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1905 Mealy St Roof 2014 CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 JFIISA Application Number . . . . . 14-00000592 Date 4/16/14 Property Address . . . . . . 1905 MEALY ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3000 ---------------------------------------------------------------------------- Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LAWRENCE, ROBERT PRIME ROOF CONTRACTING LLC 335 DUDLEY ST 13792 HERONS LANDING WAY #9 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 625-1446 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3000 Expiration Date . . 10/13/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 69 . 00 69 . 00 . 00 . 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: l qo 5 I&Lwy / Permit Number: 171z:555-6V00 Legal Description Al Oyl �'25 2"/L i5�3v1 ul5140karcei# Floor Area ot Sq.rt. U�� non-heated/coo Class 5 Valuation of Work$ 00 Proposed Work heated/cooled Class of Work(circle one): New Additio Alteratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Residenti If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A Florida Product Approval# rL—/D 6 7-/—><7 For multiple products use product approval Iorm Describe in detail the type of work to be performed: Property Owner Information: y� GAw �,i[� Address: 3.35 ac Name:/C06�i�7 City /�•um &MCH Statek'L Zip)Z2-33- _Phone �33-555� E-Mail or Fax#(Optional) Contractor Information: ��JJ Company Name: ptetX40,146 Qualif7(mg Agent: Address: City _ 510;�� State yL Zip iF22SD Office Phone D Job Site/Contact Number 6Z5-14-YA Fax# State Certification/Registration# O 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. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells,Pools, f 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. IN YATORNEY BEFORE RECORDING YND TO OBTAIN OU R NOTICE F CONSULT H YOUR LENDER ORA 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 o�work will be complied with whether specified herein or not. The granting of a permit does not presume to gi a uthori v ate or cancel the provisions of any othj, ,,stale,or to Imv re lating const n or the performance of construction. Signature of OwnSignature of Conttrraact Print Name � _......... Print Name ��!'[../7L .......... ........._..._..._. ._...._._................ r.................... ..... Sworn t, nd subscribed before me Sworn to and subscribed before me &Winne ��,� this 1(� ay of t this i t Day of_ 1114% DESTINY ALESCH r F� ublic,State of FloridaW J`�" 2 �' ylv Commi ainn xnirpc 0711712016 Commission#EE 1352 Notary Public ; a° Commission No.EE 217314 No ary blic oF ° My eemm. expirt. 2, 2015 Bonded Thru Notary Public Underwriters Doc#2014083786,OR BK 16751 Page 2225, Number Pages: 1 NOTICE OF COMMENCEMENT Recorded 04/16/2014 at 02:46 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY Permit No. RECORDING$10.00 Tax Folio No. THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following infor/m/atio�n is provided in this NOTICE OF COMMENCEMENT. 1.Description of property(legal description): J�"/�cJ"/ OS ��s�y� a)Street(job)Address: /9',0S //!!a✓ S-f 2.General description of improvements: 3.Owner Information a)Name and address: nJ r". n� aucy-6Y!i b)Name and address of fee simple titleholder(if other than owner) c)Interest in property 4.Contractor Information Zy /� A� ��C f�L 5ZZ66 v a)Name and address:�,� � 6.0361-AJ Gl � 1V ,� b)Telephone No.: q6 6 S 1-'1416 Fax No.(Opt.) j 5.Surety Information a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: b)Telephone No.: Fax No.(Opt.) 8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a)Name and address: b)Telephone No.: Fax No.(Opt.) 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMEN STRFnLODESTINY ALESCH010:tary Public,State of Florida Si a e Owner or Owner's Au oried Officer/Director/Partner/Manager Commission#EE ct.211 , veemm: e>Epires Oct. 2, 2015 v l Print Name The foregoing instrument was acknowledged before me this A ' —day of V t ( 20k,by 17 p f} t ore (�_as ` 4EiW (type of authority,e.g.officer,trustee, attorney in fact)for (name of party on behalf of w om instru nt was executed). Personally Known OR Produced Identification_ Notary Signature Type of Identification Produced Name(print) oA 1 OR Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare tha have d the foregoing and that the facts stated in it are true to the best of my knowledge and belief. FORMS/NOC,-0010 Signature of Na I Person Signing(' ine 10.)Above ,1