88 W 5th St 2014 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r
Application Number . . . . . 14-00001036 Date 6/26/14
Property Address . . . . . . 88 W 5TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7632
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Application desc
REROOF
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Owner Contractor
------------------------ ------------------------
RANDALL LIFE ESTATE, SHANE PREFERRED ROOFING LLC
2401 E RIO SALADO PKWY # 1060 2332 DUNN AVE
TEMPE AZ 85281 P.O. BOX 24668 32241
JACKSONVILLE FL 32218
(904) 751-0840
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 7632
Expiration Date . . 12/23/14
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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 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 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
Permit Number:
Job Address:
0 j4 Parcel# d�2,4Q -,�s oo
Legal Description a o �qt.
oor
opos Work heated/cooled �a-�-theated/cooled
Valuation of Work 0'2 Propos
Class of Work(circle one): 6z�� ddition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(�;) 4iil�vlero2(e f: Commercial e-_R_e�sidenfi__aTD1_
0
If an existing structure,is a fi sprinkler system installed? (Circle one).��
Florida Product Approval# rt7 12q's Lo. I
For multiple products use product approval form
Describe in detail the type of work to be performed:
7--FFo—or Are4ao
ed
ProDerty owner Information:
Name: anc� Address-
StatT
LZip
City �Phone
E-Mail or Fax#(optional)
Contractor Information:
Compan N e- �1(art Qualifying Airent: I C/1 V&n
Address: Jltv City \Jlk�L State_11, Zip
Office Phone t)n� QS't D 10,b ��e umu-r Fax# llointi�U(Pop,
on#
State Certification/Registrati
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 herebV made to obtain a permit to do the work and installations as indicated. I certib,that no work or installation has commenced prior to the
eet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
issuance of a permit and that all work will be pe!jbrmed to m uction or work is suspended or abandoned for eriod of sLx(6)months at any time after
and void if work is not commenced within six(6)months,or if consir 141 rs
work is commenced. I understand that separate permits must be secured for Electricar Work,Plumbing,Signs, ells,Pools,Furnaces,Boilers,Heate
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 application and know the same to be true and correct. All provisions of laws and ordinances governing this
type o7work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state,or local taw regulating construction or the peiformance of construction.
,�Signature of Owner
I , Signature of Contractor.
Print Name Print Name K Ajh
Swom nd bscr* ed be rem SNyom to and subscribed before me
to a "Su
this Day of nz 20141 this Day of� 11,t JIe 20
9DXQ, n (e LA)C)be, — Q-ae,�:� �L ,(a-n yie L A
Notary Public! Not lic, )
1 4&U V's 1.26.10
Notary Public State of Florida iw, NI Notary Public State of Florida
Stacy Roxanne Labbe
My commission FF 082949 -Y MY Commission FF 082949
Stacy Roxanne Labbe
�TV Expires 01/13/2018 %.OF Expres 0 ill 3/2018
"El kk
NOTICE OF COMMENCEMENT
'PREPARE IN DUPLICATE)
Permit No Tax Folio-No
State of
County of it �1 kj�&k—J
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,
'Lor
Address of properly being improved Lo 5;T�+ S-r
/4,-/1&n 4 i P,
Jol
General descripton ofimprovements Rf—R-C)or-
0.��ner Sbaog �gaiocl-
Address. C-W 60 c--f-h �/c 471- �3224�a-a
Owner s interest in sne of the improvement
Fee Simple Titleholder(if other than oevner)
Name
Addres
Contractor
Address
Dhone No —FaxNo
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
Address
Phone No Pax No
Name of person vithin 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 71,3 06(2)(bl. Florida Statutes (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 the date of recording unless a
different date is specified)
THIS SPACE FOR RECORDER'S USE ONLY_ NER
d )At DAT=
-dmLoT( I to t t?q
uV s pers a are r
Doc#2014141012,OR E3K 16823 Page 2328, nim rj ta 7.11 herein b%
Number Pages: I are I a V19,12319T.W9 0
Recorded 06/25/2014 at 11:56 AM, . Stacy Roxanne Labbe
Ronnie Fussell CLERK CIRCUIT COURT DUVAL My Commission FF 08 49
OF
COUNTY Expires 0 1/13/2018
RECORDING$10.00
Notary Public at Large.State County of
My commission expires It',
or
Personally Kno.vn
Droduced Iderildicatfon