372 Royal Palms Dr 2014 roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . 14-00000085 Date 1/22/14
Property Address . . . . . . 372 ROYAL PALMS DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4200
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Application desc
reroof
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Owner Contractor
-
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DUVAL HOME BUYERS LLC SOUTHERN COAST ROOFING & CONS
1514 FELCH AVE 4557 EAST SENECA DR
JACKSONVILLE FL 32207 904 333-5915
JACKSONVILLE FL 32259
(904) 305-8887
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Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4200
Expiration Date . . 7/21/14
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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 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 79 . 00 79 . 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: gotA j A;61W Permit Number:
Legal Description 21-1(e 3f-2 S ` PJC !fe et ?I of Qytt Parcel#
Floor Area o q. t. �.Ms ► 1 N Sq.Ft
Valuation of Work$ RUO. 00 Proposed Work heated/cooled 91- non-heated/cooled 9 7.1—
Class
.1—Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Commercial esidenti
If an existing structure,is a fire sprinkler system installed? (Circle one No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: Rf.- f 00�� 4
Property Owner Information:
Name: -Duuml he a (-G C Address: FCJC-h kuli
City-,'TQ9!g5qn&0:%ir- State&,Zip ZZO _Phone
E-Maor Fax# (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: c••d �e '�•Quali mg Agent: VVI iln r<.aj�- D1�S
Address: YIS;- 6, 1 City �. r/et�v�`S State-Pt Zip 37,2S9
Office Phone ID4 ?d Job Site/Contact Number qpy 3pf-$S;- Fax#
State Certification/Registration# c4t- 13 4lGq a-
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 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 if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, I urnaces,Boilers,Heaters,
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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o7work will be complied with whether speci aed herein or not. The granting of a permit does not presume to gave authority to violate or cancel the
provisions of any otherfie eral,state, or local law regulating construction or the performance of construction.
w-
Signature of Owner/ � / I / Signature of Contractor
Print Name /C kap..p ( ,.,...,. `.2Jh.GG�'el-;-,o Print Name
Befo e me Before'�me
this �+Pi
ALMthis T y of r�- /
' �- —
MY COMMISSION#EE867055 1 IA HAD
ON#EE867055
Nota anuary N�Pub 't . EXPIRES January 22.207
14011,39"153 i401i 399-01 ��
NOTICE OF COMMENCEMENT
Tax Folio No.
Permit 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 available):
-&"- (, Aq-75 24� +QIP �t PT 'MYi4d PAtwtS ���RT—� =
2. General Description of improvements: f
e r-
3. Owner Information: 0,z%0Ac-
a)NameandAddress: z ? Rn4Al Pf4tAAC DR AfAm"Ir
b)Interest in property:
c)Name and address of simple titleholder(if other than ownerStAtAW, 41*
):
4. Contractor Information:
a)Name and Address:�'.T` ten % �"s# 5� Sahv►`s !`LL —
Phone Number: nof Sof
5. Surety Information:
a)Name and Address:
b)Phone Number:
c)Amount of Bond:$
6. Lender Information:
a)Name and Address:
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:
a)Name and Address:
b)Phone Numbers of Designated Person:
to receive
8. In addition to himself/herself,Owner designates ofa copy of the Lienor's Notice as provided in Section 713.13(1)(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
I, 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 N 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_Lj_day of n^— 20_-
Doc#21014015510,OR BK'1666/ gage 79, /7"f �' �a� �-
Number Pages:1 NO— TAR PUB � STATE OF FLORI A
Recorded 01/22'2014 at 12:09 PM, print Name: "�'�►'a�+��� ���o�l AL
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00 ❑Personally Known �.oc�d�,
X Identification/Ty n f
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I decl that I have read the
foregoing and that the facts stated in it are true to the best of my knowledge and b ' f.
ALMIR HADZIC
Signature of Property Owner N_ MY COMMISSION p EE867066
"•w�:
' EXPIRES Jerwary 22.2017
•�o FlpndallolryBKNa•ooel
Revised 10/1/2009