2212 Laughing Gull Roof 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
7-7, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000702 Date 5/05/14
Property Address . . . . . . 2212 LAUGHING GULL CIR
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 14000
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Application desc
reroof
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Owner Contractor
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WALLACE, RUTH N A.J. WELLS ROOFING
2212 LAUGHING GULL CIR 5432 WELLER PL
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 553-0069
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 120 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 14000
Expiration Date . . 11/01/14
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120 . 00 120 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 124 . 00 124 . 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: 2212 Laughing (Jull Circle
Legal Description 42-1 08-2S-29E Ocean Walk Unit 01 Parcel
# f69463-0026
11oor a of Sq.Ft. Sq.Ft
Valuation of Work$ $14,000 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa wmdow/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#
For multiple products use product approval form
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Property Owner Information:
Name: William Wallace
City Atlantic BeachFlorida
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: AJ Wells Roofing
Address:21 Aderhold Ave City Jacksonville
Office Phone (904)5 53-0069 Job Site/Contact Number Fax# (904)551-
4283
State Certification/Registration# CCC1328871
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
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A a he eb ade bana e he work andgta"a"ons as i nal c or installation has commencedprior to the
he tan ds a thisjurisdiction. nis permit becomes null
r 0 f sixpo)months at any time after
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and d 1 or s not c 0 mmence 'I ht Ix )mo co I f I e Pools, urnaces,Boileis,Heaters,
'o 'ot f d I d rs d t t s P r t r t,mu t be cured or E e, c
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WARNING TO OW NFR- VOITR FATI_,1TRF TO RFCnRD A NOTICF. 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 cerp _pplication and know the same to be true and correct. All provisions oflaws and ordinances governing,this
t�', sume to P4vp mithnritv to violate or cancel the
o�
that I have read and examined this a
ill he enmnlied with whether sneciffed herein or not ne Prantinp of a nermit does not pre
&viiions ofany otherfederal,state,or local law�egulating construction o;�'the peYfo�mahce ofconstructi6n.
Signature of Owner Signature of Contract9!521�����
PrintName Print Name .......................................................................
3wunuq lu SUD riuqu mmPyr....
Pfils,. Notaq Public Stat
D?ty of ry7 6W &VIN& Nots Pu 120t Florldisk this��E�ay of -20 -1
J Kimberly Baker
my Commission FF 012533 MyCOMMIssir.-[�` 017571
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Notary PuNic - - - - - - Notary Public o%o%,OS A
NOTICE OFICOMMENCEMENT
State of—Florida Doc#2014098599,OR BK 16769 Page 1599.
Number Pages:I
Recorded 05.iOS/2014 at 10:39 AM,
County of Duval Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
I o Whom It May'Uoncem: RECORDING$18.50
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 42-1 08-2S-29E Ocean Walk Unit I
Address of property being improved: 2212 Laughing Gull Circle atlantic Beach,Florida
32233
General description of improvements: –Re-Roofing With Asphalt Shingles For Mgh Wind
Zone
Owner: William Wallace Address: 2212 Laughing Gull Circle Atlantic Beach
,Florida 32233
Owner's interest in site of the improvement:
Residence
Pee Simple'Fitleholder(it other than owner):
Name:
Contractor:–Arthur J Wells
Address: 21 Aderhold Ave iacksonville,Florida 32216
Telephone No.:(904)553-0069 Fax No: (904)551-4283
Surety(if any)
Address: Amount of Bond$
Ielephone No: Pax 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:
Telephone No: Fax No:
in addition to himselt, owner designates the tollowing person to receive a copy ot the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
G11
NOTICE OFCOMMENCEMENT
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDEWS USE ONLY OWNER
Signed: Date: "fq
Bcfore me tSs 1rf4j= day of 1"&U. in the Countv of Duval,State
ida hasnemonally appeared Witlianj 11jaijAl-ce—
Notary Public at Large,State of Florida,County of Duval.
My commission expires: 29- 1!7
Personally Known: or
Produced Identification: L_
INN NO?Ary Public Sts*Of Flonda
Kimberly Baker
MY COMMiSsion FF 012533
Nap-
ExP00404/28/2017