750 Aquatic Dr 2014 ROOF CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . 14-00000224 Date 2/18/14
Property Address . . . . . . 750 AQUATIC DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6000
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Application desc
FL 10124 . 1 REROOF
Owner Contractor
-
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KIELLEY DAVID MERRITT CONST. CO. (ROOF)
750 AQUATIC DRIVE 108 FLORIDA BLVD
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 993-1697
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6000
Expiration Date . . 8/17/14
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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 80 . 00 80 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 84 . 00 84 . 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: ` 9iao_�4 Dg Permit Number:
Legal Description Parcel#
o, Floor Area o q. t. q. t
Valuation of Work$.6000 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 Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval# 5, /old y. /
For multiple products use product approo alTorm
Describe in detail the type of work to be performed:
Property Owner Information:
�� Address: 79
Name: h
City State F(Zip ZZ33 Phone �(a°t g'-1(oq 7
E-Mail or Fax#(Optional)
Contractor Information: /�-
✓ c� M wi l b 6 +n C-Qualifying gent:
Company Name: U�on✓t -C State l—[L Zip 3 ZZ,��
Address: 17
r✓t City Fax# 220 37//
Office Phone Job Site/Contact Number 5 3—/ b y 7
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 this jurisdiction. This permit becomes null
and work er
oisc ommenced I ummenced within six nderstand that sepawork is not corate permits muor st be secured for Electrical—Work,Plumb ng,Sigconstruction or work is suspended or ns,or aWells,Pools,x uinaces,Boilers,months at tHealetrs,
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 BEOR ERECORDING YOUR NOTICE OF
COMMEI hereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofYwork will be complied with whether sppeci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, ate, or local[aw regul ing construction or the performance of construction.
Signature of Owner Signature of Contractor /A
L ems.. Print ame P�....:SfQ/ c'�// .....�.........................
PrintName ................... ......P�.... C ... :�1....... ........................................
Beforethis Day of -
01WID E.MERRIT Befo e 20
Y� ""' Do�F�drida this ay of
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,•fi My CAnm.Expires Oct 15,2017
o N EF 063174
Nota ublic ' , OFA;,`,.+� 60n" � M`ry'• JENNIFERWALER
.; .: MY COMMISSION Y FF 011480 Revised 10.24.12
• 'a EXPIRES:April 24,2017
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�'St' 80nded Thru NotaryPublic Underabrs
NOTICE OF COMMENCEMENT
'=EPARE!N DUPLICATE)
Dermit No. Tax Folio No.
:,tate of County of
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 —7 �r
C ���t iC �3ZZ3
Address of property being improved: I A,*
Fly Z1
General description of improvements: e�QQ•�
Owner �'17��1�11 1�e
Address ( J�
Owner's interest in site of the improvement
Fee Simple T-rtlehoider(if other than owner)
Name
Address 1
P
C ontractor V l( fir t C U rte}- U Address J f rVfP,
Phone No. /13-1(o,97
Fax No. Zzo-3-7
Surety(if any)
Address Amount of bond S
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improve rnents.
Name
Address
Phone No i 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. r Fax No.
f
In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided in
Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone 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 p
Signed: DATE 2-,
Before this day of n the
County of Duval ate of Fbnda.has personally ared t
Doc#2014035492,OR BK 16691 Page 1589, herein by �J
Number Pages: 1 himself/herself and affrms that all statemerm dedarations herein
Recorded 02182014 at 09:42 AM, are true d accurate
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY —
RECORDING$10.00 AV E.MERRITT
Notary Public at Large.State of
My commission expires: ; •c— State of Florida
Personally KnoNn ZM. l{gtres Oct 15,2017
Produced Identification ,r t • cc ptjsgygh t FF 063174
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�••''4.�"�` Bonded Through National Notafy Assn.