248 11th St 2014 roof CITY OF ATLANTIC BEACH
s1�
800 SEMINOLE ROAD
rJ N� ATLANTIC BEACH,FL 32233
= � INSPECTION PHONE LINE 247-5814
Jlilt
Application Number . . . . . 14-00001014 Date 6/24/14
Property Address . . . . . . 248 11TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 9380
-------------------------------------
Application desc
REROOF
--------------------------------------------
Owner Contractor
------------------------
-------------------
MCKNIGHT, GERTRUDE S ALL SEASONS ROOFING OF N FL
# 187
732 NE VINEYARD LN 5549 FT. CAROLINE RD,
BAINBRIDGE ISLAND WA 98110 JACKSONVILLE FL 32277
(904) 59 -4044
---------- -----------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . • Plan Check Fee . 00
Permit Fee . . . . 100 . 00 9380
Issue Date Valuation
Expiration Date . . 12/21/14
____ _ _ ----------
Other Fees2 . 00
. STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
_ _ ---------- ---- --
----------
- . 00
Permit Fee Total 100 . 00 100 . 00 00 . 00
Plan Check Total . 00 . 00
4 . 00 4 . 00 . 00 . 00
Other Fee Total
Grand Total 104 . 00 104 . 00 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION (I
t CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic B a : ] L,=.33
Office (904) 247-582604) 247-5845
Job Address: /v/ilk Permit Number:
Legal Description Parcel#
Floor ea o q. t. Sq.pt
Valuation of Work$ �� Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition �erafionRe Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial esidential
If an existing structure,is a fire s in r i
system nstalled? (Circle one): N /A
Florida Product Approval# Ft
For multiple products use product alip-r—oval form
Describe in detail the type of work to be performed:
Property Owner Information- I
rh
NamAor
Address:
Cityn�
LS_tat_e_4?Z`ip Phone
E-Max#(Optional)
Contractor Information: .��
Company Name: I l� Qualifyin ge
Address:S7 / City State Zip
Office Phone Job / ct Number Fax#
State Certifica ion/Registration# fil )
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. I certify that no work or installation has con:nsenced prior et
o the
issuance of a permit and that all work will be performed to meet the standards of all laws rpegulating construction in thpis jurisdiction(. This permit becomes null
work road o n�eneed.ot I understand that separate permits must be secured for Electrieual Workl P/u ng�Signs,aWellsoPoo/s,XFurnaces,sBoiler"stiHeaietrs
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 plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type oVlwork will be complied with whether specified herein or not. The granting of a permit does not presume to gi a ity to violate or cancel the
provisions of any other federal.state, or local law regulating construction or the performance of c
Signature of Owner�,y� i __N ��iW`p"" Signature of Con o
r.
Print Name ..... L ri 1 Print Name ......... ..... ... . ....... ......................................
�. .Y......... .........K............6..I ................................... ...........
Sworn to and subscribed before me Sworn to and subscribed before me 4
this ��•Day of 7114A) . 20/4 this _Day of:��tr�-e- 20
h ��" .9 Q Jvr
Notary Public 0, '.Z LINDA KAY BEDO NotaWj'Klc LINDA KAY DO
* * MY COMMISSION 1 FF 003914 * * MY COMMISSION t FF 003914 Revised 01.26.10
EXPIRES:August 2,2017 dJ EXPIRES:August 2,2017
+1,.,d c� Bw*dThru�u Mg Notary ''Fan�P BOW ThmBu*Notary strikes
rrx2V11'1'NUM-BER
NOTICE OF COMWEN ICEUIEN 1
FLORIDA STAT1U71-E 713.13
STATE OF FLORIDA
The undersigned hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
the Notice of Commencement
1. D!qi tion ofprope : (Ieoal descripti_ of eproperty, and streeta.ddress if available).
2. General description of improvement:
3. Owner Information: C
a_ Name @nd a•dress: )
�r
b. Interest in property: LJ
c. Name and address of fee simple titleholder(if other than owner):
4. ConiXactorName and addr Z }
NA
- a.Phone number: ,
i7tn
5. Surety-
a.
uretya. Name and address:
b. Phone number: c. Fax number:
d. Amount of bond: $
6. Lender: (Name and Address)
a. Phone number: b. Fax number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents
may be served as provided in ecrion 713.13(1)(a) 7.,
Florida Statutes: (name and address)
a.Phone number: b.Fax number:
8. In addition to himself,Owner designates to re eive a copy of the Lienor's Notice as provided
of
in Section 713.13(l)(b),Florida Statutes.
? 0 9. Expiration date of notice of commencement (the expiration date is one (1) year from the date of
:2�0 recording unless a different date is specified)
�� Signature Owner
o
s o o Print Name
[A(O N Z
r a r o Sworn to (or affnnied) and subscribed before me this day of by
acv a)zp �"' C.
M 11 o o w g tatement .
z W LY 0 rr (Name of person makin=s )
LINDA KAY BEDO r
* MY COMMISSION#FF 00.3914 Signature of Notary-St a, of Florida
Seal: * EXPIRES:August 2,2017
-�',toFF�-4: Bowed No Budge'.Notary services
i
Personally Known OR Produced Identification/Type 6 i