374 Ahern St 2014 Roof CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000305 Date 3/05/14
Property Address . . . . . . 374 AHERN ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 5250
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Application desc
reroof
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Owner Contractor
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VALCOM DRIVER LEASING JAMES SHELTON ROOFING
380 AHERN ST 252 SANTA BARBARA AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254
(904) 378-9205
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5250
Expiration Date . . 9/01/14
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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: �. S n S Permit Number:
Legal Description qE ,D� ll��. hPU�h Parcel#
_ �— �area o ' ' q. t. q��t
F
non-heated/cooled�o�y
Valuation of Work$ .S, 210- 00 Proposed Work heated/cooled �DZD _
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercialial
If an existing structure,is a fire sprinkler syste7 installed? (Circle one): Yes o N/A
Florida Product Approval # y�l�/
For multiple products use pro uct appr—oval form
Describe in detail the type of work to beperformed: .4"&&l
Property Owner Information: /
Name: ! Address: "
City St /-�/Zip 3o7a23j Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: v„ jtI C Qualifying Agent:
Address: ,� S .a .•c City State Zip 37,,4_
Office Pr Fax#
State Certification/Reg►stration
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 der
o 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 6 h
performed to meet the standards of all laws rpeegulating construction in thpis jurisdiction. This permit becomes null
work iicommenced risof 1 commenced e nd that sepaeriod o
rate permits mu t be sec:zred for Electrical Workl Plumbing,Sigor ns,aWells, Pools,Y arnaces, Boilersmonths at any,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 BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
/hereb certify that/have read and examined this a plicntion an o be true and correct. Al! rovisi s of la s and ;�iinces governing this
e of work will be com lied with whether speci zed herein or t. nt of a permit doe 4gbM t►t to give uthoola_Xe- cel the
provision of any other federal,state, or local law regulating con z i rformance of`` rr�ct Q110
% `N�: • '
' Signatu`era2 0$
Signature of Owner "'
Print N
P t ame of t/l.z°F � R C......................................................................
................................... .. ..nr *4 Jl� f
Swo to an s scribe e e Sworn to
�' �e me
20 n `" thiiSft/BL�C, 20 y
this f g ►►min
No ry blic "' tary Pu is
Revised 01.26.10
U IJ I: �} LVlY Vy7JLJ, `1L1 AL1 1VfVq C[S IjC 1'JJ—, 1\LAILLL/C1 rQy G.7 1� PCL.V�I..ICU
03/05/2014 at 01:59 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
NOTICE OF COMMNCEMZNT
Pw"yr ouL"'M
PomQ No. Tett iaib No
$wool Ccunty pf rz
To whom It may concerts:
Tri*undanlpnvd harWy Inforn}@ y,w ttra't Irn;MVVMarda MH be made to aQrtain real pr*grRy,and in
accordsrKs Urtttt Saotten 113 of RIti.FlorWh BLtutaa,the Mtowin0 Inforrnatlon Is Sumod 1n We NOTICEoft
COMMENCrameNT,
Leo!doauttl n of propmV beLip irpvoaa-
Addreaso'prop arty eeln2ftprnved; 7
All
c��erel,�oea;mow,a lr>,pL�Lfemenrv:: r
4wnet'a IntMgt Ut Ella of IM knprovmnent
Fee-tSL,r4A*TIMhotdar(If dthw than owner)
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Phone No.
Addreae Am"nt of Dons S
Phone No. fox Na r
Nance and addrsee of anV parson makk a ben for the conametior ofine imp averneme_
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Ad;E'ess f
Phorto No. Fax No. I
Name el PorsoA Whhkf the stats of FLOArlo,a",man Minlartf.a*xXx41L/d EY cw.sr upen—h. �.or oanr
docunLaMtt may tt8 served: i
Nan@
Ademas
Phone No.
Fax No. j
i
In add,ttort to himself.own u de sS2,nates the to Gov*V pots a n tp receive a copy of the Lisnw s No3u*9 provided h
Section 713,06121(D).F'fodda Stan.Tov tFllt in s:Owner's opdont.
Na me
ok to sa i
*WM No, Fax No. i
Ex*ObM dataoftltelfte C1Comrrenpnn4nt(Ma e3Tretfort late is Otte 1J year from the date orr000rdlnp LrsaaLla
dz"fa'en[dete is apacttladJ: �33
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