Loading...
98 W Dutton Island 2014 Roof CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J f u ATLANTIC BEACH, FL 32233 ter,, INSPECTION PHONE LINE 247-5814 rDill, Application Number . . . . . 14-00000229 Date 2/18/14 Property Address . . . . . . 98 W DUTTON ISLAND RD Application type description ROOF PERMIT Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 5215 ---------------------------------------------------------------------------- Application desc REROOF FL 1956 . 1 FL 5293 . 7 ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- NASH JACQUETA MOODY' S ROOFING INC 98 DUTTON ISLAND 9222 BOOTS LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32220 (904) 641-9844 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 80 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5215 Expiration Date . . 8/17/14 ---------------------------------------------------------------------------- Special Notes and Comments MUST PROVIDE RECORDED NOC PRIOR TO 1ST INSPECTION ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- 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 Afflar%+%�- Beah T= B-1--o-c- Job Address: 16 'W Z�Lk-_ '�CQY\ S Permit Num4er: LCA-%-X_ C a3Y Pr RL-LD 0/R 13Liq&-4.Ab) 131A Legal Description 19 -lCs 1-1—�S-a�� • l-1 k C)On 1 e�(S R P Parcel# I Floor Arica o q. t. �q�t - Valuation of Work$ r)Qk5.CXR 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 # f l z 19�;(P. 1 / L CL29 3, '7 For multiple products use product appr— ova Cform Describe in detail the type of work to be performed: R e Roo Property Owner Information: Name: c ��� Address: �$ w �ta�'ON �S�Wr•A Cityn}ln +' StateF�Zip'3�?33 Phone rt0y' 456- G Ssr E-Mail or Fax#(Optional) Contractor Information: Company Name: n C.i Qualifying Agent: Mk JACLA-1 M o d l - Address:AdL&- City Jg�xso r\Vile State-I Zip 3aa�o Office Phone 11$1-05l-9 Job Site/Contact Number q 6q- aL ?5 Fax# 7 81 —3 )31 State Certification/Registration# C' CLL 'DO 3-1 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 thisjurisdiction. This permit becomes null work is susand work void If o commenced commenced within six I understand that separate permits muor st be secured for Electrical Work, er pendeconstruction or Plumbing,Sigor ns,or aWells, Poeriod ols r aces, Boilersix(6)months at ys,t Heaime t rs, 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 ENTE RECORDING YOUR NOTICE OF COMMEI 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 of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federa tate, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contractor. C Print Name 1 PrintName .......... .... ...... ....t ..Y�............................ ..... 11l .1......1'.4.{?....... . . ............................................................. Sworn to and subscribed before me Sworn to and subscribed before me this-E-Day c f 2014-- th' ,Z Day of P'c6 20 tary Public ' , ;'c MY COMMISSION EE1419 GIdISSI EL8a387Y EXPIRES December 17,2015 EXPIRES March 13.20» R vised 01.26.10 t4n7)398A153 FWWallotarySe"".com 407 JY�A16� town Feb. 18. 2014 12: 18PM No. 0500 P. 1 NOTICE OF COMMENCEMENT 2 aj State of 0Ir fftp _ Tax Folio No. r I County of _ j tl..l _ 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 u1 this NOTICE OF COMMENCEMENT. •� Legal Description of property being improved: j`R I(p 17 - qG • �I Donner R 1 P LjC tia E t) Address of property being improved: 9<e W aza General description of improvements: o� Owner: KWICdress:R(3 b4►i+0 n bbl . 1c Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: dM Contractor: b� lv� Address: t it ` x=l d Telephone No.: $ ' 0569 Fax No: `g 1 -3131 Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the constUvction 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 OWNEWase Signed: Date: Before day of the Coun of Du a1, tate Doc#2014035989,OR BK 18692 Page 459, Of Florinally appeared Number Pages: 1 Notary Public at Large,State of Florid�Cou, �of val. Recorded 02/18/2014 at 12;20 PM, My commission expires: --'� Ronnie Fussell CLERK CIRCUIT COURT DUVAL �: °� COUNTY Personally Known: ry Produced Identification: �"r '= 1934 RECORDING$10.00 EXPIRES,December 17,201s j.e(i�}J9H�1S9 FlaidaNai�rys�rna.�,