1487 Begonia St 2014 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000289 Date 2/27/14
Property Address . . . . . . 1487 BEGONIA ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5570
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Application desc
reroof
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Owner Contractor
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PONCE JANET M SHORE ROOFING COMPANY
1487 BEGONIA ST 914 7TH AVENUE SOUTH
ATLANTIC BEACH FL 322331846 JACKSONVILLE BEACH FL 32250
(904) 241-8842
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . S570
Expiration Date . . 8/26/14
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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
JobAddress: H57 llsov,*P St Permit Number:
Legal Description 11—,313 9 X6-oll h� Scc 14�"1441"14,4 Parcel 9
,P�_ Floor Area of SaYt. Sq.Ft
Valuation of Work$ -5-57'01 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 structureQ) f�ircle one): Commercial )<',�e�sid *
If an existing sfruciure,is a fire s r n r system installed? (Circle one es No N/A
Florida Product Approval# I M I T
For multiple products use product approval form
Describe in detail the type of work to be performed: RL/�Od F -3 0 -M-m Kjo 6�4 mj
,RA)0 &11 1-)f f, I t- S t-"(,K
Property Owner Information:
Name: Address: ZY97 15
/ cw)A- t
City #0401'L i3f&C-4 StateRzip!933 Phone 73,PT7
E-Mail or Fax#(Optional
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name:: ShOr(_ ca Qualifying Agent: +Sytroy�.
State
Address: 43 Fc,'I., -City-zj&- y- f4i C, cz zip 13� �12_j_o
OfficePhone Rq1- 6rf4q1- JobSite/ ontactNumber a_Q(o-49.3�5 Fax#
State Certification/Registration# CCC 05'9q,5
Architect Name&Phone#
Engineer's Name&Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication 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
and void[fwork is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period ofsix�6)months at any time after
work is commenced I understand that separate permits must be securedfor Electricar Work,Plurnbing,Signs, Wells,Pdols, urnaces,Boileiw,Heaters,
Tanks andAir Conifitioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
CQMM&i1Q",FXT.MAY_RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TON P T OU INTEND TO OBTAIN FINANCING, CONSULT WITH
Y11O % TTORNEY BEFORE RECORDING YOUR NOTICE OF
MY COMM.Expires Dec 4.2017 COMMENCEMENT.
f Commission 0 FF 074537
I here lication and know the same to be true and correct. Allprovisions of laws and ordinances governing this
1�1 V rk i be cotnp I.e wi e e s I herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provi.si.ons of otherfe eral,st te, or loc I aw regulating construction or the peFformance of construction.
Signature of Owner �, - U�,, Signature of Contractor
Print Name ............. t10K 1,-j Print Name
....... ..........................................
.......................... .............. ...........pp, ... ..............................................................
Befb�q iye B
B
t,
this eA- ,r Dav of . 20 ILI r,,.,DayRi6a��� 2014
IdN��117 —
comho I 4r _A�
AMELA JEAN SHORE
1WAn R 141.0 1%
No—tary Public Notary Public -State of Florida
V, Comm Expires Dec 4.2017
# FF 074537 Revised 0 1.26.10
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State 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.
Le al description of pro rty beiT i proved:. -34-1 j 15--,-2_5 )_q r
gim
C- /-T C-
-7
Address of property being improved: 13 e- av ,ry f- F14
�23
General description of improvements:
Owner- rAr-CJ 1-,,NCC
Address 'iWl /-1 4 TJ
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor- -1�hnlc-
Address
Phone No.
Fax No.
urety(if any)
Address A mount 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 Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
ment(the expiration date is one(1)year from the date of recording unless a
erent clymilk9p9t)"HORE
I -, IRMA
XMIDOR RN" E ONLY OWPER
IS y COMM.Expires Dec 4.2017
09
I insist COMMISSion # FF 0745i37 SIgned:X—L j- �1\ DATE
Before me this, day of in the
County f Duval,State of Florida has peL nally appeared
A- here In by
himself/herself and affirms that all statements and declarations herein
are true and accurate
Doc#201404455-,OR BK 16702 Page 549,
Number Pages: 1
Recorded 02/271/2014 at 12:13 PM
Notairy Public at Large,State of C,
Myoommisslon expires. .4 1 —1
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY Personally Known or
RECORDING$10.0o Produced Identification
-4 A
P Z 3-