448 Skate Rd 2014 ROOF �is CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000149 Date 1/31/14
Property Address . . . . . . 448 SKATE RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4500
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Application desc
reroof
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Owner Contractor
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------------------------
MINCEY, WILLIE S BEACHES HABITAT
448 SKATE ROAD 797 MAYPORT RD
ATLANTIC BEACH FL 322333822 ATLANTIC BEACH FL 32233
(904) 241-1222
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Permit ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 75 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 4500
Expiration Date . . 7/30/14
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Other Fees
STATE DCA SURCHARGE 2 . 00
2 . 00
STATE DBPR SURCHARGE
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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 Q /�
800 Seminole Road, Atlantic Beach, FL 32233 LS '
Office (904) 247-5826 Fax (904) 247-5845 JA 3
Job Address: 448 Skate Rd Atlantic Beach, Fl. 32233 Permit Number: By
Legal Description 31-016 38-2S-29E R/P Pt of Ro al Palms Unit 2A Lot 19 Blk 19 Parcel#
Floor Area o q. t. q t
Valuation of Work$ 4500.00 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
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval#FL10497-R2
For multiple products use product approva orm
Describe in detail the type of work to be performed: Remove and replace approx 20sg. Flat Roll Roofing and drip
edge
Property Owner Information:
Name: Eula and Willie Mincey Address: 448 Skate Rd.Atlantic Beach,Fl.32233
City State_Zip-Phone : 904-246-0278
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Beaches Habitat Qualifying Agent: Robert Peterson
Address: 797 Mayport Rd City Atlantic Beach State Fl. Zip 32233
Office Phone 904-241-1222 Job Site/Contact Number 904-334-1202 Fax#904-241-1202
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. 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 penod of sUr6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, 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 here b 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 of work will be complied with whether speci red herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state,or local law regulating construction or the performance of construction.
r Signature of Contractor
Signature of Owner �
Print Name < _ t Print Name �1Wk �e�-e rS.o.—
C,c%..1... . .. , ...........lI..,...• ..c........
Sworn to and subscribed before me Sworn to and subscribed before me .20
this 3L*Day of�a4intai2.t�1 2014 this 415-t Day of J_A NtAot&!
lit---- '
ary Public r'`'" °••. JOYCE M.FREEMAN of is
•• E M FREEMAN
• Mo1My Public•SMI of Florida '°� '��diiite of Florida
My 4M .E"M Joe 10,2017
eeoft ft 0 EE 876W My Camel.We$Jun 10,2017
CowAse n 0 EE 876497
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: 31-016 38-2S-29E
R/P Pt of Royal Palms Unit 2A Lot 19 Blk 19
Eula M OR 3343-834
Address of property being improved: 448 Skate Rd.,Atlantic Beach, Fla. 32233-3089
General description of improvements: remove and Replace 15 windows, replace flat roof
Owner: Willie S. Mincey Address: 448 Skate Rd., Atlantic Beach, FL 32233
Owner's interest in site of the improvement: 100%
Fee Simple Titleholder(if other than owner):
Name:
f1 Contractor: Habitat for Humanity of the Jacksonville Beaches
�x Address:797 Mayport 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:
JGM M.FROWN Before me this 3 day .-ravaAg�_A the County of Duval,
F*IVA4
0myPokk-NIMe41FWW State of Florida, has personally appeared
CMMI.E*m im 10,M Notary Public at Large, State of Florida, County of Duval
Com"Won•a 871111M My commission expires:
oleo
Personally Known: f 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#2014024160,OR BK 16677 Page 814,
Number Pages: 1 /
Recorded 01/31/2014 at 02:59 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00