1335 Jasmine St 2014 roof CITY OF ATLANTIC BEACH
z�
S 800 SEMINOLE ROAD
�r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000513 Date 4/03/14
Property Address . . . . . . 1335 JASMINE ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8900
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Application desc
FL 10124 . 16
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Owner Contractor
_ _ _ ----------
------------ --------------
GREAT WHITE CONSTRUCTION INC
SWINTON, MARK S & JACQUELINE
1335 JASMINE ST 4320 DEERWOOD LAKE PWY
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216(904) 838-1659
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Permit . .
. ROOF PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 95 . 00 8900
Issue Date Valuation
Expiration Date . . 9/30/14
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--------------------------------------------
-- -----------------------
2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2 . 00
_ ________ ------
Fee summary Charged
Paid Credited ----Due---
--------- ----------
. 00
95 . 00 . 00
Permit Fee Total 95 . 00 00 00 . 00
Plan Check Total • 00 00 . 00 4 . . 00
Other Fee Total 4 . 00 00 . 00
Grand Total 99 . 00 99 . 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: ai mM Vie, f)&N 32X33 Permit Number:
Legal Description 4A \ 3 Z23 Parcel#
nn _ oor rea o q. t. q. t
Valuation of Work$ Vl00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration epai Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercialesi
If an existing structure,is a fire sprinkler system installed? (Circle one): es N/A
Florida Product Approval# I M • W
For multiple products use product approval form
Describe in detail the type of work to be performed: CLC t00� 3g SG S 1 Z
Property Owner Information:
Name: �XW�4- SUJ SMO Address: \33t_ M
City KLQin-nC kh(` a Stater Zip 3273 Phone 23'l-
E-Mail or Fax#(Optional)
Contractor Information:
Oak OA V A%A kk Qcg yS ,&Q;-'nc O Qualifying Agent: �Q�0a7�S
Company Name: 3 -g7l ity ` _State _Zip
Address: 3
Office Phone k-%(010- 4D-�A0 Job Site/Contact Number IV NAS ts36-Q 561 Fax#
State Certification/Registration# CGC 3Z Q1
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. 1 certify that no work or installation has commenced prior 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, urnaces,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 BE
FORMENT
YOUR NOTICE OF
COMME1 here certify that I have read and examined tphis application and know the same to be true and correct. All provisions of laws and ordinances governing this
type . ions rk o will be complied
state,whether law regulating n or not. The construction or performance of construcermit does tionresume to give authority to violate or cancel the
p .f Y f
Signature of Owner Signature of Contractor
' ''j'' rtm �Jw L��O..�...................... Print Name �.G,,.V1S.....,5..�.c��'}1n.-1'�...r..............................................
Print Name �.1 ........ 'U ............. ...... J
........................
Swo to and subscribed eforpe me S o and subscribed e r
thi Day ofEMS Day of ASHLEY RIDGEWAY
,;.a••urs.,, ASHLEY RIOGEWAY
y Pnblk-State of Florida
Notar Public-State of FI r'
;s• My Comm.Expires Jun ub iC •.� apirea Jun 20,2011
Notary Publi =; d°: Commission x FF 29966 . #fell .•• Commission N FF 29966
OF--
.JTtCE OF COMMENCEMENT
RAMCO FORM 409
FS TW3
..turn to:{enclose serf-addressed stamped envelope
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Actress: l
335 3 o.s".-[
his Instranneot Prepared by:
Doc#2014073416,OR BK 16738 Page 2017,
amc:
Number Pages: 1
ddress: Recorded 0*03i2014 at 01:55 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
roperty Appraisers Parcel Identification COUNTY
RECORDING$10.00
•-. _ --'- -'—"'—SPAC i A30Yfl THIS LINE FOR RECORDING DATA
NOTICE OF COMMENCEMENT
Tax Folio No.
Parmit No.
State of Florida
County of
The undersigned hereby gives notice that improvements will be made to certain real property,and In accordance with chapt
713 of the Florida Statutes,the following information Is provided in this NOTICE OF COMMENCEMENT.
Legal description of property(include Street Address,if available) Sek1ck (-��LD t 3
General description of improvements
Owner's Name Ja t u`A�a''
Address 35 c�A5,-.:" S
Owner's Interest in site of the improvement
Fee Simple Title holder(if other than owner)
Address Phone: Fax:
USA-
Contractor �S�
Contractor c,h X50^'
Address E.5kptk 5 -DQ-1,j S `�i l tl;� L Phone: 904-o VJH S Fax:
Surety 32a1� Phone: Fax:
Address
Amount of bond$
Lender's Name_
Address: Phone: Fax:
Persons within the State of Florida designated by owner upon whom notices or other documents may be served as pro-
j vided by Section 713.13(1)(a)7,Florida Statutes.
9 Name
16 Address T_ Phone:__. _ Fax:
In addition to himself,owner designates
Of Phone: Fax:
to receive a copy of the Lienor's Notice as provided in Section 713.13(i)(b), Florida Statutes.
e Expiration date of Notice of Commencement(the expiration date is 1 year from the date of recording unless a different date is specifie
A gnat..or Owner Printed Name of Owner
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I have relied upon the following•dentiftcatioa of the Affiant �1 T
NOTARY RUSHER STAMP SEAL Po fg
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paeu bbedhef
07 Swsaseriioro <this r day of
23 Pubfio
N..,Sigoetun •�/J,
�� fide of FWft i f l
Prin[nI Nems
My Commission#EE 209711
Expires:June 2D,2016