392 4th St 2014 roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J , , ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000332 Date 3/10/14
Property Address . . . . . . 392 4TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 6820
----------------------------------------------------------------------------
Application desc
fl 10124 . 1
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
TIERNAN, MICHAEL P & MARY F QUALITY DISCOUNT ROOFING LLC
5424 CLIFTON RD 1794 ROGERO ROAD
JACKSONVILLE FL 322116912 JACKSONVILLE FL 32211
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6820
Expiration Date . . 9/06/14
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
-------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 85 . 00 85 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 89 . 00 89 . 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: 3qZ yah C,3k GeCO1 . i;:_-L 3Z,Z33Permit Number:
Legal Description 544•)l t„-7b'2a E� Allan ic, &acV) Parcel# 1 W0025Z(,O'0100
Floor Area ot Sq. t. Sq.Ft
Valuation of Work$C0,82n ,`1 ct Proposed Work heated/cooled 1 L4 6 Z non-heated/cooled 1,t-IG 2
Class of Work(circle one): New Addition teration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval# I N,ZL-)- k
For multiple products use product approval form
Describe in detail the type of work to be perf6rmed:9emo,;e_ 1 lrA6 a.dou;ei -iD rid dect. uem;1 de.ctc -�o cede...&4AA,L_
u.:,.ri Qew GAIT%ti iqics 2b=. FL-QlZ.L1. 1 undeAca�ixn —'FL-
Property Owner Information:
Name: M tC�el I I(�A1'1Q1°l Address: y2►-1 ,C+on Rd
City, ; V►1( � State Zip 322-11 Phone qg) Let 6- '-ID21
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: i ► 1-1-t-Qualifying Agent: i 1
Address:3H ' u I - City �aCl�sorlv:�lQ State Zip 322 '1
Office Phone 9 50c:XD Job Site/Contact Number CJD7�z-91(o-50c-,)C3 Fax#e(o w-s 2q -U(.c q z
State Certification/Registration#
Architect Name&Phone#
Engineer's Name& Phone#
Fee Simple Title Holder Name and Address Kh-)C,
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
a�.ua•r:;�_r cc pu.aa un,,•.lira,.f,.•c: rt,iff he rer;formed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commene�:d within six(6)months, or if construction or work is suspended or abuuauried for r: -erio' .,.x <;"7:01'.%,.,S cr
work is commenced. I understand that separate permits must be secured for Electricat Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Beaters,
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.
I hereb certify that I have read and examined this application 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 s e ' d erein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other fed tate,or local w r lating construction or the performance of constriction.
Signature of Ow/n� - / Signature of Contractor
Print Name '/'�1!' ...... .................... ...............I �% �1/.r .N.............................. Print Name .PX.............. ..2�!�.c�' ..�E� ..........................
Sworn to and subscribed before me Sworn to and subscribed before me
this�Day of SCC �1 201 this Day of 201
otary Public NoLop
"aY P� SHEREE J.AMATO SHEREE J.AMAT�evidS,de 01.26.10
O`PBl iii_ Notary Public-State of Florida Notary Public.State o oriMy Comm.Expires May 1,2015 My Comm.Expires May 1,2015# EE 89125OFCommission Commission#EE 89125
Doc # 2014052699, OR BK 16712 Page 2242, Number Pages 1, Recorded
03/10/2014 at 10:54 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE,OF CON—nJENCE-MENT
Pali#F7b. .
State Of mltrida;Col4f;#}=emuval
aim Y,?3I1f3RSf�s}d6I?hmby give eati-,c Itm the impmvtxRcati rsit6 Cvr ei#ads to ces<yin seat pnzpe ty is accv;dance»itb.
Chapter 713,t#arida Stat<ales;t}!a foltowi,8 irfbPie alio;t is Pmvided in this Noel cc.of Co?mraei:r�
1. iksetrpStan tzf f raperEy{fa dsscnpticQ Of property and urdtaas:if avat.KbJe f
2. Gem ml I�?rscrip on 0'unpeavamants:.
3. Cmncr Infmma ion
a)Name SodAiuoxif [.1lIltY- �ab) arerett in PaO�y �
`
m w 9 t _ e..
