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451 Camelia St 2014 ROOF z, CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD J � ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 f3 �? 14-00000148 Date 1/31/14 Application Number 451 CAMELIA ST Property Address . . • • • - Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation 3500 --------------------------- Application desc reroof ----------- -------------------------- Contractor Owner COMMUNITY FIRST CREDIT UNION BEACHES HABITAT RD C/O CENLAR FSB 425 PHILLIPS 797 ATLAmAYPNTIC BE CH FL 32233 425 PHILLIPS BLVD ATLANTIC BEACH 425 P NJ 08618 (904) 241-1222 EWI__ -------- Permit ROOF PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 70 . 00 3500 Valuation Issue Date • • ' ' 7/30/14 Expiration Date ------- 2 . 00 Other Fees STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE ---------------------------------------Paid------Credited Due Fee summary Charged --- ------- ---- 70 . 00 70 . 00 . 00 00 ----- ---------- Permit Fee Total 00 00 00 . 00 Plan Check Total 4 . 00 . 00 . 00 Other Fee Total 4 . 00 00 . 00 Grand Total 74 . 00 74 . 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 Q 800 Seminole Road, Atlantic Beach, FL 32233 U Office (904) 247-5826 Fax (904) 247-5845 '1 / 31 By Job Address: 451 Camellia St.AB 32233 Permit Number: Legal Description : 18-34 38-2S-29E.117 Atlantic Beach Sec H Parcel# Floor Area of Sq.Ft. Sq.Ft Valuation of Work$3500.00 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair(X) Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one):. Commercial Residential(X) If an existing structure,is a fire sprinkler system installed? (Circle one): Yes o N/A Florida Product Approval#FL10124 (GAF 30yr. Arch. Shingles) For multiple products use product approval form Describe in detail the type of work to be performed: Remove and Replace approx. 15sq Asphalt Shingles Property Owner Information: Name: Beaches Habitat Address: 797 Ma ort Rd City Atlantic Beach State FL Zip 32233 Phone E-Mail or Fax#(Optional)904-241-4310 Contractor Information: Company Name: Beaches Habitat Qualifying Agent: Robert Peterson Address: 797 MWort Rd _City: Atlantic Beach State FL Zip 32233 Office Phone 904-241-1202 Job Site/Contact Number 904-334-1202 Fax# 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 Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 thisjurisdiction. months at This permit becomes null and work is commenced.ommenced.work is ot commenced within six 1 understand that separate permits must be secured for Electrical-Workconstruction or work is , or Plumbing,Signs,,aWells�P ols,zFut paces,Boileis t Healers, 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 H YOUR LENDER OR AN ATTORNEY OBTAIN RECORDNG YOUR NOTICE OF COMMENCEMENT. vern n this type of ork certify 11 be complied with whethethat I have read and rthis peciaedlhe herein or not.ication and The granting of a permit doesw the same to be true and notp t. e umelto giveonsoaauthority tows and lnvaiolategor canlcel the provisions of any other federal,state,or local law regulating construction or the performance of construction. Signature of Cont ctor�" `�� Signature of Ow��``-'' � �� - Print Nameo. o,,J-......_V�e5.. ........................................................... Print Name .t....... .vs.o-.................................................... Sworn to and subscribed before me Sworn to and subscribed before me .2014 this aS-(Day of '�i4 tyu 12ti1 201 this Day of��Anf i —s *ary�Public �� O ry Pu iC ,4 ,1,,,.,,, JOYCE M.FREEMAN O1'p�Pve�4� JOYCE M.FREEMAN *jsrduft2dt*@01 Florida Notary Public-State 01 Flodit My Comm.Eykes Jun 10.2017 My Comm.Expires Jun 10,201,1 mis Comsion•EE S7M97 W Commission*EE$7607 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: 18-34 38-2S-29E .117 Atlantic Beach Sec H 03119 Atlantic Beach Sec H Address of property being improved: 451 Camellia St.Atlantic Beach, Fla. 32233 General description of improvements: remove and Replace Ash.Shingles, replace 3 exterior Doors, repair soffits, repair drywall paint interior, Owner: Beaches Habitat Address: 797 Mavport Rd. ,Atlantic Beach, FL 32233 Owner's interest in site of the improvement: 100% Fee Simple Titleholder(if other than owner): Name: X11 Contractor: Habitat for Humanity of the Jacksonville Beaches ! Address: 797 Mavport Rd Atlantic Beach FL 32233 Phone No.: 904-241-1222 Fax No.: 904-241-4310 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 Statues. (Fill in at Owner's option) Name: Beaches Habitat Address:795 Mavport Rd.,Atlantic Beach, 32233 Phone No.: 904-241-1222 Fax No.: 904-241-3410 Expiration date of Notice of Commencement(the expiration date is one(1)year form the date of recording unless a different date is specified): OWNER�.._ Signed -+� Date: JOYCE M.FREEMAN Before me this `�i S day of G yR q in the County of Duval, *Wy POic-State of Ftorift State of Florida, has personally appeared *cow.Expwn Jon 10,2017 Notary Public at Large, State of Florida, County of Duval ► eaVM M Mo M.; EE 976497 My commission expires: Personally Known: or Produced Identification: 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 1, 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 on the job site before the first inspection. If you intend to obtain financing,consult with your lender or attorney before commencing work or recording your notice of commencement. THIS SPACE FOR RECORDER'S USE Doc#2014024159,OR BK 16677 Page 813, Number Pages: 1 Recorded 01/31;2014 at 02:59 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00