1822 Seminole Rd 2014 Roof .I%`:L`1r1u�
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
_-��,� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . 14-00001109 Date 7/11/14
Property Address . . . . . . 1822 SEMINOLE RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8680
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Application desc
reroof
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Owner Contractor
-
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STEPP, GARY L CENTURY CONSTRUCTION INC
650 N ST JOHNS DR 509 PORPOISE POINT DR
CAMP HILL PA 17011 ST.AUGUSTINE FL 32084
(904) 669-8411
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Permit . . . . . . ROOF PERMIT
Additional desc .
Permit Fee 95 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 8680
Expiration Date . . 1/07/15
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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 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 99 . 00 99 . 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: '5LIM.tN.tF- �J 0«1(ZIC OCOVO FL Permit Number:
Legal Description ScN 6 t E 3 23 3Parcel#
Floor reao q. t. Sq.Ft
Valuation of Work$ 00 4Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial c esiden
If an existing structure,is a fire sprinkl system installed? (Circle one): es No �
Florida Product Approval#
For multiple products use pro ucrapproval form /�/ A
Describe in detail the type of work to be performed: I t� gw /C/%D
Propert-y Owner Information:
efwctl Name:(f7- 5 Address: (`-U !V/�/' �-f JL)4Aj
City Stat _Zip l ` v// Phone 7-r ? -9F1* 95-6
E-Mail or Fax 4(Optional)
Contractor Information:
Company Name: CWA-7c'/zY Ce,j(/I C- 7"y Qualifying Agent:
Address: 5'bl ROrpvtw ef city_zS�_ 1�j z-J' "tic Stated Zip �r
Office Phone Job Site/Contact Number Fax#
State Certification/Registration#
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 commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is 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.
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 a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complieit wheth eci 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, t , r l cal a ing construction or the performance of construction.
w � L
Signature of Owner Signature of Contractor
Print Name5 ........................................ Print Name ,,(�'. L . �'.
............................................................................................... ........ . ...
Sworn to and subscribed before me Sworn to and subscribed efore me
this 7.2� Day of --s-UL-A , 20 this Day of 20
Notary PtibIN Nota�Pulic
NOTARIAL SEAL •,< r PATTI LU HORVATH R ised 01.26.10
GAYLE ROBERTS-HOWELL, NOTARY PUBLIC Notary Public-State o1 Florida
HAMPDEN TOWNSHIP, CUMBERLAND COUNTY My Comm.Expires Sep 27,2017
MY COMMISSION EXPIRES OCTOBER 21,2014 Commission iM FF 024744
�,� r
'F,M ° Bonded Thrw*National Notary Assn.
From: 07/11 /2014 09:00 #588 P-001 /001
NOTICE OF COMM ENCEMENT
State of County of Tax Folio No.
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:
Address of property Ybein improved: Y.
General
General description of improvements: No t.y /`yd i-
Owner: Address: 6 N Syd �'Av (-
Owner's interest in site of the improvement: Qoy&
Fee Simple Titleholder(if other than owner):
Name: f C J
1.... ✓ cN ) N
Contractor: G
Address J50 l Lox P U!s�e- T
Telephone No.: �� FL,111 Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: 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: f C
Address:
Telephone 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: LLh6l
Address:
Telephone 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 OWNER
Date: 3 zolK
Signed. i�L--�-k in the County of Duval,State
Doc 4 2014 54084.OR 8K!004 t Page 1426,
Before me this_ —day of
Number Pages: f Of Florida,has personally appeared
Recon ded 07,i 1:`2014 at 09:58 AM, Personally Known: CA�.l�� t or
Ronnie Fussell CLERK C'RCUIT COURT DUVAL Produced Identification:
COUNTv Notary Public: 77
LS
RECORDING$10.00 My commission P=p� .s � �. ``.4c--
_
r NOTARIAL' t;
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