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125 Jasmine St 2014 Roof �i r1►�1 rev, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001017 Date 6/24/14 Property Address . . . . . . 125 JASMINE ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- BRAVO ROBERTO R STUDARD ROOFING 2828 SAINT JOHNS BLVD 423 LAKE MARIETTA DR. WEST JACKSONVILLE BEACH FL 32250 JACKSONVILLE FL 32220 (904) 655-6087 --------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5000 Expiration Date . . 12/21/14 ----------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 -------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC: BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. OBUILDING PERMIT APPLICATION *Pursuant to F.S. 553.721 & F.S. 468.631, a surcharge fee will b collected on any permit regulated under the FBC. Job Address: a- �Si�-e- Permit Number: Legal Description Project Valuation $ Class of Work: ❑ New ❑ Addition ❑ Alteration ❑ Repair ❑ Move E Replacement Use of existing/proposed structure(s): ❑ Commercial BResidential If an existing structure,is a fire sprinkler system installed? ❑ Yes ❑ No ❑ N/A Roofing Materials: Main Material FL Approval# J �`�'— Underlayment FL Approval# Describe in detail the type of work to be performed: e") ProperOwner Information: Name: 5 U Registered Agent(If Applicable): Address City S 0I Pa State County Zip 0 Phone 8' E-Mail =w1_0 State Cotunty Contractor Information: Company Name: 6T(ko (�CX"1(�/K� 4 ( A(G Name of License Holder: MI Cth4' r &_ S (`kL)&V Address: X 23 4- t- 4 f'APAIC% n-A 0 P' W City -TikX State r- 4-- Zip 1:2-222-0 Office Phone 7 &o 2_s- 7 3 Office E-Mail or Fax# State Certification/Registration# C-C-c- o Z-7 y :, Z— Job Site Contact Name/Number (Q 0.5- h O� Architect Name, Address & Phone------ Engineer's Name, Address & Phone Application is hereby made to obtain apermit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance ofapermit and that all work will be performed to meet the standards o/'all laws regulating construction in thisjurisdiction. This permit becomes null and void if work�s 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. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters,Tanks and Air Conditioners,etc. Owner's Affidavit:I hereby 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 ty e of work will be complied with whether specified herein or not. The granting ofapermit does not presume to give authority to violate or cancel the provisions oany other federal,state, or local law regulating construction or the performance of construction. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING T CE OF COMMENCEMENTCE RECORDED AND NTS TO YOUR PROPERTY. A NO AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN EME T Signature of Owner Signature of Contract . - Print Name ..................................................................................................................................... Print Nam ..:..Ona_Cr1.f_ '�.L.............S.TCS..PA .tz ........................ STATE OF FLORIDA, COUNTY OF STATE OF FLORIDA, COUNTY OF l.t UCi Swo to (or affirmed) and subscribed be ore me this ( Sworn to (or affirmed) and subscribed before me this day olf 20 r _2-4 day of 20 `� Notary Public Signature (P ' r Ty e Cornmissionle'd Name a Below) t r Type Commissioned Name Below) (Affix Seal Below) ...... ...o `�t-+��................. aa��G .,seal lP(T H E R M J AC O B S ... f........ ... _,,moo.. �,- .��c�-Q�.k�...�<a.l.(�L ❑Personal) Known/O *: Commission k FF 106513 sonaliy .. er OR :+10;4 FATHER M JACOBS Identification Type l_ZL — ®off My Commission Expires Identification/Type �- irommission k FF 106513 --%','fo�.��"``� Match 25, 201 i, y Commission Expires ;,,o arch'- , 2U1 T WRITE BELOW THIS LINE:OFFICE USE ONLY Applicable Codes: 2010 Florida Bui ing Code 06/25/2014 09:08 904786957 STUDARD ROOFING INC PAGE 01101 NC WE OF COMMENCEMENTolio Na. - Tax l" �.. Permit No. State of Florida, County of Duval THE UNDERSIGNED hereby give noticr,that the improvement will be made to certain.real P7ropertY ' i accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Coimncnccilrient. 1. Description of property (legal description of property and address if available): 'i ��•.S'.. s . 2. General Description of improvements: C2 r 3. Owner Information: o t4 tic S LVY) a)Name and Address: b)Interest in property: _... c)Name and address of simple title-rl.der (if other than owner): 4. Contractor Tnformation: a)Name and Address: b) Phone Number: -- Doc#2014140307,OR BK 15$23 q1e 55, 5. Surety Information: Number pages: 1 ._ Recorded os/24Mi 4 at 04:55 PAW. a)Name and Address: ^ _ Ronnie Fussell CLERK CIRCUIT C .IIRT DUVAL b) Phone Number: COUNTY c) Amount of Bond: $ � RECORDING$10.00 6. Lender Information: a)Name and Address: ---- b) Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents m,,jj tae served as provided by 713.13 (1)(a) 7,Florida. Statute a)Name and Address: �,� b) Phone Numbers of Designated Person: to receive a of 8. In addition to himself/herself, Owner designates ( ) N) Florida Statutes. copy of the Lienor's Notice as provided in Sections 3.13 1 , a)Name and Address: b)Phone Number of person or entity designated by owner~ _ 9. Expiration date of Notice of Commencement(the Expiration date maa ri,@ be before the completionof�f construction and final payment to the contractor, but will be one (1),year from the date of recording unless a dit rent date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE IMPROPERPAYMENTS AFTER THE ER EXP11`.. .TIO 3,F -n-TEE NOTICE OF COMMENCEMENT ARE CONSIDEl E17 /MAN SECTION 2 , , FLORIDA STATUTES, AND CAN T�pSULT IN YOUR PAYIN(.. TWICr FOR lviENT MUST BE J."SCORDED AND IMPROVEMENTS TO YOUR. PROP'uRTY. A NOTICE OF COMMENCE POSTED ON TFT,E JOB SITE BEFORE TT.TE FIRST INSPECTION. IF YOU INTEND TO 0)3Z-IN FINANCING, CONSULT WITH YOUR LENDER. �'.Z AN ATTORNEY BEFORE COM.MFNCING WOTM<'. jk. RECORDING YOUR NOTICE OF COMMENCENL=y T. Under penalty of perjury, t declare that I have read tine foregoing notice of commencement and tf>�t the facts stated therein a true to the best of my knowledge and belief. Si a1; ner or C?wner's�u.thorizcd Ofizcer/Director/Partner/Manager Signatory's Printed lq io&Title/Ciffiee to I I bLThe foregoing instrument was acknowledged before me this _day of ..^ 20 as for b y e of Authori i.e. Officer/Attorney) (Name of aarty Tnstrum:,ht was Executed for) (Name of Person tTYP n'� HE12 M JACOdS , OTARY Z?UUB XC, S WE Or, FLORIDA. AlU ,3 SAT ";i ;n. Commission M Ff 106513 r �.�l�J "` My commission Expires Print Name. ' hi'- j Mcrcn 25, 2018 �.,,,,-. ❑ Personally Know ❑ Identi-ication/Type: �� • .�, (Affix Notary Sent Abovo) Revised 3/15/12