEACH AVE 739 BROOKMONT AVE E
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(907) 322-1054
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3800
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
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 74 . 00 74 . 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: 341 Sargo Road Atlantic Beach Florida
Legal Description Parcel#
oor ea o Sq.Ft
Valuation of Work$ 3800 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 1
If an existing structure,is a fire sprinkler system installed?(Circle one): es No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed :Replace existing shingle roof
Property Owner Information:
Name: Stuart Fore
City 1616 Beach Ave Atlantic Beach
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Home Owner Building Services Inc. City Jacksonville
Address: 739 Brookmont Ave.E. Job Site/Contact Number Fax#
Office Phone 904-322-1054
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address to do the
that
work or
ion has commenced
rior
the
Applicatnce ion
i permit hereby nd made
to t all work will beperformedtoomee therk and installations
standards of all indicated.
regulatingconstruction In this jurisdiction.� ( his permit becomesonull
endeworkisd o menced.not
I understand nd twithin
hat separate permimonthsts muor st be secuconstruction
red for Electrics!Work,l Plumbing,Sigor ns,aWeUs,Period o lsxFu�naees,Boilmonths at ers,tHeatetrs,
Tanks and Air Conditioners,etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULTTEND TO OBTAIN FINANCING, CON S LT MENTS WITH
TO YOUR PROPERTY. IF YOU IN
YOUR LENDER OR AN ATTORNEY MENT
BEOR RRECORDING YOUR NOTICE OF
COMME1 heerebYcertify
ort will t complied read
wind whetheed t is redlherteon onnot.�The granting of per does w the same to be true and cnot prt. All esumerto gtons a`ve, tholaws u ty tolnviolate ances gor canceloverning the
typ 1l pp 2-�
provisions of any other federal,state, or local law regulating construction or th�li��aL2�2��t°n•/
Signature of Owner Signature of Contract
Print Name �'1��' l—tUi"L........ Print Name
20
.....................................
Sworn �and subsc ' d before me Sw d subscribed�efore me 20 1
this Day of alr� this Day of
Notary Public �� P CINDIE HERNANDEZJENNIFER
MY COMMISSION#EE148600
P. MY COMMISSION#FF 011480 Revised 01.26.10
yy+� EXPIRES:November 27,2015 :e EXPIRES:April 24,2017
e 3 N y Fi.Notary Discount Assoc.Co. •:;'R�fro°:• Bonded Tttru Notary Public Underwriters
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No.
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:
Address of property being improved: 341 Sargo Road
General description of improvements:—Residential Remodeling
Owner: Stuart Fore Address: 1614 Beach Avenue
Owner's interest in site of the improvement:_Fee Simple
Fee Simple Titleholder(if other than owner):
Name: Home Owner Building Services Inc
Contractor:_Glenn R Alexander
,VA Address:_739 Brookmont Avbenue East Jacksonville Florida
V� No.: 904-322-1054 Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone 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:
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:
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 OWNER \
l Signed: ` J Date:
Before me this day bf in Coun of Duval,State
`^ Of Florida,has personally appeared 1 >_Drc' _
CINDIEE HERNANDEZ Notary Public at Large,State of Florida,County of Duval.
ktY C01-I�AISSION#EE148600
•5 jY E3iPIRES:Novanber 27,2015 My commission expires:
i-eoa` oraiv F�.N�ao a n5=�.co. Personally Known: or
Produced Identification:
'OC#210140142191,OR BK 16665 Page 1306,
umber Pages:1
ecorded 01"21,`2014 at 01:05 PM,
onnie Fussell CLERK CIRCUIT COURT DUVAL
OUNTY