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888 Amberjack Ln 2014 Roof CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD J, ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 rC !tic 14-00000377 Date 3/13/14 Application Number . 888 AMBERJACK LN Property Address . . . . . Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7000 ------------------------------- Application desc REROOF ------------------------------ Owner Contractor -------------- ------------------ ---------- THOMPSON, FREDDIE L. ANDERSON BUILDING RESOURCES 8 1541 CEDAR BAY ROAD 88 AMBERJACK LANE JACKSONVILE FL 32218 ATLANTIC BEACH FL 322334225 (904) 07-9703 ----------------------------- Permit . . . . . . ROOF PERMIT Additional desc • Plan Check Fee . 00 Permit Fee . . . . 85 . 00 7000 Issue Date Valuation Expiration Date . . 9/09/14 - - - --- - -- - -------- - - - - - - ----- -- 2 . 00 Other Fees STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE ________ ------ Fee summary Charged Paid Credited Due ----------------- ---------- . 00 . 00 Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total • 00 . 00 4 . 00 4 . 00 . 00 Other Fee Total 00 . 00 Grand Total 89 . 00 89 . 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: (J T Am (�/ � � P rmit Number: Legal Description 30-0b � S -29F k?oynl a cel# Floor Area of r Sq.Ft. - q. t Valuation of Work$ 101)0 Proposed Work heated/cooled Z'2©D SF. 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 fire sprinkler system installed? (Circle one): es ( N/A Florida Product Approval # 5q't . I .)"-te / Fc.-69N?, i/u, i'c'e, For multiple products use product appro orm Describe in detail the type of work to be performed: PCS-coo f ✓ti 1✓►c; kc�;,,ei ml l k�,&5 rPO Id i P-144 II Property Owner Information: q� Name: rac� �O e on Address: 9PR �'L City ! Statea Zip 2 Phone J�f(, - 13/0 E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS:-/ �a Z o0 3 d�iuctis�:fit Company Name: AMIASO-4 R01,00, P$mur"5' Quali ging Agent: ��0 Address: ser 4City tc, State F=L Zip .32.?46 Office Phone qt - 0 a) Job Site/Contact Number 1Q!Y_-_ ?V?- g7,P,7Fax# State Certification/Registration# cfjiC 1252622- Architect Name&Phone# A Engineer's Name&Phone# WA 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 for a 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 application and know the same to be true and correct. All provisions of laws and ordinances governing this type o7work will be complied with whether speci zed 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 i2i,, Print Name yo'^ '„C... ..- Print Name a .CI�i1' fs' ...................................................................... .................................... ........`.......................... ... Vis+... ......... .... ... . Before pe Beforg me hDay of Ci( C h 201.4 thi Day ofa�E7 20 / L Nota Ub11C ar►u �- $ +°`: *, JAN IS ANDERSON y MY COMMISSION#EE 127995 kUMY COMMISSION#EE 124656 ` * EXPIRES:October E 1 7M Revised 01.26.10 `o« EXPIRES:August 24,2015 sf�,f�F`oP,o� Bonded Th Budget Notary Services ",7"W-4f,o e Ba W Ttn budget►'Nary S&-Am NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. -polwo 37 2 Tax Folio No. State of_ �+i r 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 roperty being improved: - 0- ^� r w 1 �it1 Lo 0 Address of property being improved: General description of improvements* ' /-D© Owner I- OtX o Sort Address Owner's interest in site of the improvement /Y!)pt?!` ' ` '! Fee Simple Titleholder(if other than owner) Name 1�a Address l Contractor t y_� v ✓-�' X / J\ Address Phone No. Fax No. Surety(if 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 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. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OW Signed: 4 - DATE Before'a this ay of 7 in the Co of gwal,.State of Florida,hes personalty appeared r'c {(A r L.il-IC rn fZ r",i herein by himself/herself and as that all atements and declarations herein DOC#2014056545,OR 8K 16717 Page 104!, are true and accurate / Number Pages:1 / Recorded 03/13/2014 at 12:16 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY f RECORDING$10-00 Notary blit at Large,State of I iG�lic q County of �� My tom fission expires: Persona y Known +---- or Produced Identification otW ptlaz JANIS ANDERSON MY COMMISSION#EE 124656 *gym fit* FXPIRES:Auaust24,2015