382 6th st 2014 Roof CITY OF ATLANTIC BEACH
i 800 SEMINOLE ROAD
J r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001071 Date 7/02/14
Property Address . . . . . . 382 6TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 7440
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Application desc
reroof
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Owner Contractor
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KENNEY, DENISE MARIE NELIGAN CONSTRUCTION (ROOFING)
2213 ALICIA LN PO BOX 49249
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32240
(904) 247-3777
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Permit . . . . . . ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 7440
Expiration Date . . 12/29/14
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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
Job Address: �� (0 t4 Permit Number:
Legal Description q & S LO/ 3S 161#4111-7P a re e I# /fo t7 /-jG SCk�O
oorea o q
y � oValuation of Work$ Proposed Work heated/cooled nh
eated/cooled
Class of Work(circle one): New Additio Alteration Repair • Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one):. ommercial 0�s;ide:ntiIf an existing structure,is a fire sp n er s stem anstalled?(Circle one s No N/A
Florida Product Approval#
For multiple products use pr net approval form
Describe in detail the type of work to be perf rmed:
re a�
Property Owner Information:
Name: Address: Z 1
City i _ State_ ip one
E-Mail or Fax#(Optional)
Contractor Informatio : T
1 �
Company Name: 1 0. 1151f, Qualifying Agent: 19"VA-01,11
Address: City �/�' tate � ip 3,9 o
Office Phone Job Site/Contac Nu ber i ax# 9e�1-5--7-9L-/ 11
State Certification/Registration# 4z
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 in�icated. I 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 s regulating construction in this jurisdiction. This permit becomes null
and void rf work is not commenced within six(6)months, or if construction or work uspended or abandoned for a perrod ofsix months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells,Pools, urnaces,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 hereby 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 of work will be complied with whether speci ted 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 law regulating construction or the performance of construction.
r
Signature of OwnerSignature of Contractor
Print Name �..�M.43.4?. .. Print Ne............................ .......... /
Swo to and subscribe bef 0�re me Sworn and subscribed re me 20��
this Day of c- 2this Day of o uta ,
�.
NO ubliC --�,:�,,,, 6'- SHERRI L.STEPP
OTI -
"
1cNotar Public-State of Florida �1�Y t L
Notary Public-State of Florida '� = y �P
rrf i•; _My Comm.Expires May 31,2016 = '=My Comm.Expires May 31 R@1 ed 01.26.10 /Commission#EE 203994 ';E ;� Commission#EE 203994
° „44F,� -- Bonded Through National Notary Assn• Bonded Through National Notary Assn.
NOTICE OF COMMENCEMENT
5000
Tax Folio No. n -
State of
County of r/v vf1 L
To Whom It May Concern: roe and in accordance with Section 713 of
The undersigned hereby informs you that improvements will be made to certain real pCEMENT.
the Florida Statutes,the following information is stated in this NOTICE OF WQ �
Legal Description of property being improved: S / j
Address of property being improved: d
General description of improvements:
Address
Owner. i
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
cn � .rvc�i C- �e�
Contractor. ,' h J 1
Address: g I h U� C� + �
S Sa 3 Fax No: 96V- S� 7
Telephone No.: 05-?-
Surety(if any) Amount of Bond S
Address:
Fax No:
Telephone No:
Name and address of any person malting a loan for the construction of the improvements ci
O H
O N 6
CM r
Name: o a
Address: H A W
Fax No: btl .s
Phone No: on whom notices or other dooume Q U}Q o z
W p W h
Name of person within the State of Florida, other than himself, designated by owner y o
�' > E Ea
o d
served: Name: o
0
r
z � m
Address:
Fax No:
Telephone No: of the Lienor's Notice as provid
s the following person to receive a copy
In addition to himself, owner designateon
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name: •
Address:
Fax No:
Telephone No: L.
r (fin? 11 year from the date of r o�����g`,,,' i Florida
Expiration date of Notice of Com:nencemeut(the exp:.*�hon date (-�Y ;• My Comm.Expires May 31,2016
specified): s. A;= Commission#EE 203994 i
` OF; Bonded Through National Noiary Q
THIS SPACE FOR RECORDER'S USE ONLY OWNER e.
Signed: y o f ` in the County of Duval,State
Doc#20 1 41 47095,OR BK 16831 Page 1602• Before me this�_ k'
Number Pages'.1 Of Florida,has personally appeared a, of uval.
oloridCounty
Recorded 07f0212014 at 0932 AM, Notary Public at Large,State
�/1�� �yl �
Ronnie Fussell CLERK CIRCUIT COURT DUVAL My commission expires: l/r or
COUNTY - _ - Personally Known: �� \
RECORDING$1000 produced Identification 11