94 Ardella 2014 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000317 Date 3/07/14
Property Address . . . . . . 94 ARDELLA RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5800
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Application desc
FL 101241 . 1
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Owner Contractor
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GIPSON JAMES E PREFERRED ROOFING LLC
2726 DAHLONEGA DR 2232 DUNN AVE
JACKSONVILLE FL 322243817 P.O. BOX 24668 32241
JACKSONVILLE FL 32218
(904) 751-0840
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5800
Expiration Date . . 9/03/14
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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.
NOTICIE O(PFREPCAREC)MMENCEMENT
Permit No IN DUPLICITE)
Stale OF T&x F I Pei 0 10
To C."'Itly"001
may r
�Oncer_n.
The Undersigned hereby Informs YOU that Improvements will be made to cerlain real propor-ty,and In
accordance with Section 713 Of the Florida Statutes,the following Information I s stated In this NOTICE OF
COMMENCEMENT.
Legal description of Property being--Proved
--------------
---------- K 7 1- 113
Address Of PIOPerly being improved(qLt L0_r
General description Of Improvements t—l—R06 ir=
Ow
ner
Address
D a's.
:)wne,,s inieresi,n site u.tne Improvement
Fee Simple Titleholder (if Other than Owner)
Name
Address
contractor— Preferred Roofing & ConsEruction, LLC
Address 2332 DLLn-n Ave. Jacks e. Fl, 32218
Phone No. 901-751-0840
SUF8(V(d any) Fax No 904-ISI-6600
Address
Phone No Fax No Amount Of bond
Name and address of any Person making a loan for the consifuCtion Of the Improvements.
Name
Address
Phone No ____�Fax No
Name Of Person within the Stale of Florida.OIhLr than himself.designated by owner upon whom no,,—
documents may be served ces(.),011ie,
Narnq
Address
Phone No. Fax No
In addition I%:)himself
.Owner designates the following Pelson 10 receive a copy of the Lienol'S Notice as provided in
Section 713.06(2) (b).Florida Stalulas
Name (Fill In at Owner's option)
Address
Phone No. Fax No
Expiration date Of Notice
diffelOnt date IS Speciflad)01 Commencement(the expiration date is one(1)year from the date of recording unless a
THIS SPACE FOR RE ROER'S USE ONLY
OWNER
C.- Y'
In 1"o
hi Se I F1 daI .,.in
am in., and a�urato a on a
00 Notary public State of Florid
Stacy ROxanne Labbe
MY COMMiUion FF 082949
Ex 1
1 X2
My:o,n_iS6,or,0. 1, S C uniy of va
P1.dd
Doc#2014050473,OR 6 K 16 710 Page I 10,
Number Pages:1
Recorded 03106,12014 at 12:35 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233--'
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 16L—RCI Permit.Number:
_4" ca�-Ci
,1�0 PBL
-�L 9 04— L-L arcel# I
Legal Description Floor Ar Sq.Ft.
Valuation of Work 0 1 non-heated/cooled
Proposed Work heated/cooled
Re—r-ojc�A
Class of Work(circle one): �Ne r Addition X.1teration Repair Move _J)_emoli,ion pool/spa window/door
Use of existing/pro osed structure(s) f�ircle one): Commercial �ies�idential
If an existing structure,is a fire sprinider system installed? (drcle one�) 0 (�A
Florida Product Approval# _F�—1 013 -4, 1
For multiple products use product approval form
Describe in detail the type of work to be performed: P,-\L 962e_-2 �_AzIcLW_
f\W -) - 6
�Sh L
Property Owner Information:
Name: J&km,��a a:�,Q r\1 Address:
4 0,Lf 4q_C
City StatJ-_L_Zip T93A:9 Phone
E-Mail or Fax#(Optional)
Contractor Information: Quali ying Agent: lUbbi (_I(wl
Company tine U0 Ou�o I GL State 11
Address: ur\a 74 F_ i City Z* '3�n(A
— _C -Fax#
Office Phone 10"k -M k, MOD Site Contact Number
State Certification/Registration 4_11
Architect Name &Phone#
Engineer's Name & Phone#
Fee Simple Title Holder Name and Address
,,'Bonding Company Name and Address
Mortgage Lender Name and Address
lication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wo or installation has commenced prior to the
all work will bepeq6rmed to meet the standards of all laws regulating construct n ' this jurisdiction. This permit becomes null
an�e of a permit and that d or aban n r a period of six I months at any time after
an void if work is not commenced within six(6)months, or if construction or work is suspended or abandon . Put
wor is commenced. I understand that separate permits must be secured for Electricar Work,Plumbing, S Wells,Pools, rnaces,Boilers,Heaters,
Tan and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECO A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
wo k -nyallation�a)s co"e,,
isdict'o Th er,
i' J�r is Phs
ri�0
ed O�s f S, m
lic r n
is an f r a e ont
a' vc 5ig ells Poo urnaces,
'or
Tan
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAN ING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN YOUR NOTICE OF
COMMENCEMENT.
I hereb certify that I have read and examined this application and know the same to be true and correct. Allpro iSiOns 4?flaws and ordinances governing this
type o7work will be complied with whether speciffed herein or not. The granting of a permit does not.presu e to give authority to violate or cancel the
provisions of any otherfederal,state,or local law regulating construction or the peFformance of construction.I
Signature of Owner Signature of Contractor ze-,�
Print Name - - Print Name K-e (-�h I
Z.-A .............................................( Yttn......................................
Sworn and subsc"'b &d�befpTe ma SwornIQ and subscr beforp me
this Day of r) 20 t --T DI- .20J'4
Nm*Public ��N ary Pubric
Revised 01.26.10
Notary Public State of Florida y NOt8rY Public State of Florida
Sta��:oxan Labbe
r.....� 08 �f StaCy Roxanne Labbe
FF 949
MY 2 MY Commission FF 082949
18 Expires 0 1/13/2018
0 F,�� �xpu es 0 1/13/20