33 Ocean side Dr 2014 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
N� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001044 Date 6/27/14
Property Address . . . . . . 33 OCEANSIDE DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 6000
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Application desc
REROOF
------------------------------------
Owner Contractor
--------------
---------
_____
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NACKASHI JOSEPH JUSTIN LARSEN CONSTRUCTION INC
1310 HERRON POUNT RD PO BOX 1942
JACKSONVILLE FL 32223 4784 CATTAIL ST
MIDDLEBURG FL 32068
(904) 241-0320
__ ___ -----------------------------------------
-----Permit .
ROOF PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 80 . 00 6000
Issue Date Valuation
Expiration Date . . 12/24/14
--------------------------------
----------- -----
2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2 . 00
_ ________ ---
Fee summary Charged
Paid Credited ----Due---
--
----- ----------
- . 00
Permit Fee Total 80 . 00 80 . 00 . 00 . 00
Plan Check Total • 00 . 00
Other Fee Total 4 . 00 4 . 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.
UUILDINU VERMIT AI'I'LICATiON
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, 171. 32233
Oliice (904) 247-5826 fax (904.) 247-5845
Job Address: —J,3 'k A'- Permit Number:
Legal Description 31-1 3'?-,9-J ' C ---5"&&—.Pareel#
Valuation of Work$�
Floor Area o �t. "-3�'Proposed Work heated/cooled 31 U�� nun-n'
Class ol'Work(circle one): New Addition Alteration Repair Move Detnolitiot: pool/spa window/door
Urte of existing/proposed structure(s)(circle one): Commercial esidenAo
If an existing structure,is a lid sprtn c e syster installed? (Circle one): es N/A
Florida Product Approval # �
For multiple products use product approva orm
Describe in detail the type of work to be performed: P` ^ cb4
Pror)erty Owner Information! )
Name: '� ^ ' Mal,— .' Address:
City Statcp_Zip 3 33 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: f CZ ' Quo 1.fyytg e t.
Address: �,; City //+ State Zip 3 d
Office Phone 01.1- Job Site/Conta t Number Fax# 16V-'9y/-ai 1
State Certification/Rebistratioti# C'c r- 13-Z-7 t-t�
Architect Name& Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
-1pplication is here by made to obtain a Permit to do the tror•k and installations as indicated. 1 eer•ti/i�llrat no work or installation Inas c•anrrrenced prior ur the
isstranre of'a permit and that all ivor•k trill be performed to meet the standards ofcell latt•s regulating construction in thisfnrisdiction. This permit becomes null
vrd void r •work is not commenced within six(G)months, or if construction or work is sus renrled or abandoned for a period of aii(6)rnanths at am rime aJier'
work is coutnnenced 1 understand char separate permits must be sectored fbr ElectricallWork. Plarnbing,Signs, IVells, Pools, Furnaces, Ooilers, lleaiers,
Tanks and.4it Coudidoners,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.
'hcreh+certij that l hove read un irmrined this c�rplicutiorr and knu,e rhe.tame to he true and correct. ft l!provisions rf laws and ordinances grmerning this
j7re u}wwk frill he canryrlied wi it rpt. The granting of a permit dues rrnf prexnme to give authority to tdulare ur cancel the
n•ovistons df pnv vthe+r fed or local aw re•gtrluting construction or the perfurmance rf c'onsn•uction.
>ignature of Owner Signature of Contractor
Tint Name 1
_._. ....... _5� ..�►..__.> a.0 !r.S_k..!_._._._. Print Name �J�.S / r e_
_. . ........._........__,__
iworn to and subscr• d before me Sworn to and subscribed before me
his��/Day of �U / �/ this 2- 7 Day of 20
Jotary Publicotary Public
WILLIAM L.POPE
Notary Public,State of Florida WILLIAK6g9M 26.10
My Comm.Expires Oct.19,20-15 Notary Public,State of Florida
Commission No.EE 128745 My Comm.Expires Oct.19,2U15
Commission No.EE 128745
Doc 4"2O i 4144170,OR BK 16027 Page-1210,
Number Pages:1
Recorded 06;27.'2014 at 03:23 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
NOTICE OF COMMENCEMENT
State of l- �����`� Tax Folio No.
County of
To Whom 11 May Concern:
- The undersigned hereby informs you that improvements will be made to certain real property,'and in accordance
with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal description of property,be' g improved: (� c�L J�
Address of property being improved:
General description of improvements:
Owner:
Address: 3'
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):-
Name:
wner):Name• V
Address:
Contractor: t
Address d•- Q
Phone No: U - 0 Fax No:
Surety(if any): 41
Address: Amount of Boni--$
Phone No: Fax No:
Name and address of any person making a loan for the construction of the improvements.
Name: /
Address: /V 14
Phone No; I ' i 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 Statues. (Fill in at Owner's option)_ _
Name: /
Address:
Phone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from th'e date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date:
Before me s_ 2 day of in the County
of Duval, to of Florida,has personally appeared
WILLIAM L.POPE
Notary Public,State of Florida NotaryiPublic at Large, State of Florida,County of Duval.
My Comm.Expires Oct.19,2015 -My commission expires: -i
Commission No.EE 128745 Personally Known:. or
-Produced Identification: