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
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Application desc
REROOF FL 1956 . 1 FL 5293 . 7
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Owner Contractor
-
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NASH JACQUETA MOODY' S ROOFING INC
98 DUTTON ISLAND 9222 BOOTS LANE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32220
(904) 641-9844
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5215
Expiration Date . . 8/17/14
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Special Notes and Comments
MUST PROVIDE RECORDED NOC PRIOR TO 1ST
INSPECTION
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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
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.�,