714 Cavalla Rd roof 2014 i�`a.ltlrl��
CITY OF ATLANTIC BEACH
I 800 SEMINOLE ROAD
J -r, ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000935 Date 6/11/14
Property Address . . . . . . 714 CAVALLA RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
f110124 . 10
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Owner Contractor
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JWB REAL ESTATE CAPITAL LLC RON RUSSELL ROOFING INC
4419 HUDNALL RD
JACKSONVILLE FL 32256 JACKSONVILLE FL 32207
(904) 714-1907
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Permit . . . . . . ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 55 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/08/14
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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 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 59 . 00 59 . 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: Cl Va� cs, ��.AkIall�� �eo.cln a r�� '3773') Permit Number:
Legal Description 0 P V,-, Z A W 6 SFf 4e S; E"9,9Ff Parcel#
Floor Area ot t. of S k 1(o Sq.Ft
Valuation of Work$ 2y 100-00 Proposed Work heate cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(circle one):installed?
Residential
If an existing structure,is a fire sprinkler system nstalled? (Circle one): Yes No N/A
Florida Product Approval#Id IZ4. 1a
For multiple products use product approval form
Describe in detail the type of work to be performed: lei e-600f ' 1V11 `^`b ��-n y) S ,
Property Owner Information:
Name• l� �3 I etxl 1;5k,.�c- CaA i t G l 4(C Address: 75 0 3 �°�+ `(r �� Sfic t 0 Sc,.X, F'L 3 ZZ 5 Io
City J r Kstivtv.'[l State FC Zip 32z s� Phone 9is Y- G 77-G�r 7
E-Mail or Fax#(Optional)
Contractor Information: c ll
Company Name: �o ,, / �i 0 OTS%� Tib�' Qualifying Agent:
Address: �d �l ArCity 7c.c l�Sony%i'G State FG Zip S Z Z O 7
Office Phone by- 7/�l- iyo7 Job Site/Contact Number 90'-1-7/4/-/907 Fax# 90�/-6-3 G-�.��
State Certification/Registration# VX CCC /32741
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 in'k i�icated. I certify that no work or installation has commenced prior to the
issuaco
nce of a permit ancommence d that all work will be performed to mZ
t the standards of all s rpeegulating construction in thpis jurisdiction. This permit becomes null
and work is�ommenced.of I understandxthat separhin (at per>n is in,
t be secured for Electricua[ Workd Plums ng,Signs,aWells,Pools,eriod xuinaces,Boilemonths at rs,Heaters,
Heaime [after
Tzueks and Air Conditioners,eta
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 1 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 specified herein or not. The granting of a permit does not presume to give authority to v' a or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Owner C 'iG�.� Signature of Contractor
Signature of Own ......... 4� /� / Print Name Q
�S.....S......0......./.....j....
....................................................Print Name ..� ..........................................................
Sworn to and subscribed before me Sworn to iand subscribed before me 20 (`-t
this iel)ay of vt e- 201`{ this Jo Day of � xer
�R�(;B pANYIU.I SANTILU
PUSIX
Notary Public STATE OF FLORIDA NAor"y !!�'jsVTEOFFLORIDASTA
,. Comm#FF016M n*ff .26.l0
l_�ires 5/812017 5/8/2017
NOTICE OF COMMENCEMENT
(PREPARE IN[DUPLICATE)
Permit No. R-14- Tax Folio No.
State of Florida County of Duval
To whom it may concern:
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:
Address of property being improved: 1(4 CL %4U 1 k AL AAAr.,l ? aur- PL_ U433
General description of improvements: Re-roof
Owner AWB Real Estate Capital LLC
Address 7563 Philips Hwy., Ste. 109,Jacksonville, FL 32256
Owner's interest in site of the improvement
Fee Simple Titleholder (if other than owner)
Name
Address
Contractor Ron Russell Roofing, Inc.
Address 4419 Hudnall Road, Jacksonville, FL 32207
Phone No. 904-714-1907 Fax No. 904-636-9909
Surety (if any)
Address Amount of bond $
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name N/A
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 Ron Russell Roofing, Inc.
Address 4419 Hudnall Road, Jacksonville, FL 32207
Phone No. 904-714-1907 Fax No.904-636-9909
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 N/A
Address
Phone No. Fax No.
. . . .., - _r„_ .,e.+ r+he ovnirntinn riatP IS nnP (1) vear from the date of recording unless a