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1945 Brista De Mar 2014 Roof CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number 14-00000371 Date 3/12/14 Property Address . . . . . . 1945 BRISTA DE MAR CIR Application type description ROOF PERMIT Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 10310 ------------------------------ Application desc reroof -------------- -- ---------------------------------------------------------- Owner Contractor -------------- ---------- ------------------------ JAX ROOFING KENNETH SIMON 1945 BRISTA DE MAR CIR 601 ABBEY CT DR FL 32073 ORANGE PARK ATLANTIC BEACH FL 32233 (904) 434-7346 ----- ---- Permit W/W/O BUILDING PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 210 . 00 10310 Issue Date Valuation Expiration Date 9/08/14 ------------------- ------------------------------------ STATE DCA SURCHARGE 3 . 15 Other Fees STATE DBPR SURCHARGE 3 . 15 ________ ------ Fee summary Charged Paid CreditedDue _ ------- . 00 ----- ---------- - . 00 Permit Fee Total 210 . 00 210 . 0000 00 . 00 Plan Check Total • 00 . 00 30 . 00 6 . Other Fee Total 6 . 30 00 . 00 Grand Total 216 . 30 216 . 30 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Doc # 2014046103, OR BK 16704 Page 484, Number Pages: 1, Recorded 02/28/2014 at 03:34 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT I PREPARE IN Dl1PLICATEI Permit No. Tax Folio No. State of I County of V 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. Legal description of property being improved 1945 Bdsta de Mar it. Address of property being improved: 1945 Brista de Mar Cir. General description of improvements. Re-roof Owner Ken Simon Address Owner's interest in site of the Improvement N/A Fee Simple Titleholder(if other than owner) N/A Name N/A Address NIA Contractor Jaime Tulio Cardona Jax Roofing LLC Address 601 Abbey Ct.Orange Park,Florida 32073 Phone No 904-434-7346 Fax No 904-772-8947 Surety(If any) N/A Address N/A Amount of bond S Phone No. NIA Fax No. Name and address of any person making a loan for the construction of the improvements. Name N/A Address N/A Phone No. NIA Fax No. Name of person within the State of Florida.other than himselfdesignated by owner upon whom notices or other documents may be served. Name NIA Address NIA Phone No. NIA 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 N/A Address N/A Phone No. N/A Fax No. Expiration date of Notice of Commencement(the expiration date is ne(1)year from the date of recording unless a o,4•M•�'bV- diRerent dale is specified). `fib OWNER THIS SPACE FOR RECORDER'S USE ONLY I 1 �[/ • J ATE Sgnea. u �n the < Belore etna Oay of rft L CaVn�o�al.Slate ioa.nas aPDe '.rein toyo nimaeN oenett arse afro roar au statemepersonatlynts and oec�araoons nevem `> m are true aM accuwle N ((NT/pul -4 fr No1aq Lc al Large.State of Y Courcy oryy V tr nonally Kn— Eenofication w BUILDING PERMIT APPLICATION D CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, Fl, 32233 Office (904)247-5826 Fax (904) 247-5845 V" Job Address. 1945 Brista de Mar Cir. Atlantic Beach, FL 32233 Permit Number: s. Parcel# Legal Descriptionot oor rea o q• 't• Valuation of Work$ 1'0,312, ( S Proposed Work heated/cooled nn-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 Residential N/A If an existing structure,is a fire sprinkler system installed. (Circle one): Yes No Florida Product Approval# r L r+4 SF1 For multiple products use product approva orm ov-C- `� \ you Describe in detail the type of work to be performed: o v cu wL- Property Owner Information_: _Address: 1945 Brista de Mar Cir. _ Name: Phone City Atlantic ach, Fes.-- 3;tate—Zip _ E-Mail or Fax# (Optional) -- Contractor Information: Company Name: Jax Roofing LLCJaime T. Cardona —Qualifying Agent: ip - {S y►.t nsti- v� city w ck b—!�"�`'`-_ Fax#fit?Z ' L. Z Address: �'2-o'f� Job Site/Contact Number S�""""'- Office Phone 4 cf 5FG ` o-Lei 3 -- State Certification/Registration# Architect Name&Phone# -- Engineer's Name&Phone - Fee Simple Title Holder Name and Address Bonding -Bonding Company Name and Address____,__. —. — Mortgage Lender Name and Address i prior to the that no work or installation has commencet Application is hereby made to obtain a P��bejt e�formed t the omeet hrk and installations standards of all�mvs regulatinicated. I construction,+ this ejurisdiction xArhismon hs attany time aftelr issuance of a permit and that all work w p f Wells, Pools, Furnaces,Boilers,Renters, and void if work is not commenced within six(6)months, or if construction or work is suspended or f work is commenced CoIunderstand n Se st and that separate permits must be secured for Electrical Work,Plumbing,Signs, Tanks and At WARNING TO OWNER: YOUR FAUIRLIJpRAY TO RECORD CE OR NOTICE COMMENCEMENT MAY RESULT IN YOURFINANCING TO YOUR PROPERTY. IF YOU INTEND TO OBBEFOTAIN CORD NG YO'URNOTICE OF H YOUR LENDER OR AN ATTORNEY COMMENCEMENT. whet r s i red herein or not. The granting of a permit does not presume to give authority to violate or cancel the I here certify that 1 have read and exami ed this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be eoTplied provisions of any other federal,star , or ca a regulating construction or the performance of construction. Signature of Owner Signature of Contractor Print Name t�� .................._.-. Print Name ........e.T.:..Cardona....................... _.._.............._......._..................... ............................_.............................._.... / fo Before me �(,J�� 20 ( �f thi Bee- a of 20 _ /V this . ay of-- t t A _ To N fete of Florida Not I1C MY COMMISSION#EE831193 :� `�. Shirley L Graham vised 10.24.12 w;' M commi n FF 990 r i•• d�' EXPIRES August 29.2016 pd� Expires 02/14/2 8 4071398.0153 FWKWNoteryServw.can