740 Triton Rd roof 2014 CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000997 Date 6/19/14
Property Address . . . . . . 740 TRITON RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5500
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Application desc
REROOF
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Owner Contractor
------------------------ ------------------------
PICKETT, CHARLES DAVID PATRIOT ROOFING SERVICES, INC.
351 4TH ST 3326 GAY ROAD
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065
(904) 264-9144
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5500
Expiration Date . . 12/16/14
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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 80 . 00 80 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 84 . 00 84 . 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: *17 n Rd. 427C
/ Permit Number:
Q
Legal Description J tq5 Mit o2k Parcel# C31-
Floor Area o q.Ft. t
Valuation of Work$ v(� Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New ddition Alteration Repairov Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial eside
If an existing structure,is a fire sprinklers ste installed? (Circle one : es 0 N/A
Florida Product Approval # �- ��tR ~- s33-Qg
For multiple products use product approv orm
Describe in detail the type of work to be performed: �(�✓ M
Property Owner Information: I PAL
2
Name: GU9 L Address: 3Sf
City v State ip-A2.M Phone 104-0�{6 700
E-Mail or Fax# (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS: _/ '/
Company Name: p 3f �CaS .L[ . Qualifying Agent: ✓�2cW, UlA I
Address: 3 2!o CPAV City [he /I*?E_ State Zip 2-75--
Office Phone j - — 1132. Job Site/Contact Number 93' -VQn Fax
State Certification/Registration# 1908 fj
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,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 a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o7work will be complied with whether speci zed herein or not. The granting of a permit does not presume to give authori to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner X Signature of Contractor
Print Name
1......J�U..►.... ...�<,i. .. ................................ Print Name Jit.! .
Befor me Before me
this-k Day of -)V I`'sz 201 this j Day of -�J £ Michael Gari ""w
NOTARY PUBLIC NOTARY PU
otary Public STA Nota Pu is STATE OF FLORIDA
440
Commis FF032440 Commit FF032
�g.6/30I2017
Expires 6/30/'1017 evise 66 11�0
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 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: G �
4/L C a2
General description of improvements:
Owner i/222
Address ✓ nt _$'t CcR
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor ` t V3
Address
Phone No V� :� 71-9a Fax No.
Surety(if any)
Address yfl, Amount of bond$
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 expirati ate is one(1)year from the of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLYER
Si ned:�/�� ATE�L �I I
Befor is n J
uval.State of FI ,has ally appeared
a - herein by
Doc#201 41 261 42,OR BK 16804 Page 991, hlmseIV herself and affirms khat all statements and declarations herein 1218
are true and accurate p"
Number Pages:? ,fvm,,' tit Charity Wettstein
Recorded 06106,'2014 at 10:17 AM, eR ".�SCDWLQ ION#FF014684
Ronnie Fussell CLERK CIRCUIT COURT DUVAL a °�� •.SDMRES; MAY 06,2017
COUNTY OFp www,AARONN0iAR11 =
RECORDING$10-00 Notary ublicat Laro.State of, County of
My commission expires:
Personally Known or
Produced Identification [