399 Poinsettia Ct 2014 roof CITY OF ATLANTIC BEACH
Ss) 800 SEMINOLE ROAD
J �r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�J'a �?
Application Number . . . . . 14-00000503 Date 4/02/14
Property Address . . . . . . 399 POINSETTIA CT
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8481
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Application desc
REROOF
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Owner Contractor
_ --------------
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STRONG ET AL, SHANNON A HANSON ROOFING INC
DELEGAL HICKORY R/S 2714 CORTEZ RD
2069 VELA NORTE CIR JACKSONVILLE FL 32246
ATLANTIC BEACH FL 322334032 (904) 641-6328
---------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee 95 . 00 .
Valuation . . . . 8481
Issue Date . . . .
Expiration Date . . 9/29/14
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--------------------------------
STATE DCA SURCHARGE 2 . 00
Other Fees 2 . 00
STATE DBPR SURCHARGE
_ -----------------------------------------------------Du
_______ ---
Fee summary Charged
Paid Credited ----Due---
_ _ ---------- ----- --
----- ----------
- . 00
Permit Fee Total 95 . 00 95 : 00 00 . 00
Plan Check Total • 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00
Grand Total
99 . 00 99 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Doc # 2014072347, OR BK 16737 Page 972, Number Pages: 1, Recorded 04/02/2014
at 02:20 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 .00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
To whom It may concern:
The undersigned hereby Informs you that improvements will be made to certain real property,and In
accordance with Section T13 of the Florida Statutes,the following Information is stated in this NOTICE OF
COMMENCEMENT.
Le aId escription of property being Improved:
�`�`'`kj F( 37-Z33
Address of property being Improved: C zm(A"
la -�
General description of Improvements:
Owner
AeAddress e J
Owner's Interest In site of the Improvement
Fee Simple Titleholder(if other than owner)
Name
Address I
Contractor n:
a Address �,-x Ff. 3
p /✓�1 Phone No. 90LI-353 Fax No. `�04' L`ll- L3Zfs
Surety(if any) i✓l
Address Armount of bond$
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 one(1)year from the d.lef recording unless a
different date Is specmed): 'r[y''
THIS SPACE FOR RECORDER'S USE ONLY WN q�
SI ed: DATE <__l/
B a a v_day o n t (fl 9
County or Duval,State of Flo e,hes person N appeared iJQ'�
herein by � �
himself/herself end affirms that all staleme d declarations herein
ere bve and ac to r"
V
d T
.urge,State 1 , County of
rdy commission exp!res:
Personally Known or
Produced Identification C�
BUILDING PERMIT APPLICATION
` CITY OF ATLANTIC BEACH �� 3
800 Seminole Road, Atlantic Beach, FL 32233 I /'
Office 904 247-5826 Fax(904) 247-5845 J
Job Address: 39 ? e-1 1 a $t f�c- Fl Permit Number:
Legal Description Parcel#
Floor Area o q. t. Sq.Ft
Valuation of Work$ fl Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteratio Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval# E I \tel -�
For multiple products use product approva orm
Describe in detail the type of work to be performed: I .Ove- AF�%s���t 5 ��+��C )�ats F
Property Owner Information:
Name: ` Address:
City w CWState -Zip 3MPhone 44
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: 406f* Qualifying Agent:
Address: a 7l. ( o vL 1i-t, City Ta k< V; 1 I P State _Zip Z Z 4(i
Office Phone Tog -q&&9F Job Site/Contact Number yo-tf-33340&Y Fax#
State Certification/Registration# C.EL 0 S77 V S
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,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 of work will be complied with whether eci ted herein or n . The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,sta , or to I egulatin cons tion or the performance of construction.
Signature of Owner Signature of Contractor
` f Print Names£...c. . :......1
..................................................
Print Name �.L"f 1Cv'.._. .......... .. ............................ rye. . .Sam
BeforeBefor l
this Day f 20 this ay of
4 � 20
ry ublie State of b
N Note fic State of F rich . Shirk Graham
My Coy Graham FF / D 7 I* if 11 ion 18 Rev ed 0 T 6.10
My Commission FF 0869 /�/a � � � �*Rim►02/14/2018 c.!
er Expires 02/14/2018 W