718 Vecuna 2014 Roof CITY OF ATLANTIC BEACH
Is1
J 800 SEMINOLE ROAD
j � ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�JF3 �•
14-00000460 Date 3/26/14
Application Number 718 VECUNA RD
Property Address . .
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5918
----------------------------
Application desc
FL10674
-- --------------------------------------------------
Contractor
Owner
------------------------
------------------------
LUBY, RYAN N ALTA LAND DBA
NORTH FLORIDA ROOFING & REPAIR
718 VEUA N
ATLANTIC BEACH FL 322333930 JACKSONVILL137S8AENT VALLEY FL 32225
(904) 219-1812
---------------------------
Permit . . ROOF PERMIT
Additional desc Plan Check Fee . 00
Permit Fee . . . . 80 . 00 5918
Valuation
Issue Date • • • ' 9/22/14
Expiration Date .
_____ ------------------------------------
--- 2 . 00
Other Fees
. . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE
--- ------------------------------ ------
----- -
Fee summary ChargedPaid Credited
------- . 00
Permit Fee Total 80 . 00 80 . 00 . 00
Plan Check Total 00 4 . 00 .. 00 . 00 00 . 00
Other Fee Total 4 . 00 00 . 00
Grand Total 84 . 00 84 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OP ATLANTIC BEACH
800 Serninole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904)247-5845
Job Addrecs: '718 VECONA -P-11D. ATLANTIC- [3�ACfl, Ft_• 32,233 Permit Number:
Legal Description 31-1 39-25-29E.1-10 Ro AL RAL M UN IT 2A Parcel##
t,loor Area o q, t. t
Valuation of Work$�. Z2- Proposed Work heated/cooled pan-heated/cooled
Class of Work(circle one): New Addition AlterationRepair 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 o N/A
Florida Product Approval# EL_I O(0-74+ 98
—
For multiple products use product approval form
Describe in detail the type of work to be performed: QE- Roo F ,A5P ,+ '510 If
4
It Z i+Ch (9-2-1 ages c
r
Property Owner Informattion. z
Name: 9- LU g ly Address: �l� \
—
City ATL-A 1C r_ACfii State 1=t-Zlp 32233 Phone 90-4—n.5,953 F
E-Mail or Fax#(Optional)
i
Contractor Information: CONTRACTOR EMAIrL ADDRE,SS.
Company Name:At_-rA LAmtD V CONTRACT I mc- Qualifying Aent: MARK FRIES
Address: 2'1 0 L D S O City 'A^% 9£ACtI Stated 2
—Zip 2S0
to-q41- (0+(0(
Office Phone -211- I Z Joy Site/Contact Number MA K ZI -(SiZ Fax# $(p
State Certification/Registration#CCC 1329 2310
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Rpplicotion 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 rf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod o six(6)months ata time after
work is commenced. I understand that separate permits must be secured for Electrics Work, Plumbing,slgnc, Wells,Pools, Furnaces,Bniier,Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPRO'V'EMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY B CONLMIENO-EMMff'
CORDING YOUR NOTICE O
]here certify that 1 have read and examined thisla plication and know the some to be true and correct, All provisions of laws and ordinances governing this
type o�work will be complied with whether s eci red 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/r�egulating construction or the performance of construction.
Signature of Owner 2 Signature of Contractor
Print Name Print Name
.�.. .t .�.N._._�--ut3.,. W..----.-..m,._.,,......,.._......_.._.._..�.. .
y,.W ..................W.._._.._..__.._._...�.
Before me Before me 14
this 2lODay of N1/4RGt-f 20 14 this „.lODay of M A RC+t 20
Notary Public Notary Public
- Revised 01.26.10
6 /l # 6�01
;Woaj; 80:SL �t6-90-00
Doc # 2014066514, OR BK 16729 Page 2191, Number Pages: 1 , Recorded
03/26/2014 at 11 :58 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
NOTICE or C0MDMNCF'MB1q
MEPAREWDUP[•t 1.
PertnR No;: TdIk FAAd-No..
Sfatepf;FLowoA Couilty,;of ouvaL
T6whan itmaydonceta;
The undersigned trereby"tn.fomis you thaYknp[av8ir►erifs wUi be Mide to eertain real property,and in
acdordance with Sectlon Tia of the Florida Statutes;the following'lnformatfon is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
Address of propertybeing improved:;718 VECUNA RD.
ATLANTIC BEACH,FL 32233
Generag descrhA n ofinipr&iftee t,RE-ROOF
Ow6ei RYAN &LUANNE LUBY
Address 718 VECUNA RD.,ATLANTIC BEACH, FL 32233
Owner's inteiestin_soof"Irnprovment.
Fee simple Tideeholder:(if othe%thaft oWiiie[:
Name
Address
Contiactlar NORTH FLORIDA ROOFING&REPAIR
AddfesF 2730 ISABELIA BLVD.,SUITE 60,JACKSONVILLE BEACH,FL 32250
90421&1812 FaX
P.holte`No. No.8B&941-6461.
Surety(If any)
Address Amoucttcjf bands
Phone'No, Fax No.
Name and`address.of anyperson malcinsa ban torlhp construction of the irnpppyembn4s.
Name
Address
Phone.No. FaxNo,
Name of person VAft-ir no&as or other'
ddciinvnts maybe:servdd:
Name
Address
Ptpne.No. Fax Np-
In:addition:to himself:ownerdes�griabas tEle:follArig.person to:recit►+e aopp.'or.
lhelieriot's bto6ce as;pCovided in f-
Section 71:S:06'(2).(t*Faotida'StaW' (Fll(,IrlvitQwnees.'OPW),.
Name 6 ' 1
Address
Phone No. Fait Nd. a m o D
o -4
Expiration date of Notice of Commalcement:(tile e)(plrettoR date is one(1)year{rotne date of recorditiq:unless a ; m K r3
different,dateIs spk led): c 55 ti z
THIPACE FOIA RECORDER'S USE'CNL1f` c Z
S•SCn
8etore daypt /� 8 oDrl
vel,
C-*-tv(dL Slide orflorida.hss par-mily app-! d, A -n
LUANNE LUBV- - naraln by B v N M
hlms*W hsrs4 and of nns that a1%Wernentrand doclerWons harein id M
ane true and Accbraii
Notary publkatLaps
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CenioiiKS kAUGUST 1.1017
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