C-)Nwae'and adddress isf simple•sttelt�3dcr ti#rr3ltcr i{tatt o�vaerj -
4• Couir»c[orFn€arnatie>m: a
a)Name ond
Suretyfttfosmanow, _
O'Name and Address:
b)Phone Dunbar
o. Wndor fafor attu.i:
a)Xam-0 and Addy,.,,
1+1P12of�tdwnbe-:
?- T-'APson withisi tlw State OTF.Ioridn sieslgcaeed#n outset u
pnwidoct by 44 3 13(G)En)7,Fforida 4tatutrs: P�wixs�ru aoctues or iNfter c�Jct c tac;tY mxv'l:e servod ss
al tdame:srsd Acfdxes&: ,.
S#).E'hatiz Numbersof
a. Tn.actditioa to hintseft#.essCff c?vsaer digtuttcs
of the Li ur's,NOtice as provides^#in Srxtiorl:9:13.I3(2 labia Ss�;:uL�s of to rcwi.c a
s s Nano std Address_ .-)f h),f ..
hJ€'ltoxte.,�tnmf er�f pens a ar CM?Y'dm gRated"t?
9 Expiration data ofwntice ofC:aaimeu�ceut i m� aatiwR data naQy befbra ihz.coat
I'd"'Al pay�teat tM..tlte C+ZR.tPlSelo,,b;xi Wlit be.emr.f f 3 year fta:a the da!e�of pleticn gfcoastrttc�aq .
30Ccili[.a:- i'�''urding itiS�M diffaunt daft is
*1131t's ft7 0 7f 11�•.A"<Y pIl'l . IS 414P1Is BY Pf& UW ?;FISRTPiE F.T3 4TTOII-t3F fPiE
IdCyTfCE t7F Cf3AL CI TNf NT ARE
tkSNJ"f173�MJPROP�P""7�3ENI UNA$It CPIriPTEiK 713=f'AR
4hYTtt3it 7 3•'3 FfSlf\ 313 43fi"%UTES, AfS C-A RESULT Lei YOUR P`A�}FNia TR=ICE 'PGR
ihff'ftt36'&fciENfS Tt3 YOU£,PROPE,it'1v—A.?�NCMCE OF CJF31rSts ?i4E�i. YvIFP$'1`i3n FIf.`3tyi€ *FOR
CONS ffi t?fv.M-1
TOB SM-Lp REFCsIi&'f3f1 F3A$"lNSf'ESGTPQIY.fF'1LAU ilv'[£?�'E?ftt�e a3?Af1 FL�ANl ti3G,
CONSULT T R TT4 YXlUiL LENDpA OR 'M ATToRNFy OR f;
B13Fdp{E C<7Rt7viENG3N�3 WORKWORKF�•£)ftf7fNC
YOM NOT' OF CQb'MWNCE-vMN7'.
t?mfcr rally cf i
p-jury, I:tt-
f tiscf ata:3:at I bavc lead the felt going sibtice of u;<memeni-103d-103dFt t thc�fseLs st gyred
1t e et e tii #a E3 'f my mmd dge and belief.
� f
_• S g zf Ehxrmr t:r sraar's ettutfiorized�3P3lrc#aPFp' �: �
Sip 1W,)ty s Palated.:latae dk 7100-1oEfiie ...
lite fore arsseTtt �
t�nP srkc acla:e�evicdgnef hr�fora aie z?zis�dEy+sx���.��), .2tyf
tN Pusot,; t l t}�v#. f l 1¢ fC1r i.."
�..aZ•ate r _.�
'401-mS. nA J4 S r{f t e t JC33 =C t r
t^t . F OMA
� ' tcityttztzc<:YianrlLPc # r
Revised la"I Lom