441 Royal Palms 2014 roof �s CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000323 Date 3/07/14
Property Address . . . . . . 441 ROYAL PALMS DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 9914
-------------------------------------------------
Application desc
REROOF FL 10674-R8
-----------------------------------------------
Owner Contractor
-
------------------------
-----------------------
WOODS, MARK JR ALTA LAND DBA
441 ROYAL PALMS DRIVE NORTH FLORIDA ROOFING & REPAIR
ATLANTIC BEACH FL 32233 13758 PLEASANT VALLEY DR
JACKSONVILLE FL 32225
(904) 219-1812
---------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 100 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 9914
Expiration Date . . 9/03/14
---------------------
------
Other Fees . . _ _ STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----- ---------- ---------- -
Permit Fee Total 100 . 00 100 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 104 . 00 104 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
"., ——-— . rays �, , LI"1lWCL &-.Lye5: 1, xecorded 03/07/2014
at 02:28 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of i County of L
To whom It may concern:
The undersigned hereby Informs you that improvements will be made to certain reai property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being Improved:
Address of property being improved: 't"T' 2 n N/A l 241--MS V(2(V E
ATI—ANT'IG H , 5L, 32233
General description of improvements:_V"F-- � O F
Owner M A 2 V_ W a w DFi j R
Address 441 R o�/A L 'P�e ren D►�zrzN-n Lz2.33
Owners interest in site of the Improvement
Fee Simple Titleholder Of other than owner)
Name
Address
Contractor LT c_T 1 N
Address 1'3-75S PLEASANT- W6-L
Phone No_ 9 o4-2.19—iPj 2 Fax No. RSO
Surety Of any)
Address Amount of bond$
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 nodes or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to recelve a copy of the Uenor's Notice as provided in
Section 713,06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No. o.^pis.Not
Expiration date of Notice of Commencement(the expiration dale is one(1)yearfrom the date of recording unless a
different date Is speed):
THIS SPACE FOR RECORDER'S USE ONLY WNER
Signed Q ` / DATES !�!/r t -n m C;
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 44d Fy L aL_m S DF, Permit Number:
PALMS UN 1-r ZA
Legal Description 31- O 1(0 35-Z S-2qE R/P OF � �Dy�'' Parcel# 1-714-a(0 - 0000
Floor Area of Sq.Ft. t
Valuation of Work$ 9,914.7U 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 esidenti
If an existing structure,is a firs rankle syst stalled? (Circle one): es No N/A
Florida Product Approval #
For multiple products use product approva orm
Describe in detail the type of work to be performed: FIE- oOE, BHIN k?-4£S (At5Pj+AL-T� FL lO l0`14-�
28 so uares . 3 Po+ch
Property Owner Information:
Name:-MARY, VJOoDS '3R Address: 441 ROVAL PALMST-_>R
City ATLA6 f I C- REAC__14 State FL Zip 32233 Phone C? -'-704- '122A
E-Mail or Fax# (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS: mo►r k @ r10Y-�h�for i d4 roi r1Q.C01YI
Company Name: /ALTA L.ANN VC-e) IMACT INC, Qualifying Agent: MARK Fpics
Address: 137SS PLIID S KT Nf ALL. .s/ DRIVE City ,1AC_- LC_S0M\1 ILLS State FL Zip 32225
Office Phone q64-662--7Z9 O Job Srte/Contact Number C?04-2A- 1$12 Fax# Atoto- 9¢1 -to 4-co I
State Certification/Registration# C Ce l3?_q 23(0
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 commencedprior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned fora period of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces,Boilers, Heaters,
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 a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofivork will be complied with whether sped led herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name M.ARK...........WQ0.Z.So. ... .
....OR ................. Print Name �.cr,i".lt............�".r'.i..2.�.......................................................
.......... .. ...
Before me Before me
this 7 Day of M o rcl 20 IL{ this ? Day of 201q
.+r
Notary Publ c KAITLYN R AFFER No r �Pyl j� KAITLYN R SHAF
r A c =
MY COMMIS N#FF042772 € MY COMMISSION#F042772
eev se 01.26.10
EXPIRES August 5.2017 EXPIRES August 5. Ot
(407)398-0153 FloridallotaryServicexom (907)398-0153 FloridallotaryService.com