254 S Oceanwalk Dr2014 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 14-00001191 Date 7/25/14
Property Address . . . . . . 254 S OCEANWALK DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 11145
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Application desc
reroof f11956-r9
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Owner Contractor
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BRANDSTAETTER, RAYMOND & DIANE SCHULTZ ROOFING COMPANY INC
254 S OCEANWALK DR 216 N. 20TH STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 246-2315
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 110 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 11145
Expiration Date . . 1/21/15
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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 110 . 00 110 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 114 . 00 114 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No.
County of
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: oZ -%3 0 8 Q S - a 9• C- 0 9 -a S - 2 9 C_
3 - ,;� S - z 2 c Ce ce r,wee j< Uly,� Z Le) 7` 3
Address of property being improved: _ 3) j 1-/ Q C e an w, in. � [)r _ S l4-l. (3 cA 322 3-3
General description of improvements: t ,c / - �'t�o
Owner: Address: a5-V
Owner's interest in site of the improvement: Fee S m b /e.
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Douglas A.Schultz Schultz Roofing Co.,Inc.
Address: 216 N 20`h Street Jacksonville Beach,FL 32250
Telephone No.: 904-246-2315
Surety(if any)
Address: Amount of Bond S
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:
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:
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
Signed: Date:
V..f OARS A,f Before me this_ day of _ m a Coun o Duv_al State
SK�imiSiT�1�CF Of Florida,has personally appeared
NAM
Notary Public at Large,State of Florida,rC` uuty of Duval.
.�yst{aiY1t�� My commission expires:
Personally Known: or
Produced Identification:
=tiM:ri RICHARD A.THOMASON
Commission#FF 116218
Expires April 24,2018 / !'
�,, WMed Thou Tny fain Inmrws 900.385.7019 /
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax (904)247-5845
Job Address: S y ®C e�r�0.1 l< p t't IJ e S Permit Number:
oq- ZS— D96; 37. 25-•2QL" Dcea„wzile n, 0 3
Legal Description y 2' 13 019- S " q C Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$. i 1 14S S .00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Move Demolition pool/spa window/door
Use of existing/proposed structures)(circle one): CommercialResiden
If an existing structure,is a fire spnnkler system installed?(Circle one): s No N/A
Florida Product Approval# L 17 5. - Act under/a y m c,-.+ PrL 1 3 85 7
For multiple products use product approval form
Describe in detail the type of work to be performed: S KA�n a f 12 e - C o o F-
Property Owner Information: 32z>
Name: Eav m on d Address: OGeazn c Jc L l K Or. Sa f-1,•f3't;
City (. StaterZip-3 2 Z3 3Phone
To o? �? — 2 2Q c, 7
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: G ?XIS2e Qualifying Agent: b L.� 1 _S
Address: 2 0 City t9-) State f-I• Zip3 2z J
Office Phone O q S Job Site/Contact Number </01/- 7,0-00(o_3 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 madet obtain a permit to do the work andi;tallqti�s as indicated. !certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet theandarof allawthisjurisdiction. This permit becomes null
and void f work is not commenced within siz(6)mths, or if consction work is suspended or abandoned jor a penod of szr6)months at any timeafter
work is commenced 1 understand ttseparate permitsmustbe ured for Elecoic Rork,Plumbing,Signs, Wells, Poots, urnaees,Boilers,Heaters,
Tanks and Air Comlltlonets,eta
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 ojYwork will be complied with whether spec this,
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.
WN611_� Signature of Contractor
_ /J , Print Name .. ......... Z.
..........................................................................i.... .........................................................f
Sworn to and subscribed More me Sworn to and subscribed-befgre me
this 15 Day of cI c/ 20 / this ZfDay ` / 20
IIIIIy
Notary Public i.. ssion#F�11621 No
Lary OMASON
Commission#FF 116218
D ► 24
April 24,2018 DOM�i 2018Revis01.26.10
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