1915 N Sherry Dr Roof 2014 CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
j s) ATLANTIC BEACH, FL 32233
J -r
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001111 Date 7/11/14
Property Address . . . . . . 1915 N SHERRY DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 14800
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Application desc
FL 6095 . 3
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Owner Contractor
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RUSSELL, KERRY NEAL STRICKLAND ROOFING INC
1915 NORTH SHERRY DR P O BOX 428
ATLANTIC BEACH FL 32233 SAN MATEO FL 32187
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Permit ROOF PERMIT
Additional desc .
Permit Fee . . . . 125 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 14800
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 125 . 00 125 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 129 . 00 129 . 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: /L1/5 N syd&e2 Y )De- AezCANTt c 664cU EL Permit Number:
Legal Description 3 -46 09- 5- -S-i_ H,,oz/HAUNT /crr- I-oT /o Parcel# 17o�®av `6,a
g p u 7 oor rea of Sq.Ft
yi, Pro�'��� osed Work heated/cooled non-heated/cooled
Valuation of Work$ /• p
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one):• Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval# U;0`i 5 3
For multiple products use pro uct approva orm
Describe in detail the type of work to be performed:
Propertv Owner Information:
Name: Address: 1915 S
YY �t1SSe l/ 1�rr �r
City fi� lr StateA Zip. 33 Phone -
E-Mail or Fax#(Optional)
Contractor Information:
Agent:/V ,ST,4'1CiN
Company Name:A/54Z-S5e1GeG4n/n Z�F/NG Talc Qualifying N �A��d State /-—I Zip 3Z/�'7
Address. PD ��x ¢28 Fax# X36-,-8-
Office Phone 3a3-SS�`r Job Site/Contact Number
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 aperiod of six/6)months at any time after
work is commenced. I understand that separate permits most be secured for Electrical Work, Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,eta
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOUARNEY BEFORE RECORDING YOUR NOTICE OF D TO OBTAIN FINANCING CONSULT H
YOUR LENDER OR AN 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 of work 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 law regulating construction or the performance of construction.
Signature of Owne Signature of Contractor
Print Name /�,c A c S Til c La/N _._.
�rla/...... S5G/ yi�•/� .....................
Print Name .....................�P(J...................1.. .. ..........
„Y,,, JANET CHF,ONISTER
Sworn to and s SG $ P fC;1��R#Oublic-State of Florida
Sworn to and subsc a e me JANET CHF,ONISTER y mm.Expires May 8,2O
this ay O Pv p Notary Public State�Fl this a ° C mission#EE 91388
. My Comm.Expues ;N 'ed
:r
• 91388 d Throu h National Notary Assn.
Commission#EE �
Notary Public °` �I o"dt °� Notary u is
Revised 01.26.10
Doc # 2014155132, OR BK 16842 Page 310, Number Pages: 1, Recorded 07/11/2014
at 01:21 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE;
Permit No. Tax Folio No. 17,9
State of County of U V 4--
To whom It may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following information Is stated In this NOTICE OF
COMMENCEMENT, _
Legal description of property being improved: 3-7 `fU 91
S - �� t Ste.►-VA
MAQiNA uN�r.'�o >'v�
C�� N
Address of property being
/ ref p/yS flaf /nrrF sc>
General description of improvements: 4,fiicla.
Owner P��' � ,Cfc%SSc= ,
Address 19/5 SNc-yz y c7�C /V 7-44 N77L �'&A 3Z2 3 3
Owner's interest in site of the improvement fZ
Fee Simple Titleholder(if other than owner)
Name
Address
//JCAL STS L�dtiD FAN c
Contractor C
�c
Address 8ox 422 _5-A ti' I'M 766
OPhone No—'a 4;;,—, �S0y Fax No.
Surety(if any) N A
Amount of bond$
Address
Phone No.
Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name Ai A
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
Address
Fax No.
Phone 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 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):
_ R
THIS SPACE FOR RECORDER'S USE ONLY TE i "Y
Signed: da f In e
Before
Cp �I.Stat odd has Ily appeared erein b
h17-111 herself nd elft JANET CHR NISTER
are tn»and accu i ,`'i��" '�,,
,`� Notary Public•Slate of Florida
.•e My Comm.Expires May 8,2015
Commiss+rn #EE 91388
ssn.
Notary Pudic at Urge.
Aly commlaston expire _ or
Personally Kno�m ___---
Produced Identification --