1877 Beach Ave 2014 roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r1 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
14-00001153 Date 7/21/14
Application Number 1877 BEACH AVE
Property Address . . . . .
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 4975
------------------------------
Application desc
FL 1956 . 3
------------------------------
Contractor
Owner
--------------
PIETAN, JERAL H WHITES ROOFING
1877 BEACH AVE 14262 PLEASANT POINT LN
FL 32225
JACKSONVILLE
ATLANTIC BEACH FL 32233 (904) 220-5546
-----------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . plan Check Fee . 00
Permit Fee . . . . 75 . 00 4975
Issue Date Valuation
Expiration Date . . 1/17/15
-
- ---------
---------------- ------------------------- 2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE
Fee summary Charged
Paid Credited
----- ----------
75 . 00 . 00
Permit Fee Total 75 . 00 00 00 . 00
Plan Check Total • 00 . 00
4 . 00 . 00
Other Fee Total 4 . 00 79 . 00 . 00 . 00
Grand Total 79 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of 1 County of Do v
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:
PeacdAddress of property being improved: 1� � ��
g��
A-4 kri f;U '&J, F-L 3 ?�3 3
General description of improvements:
Ae-
Owner TY)Q + f A t-J
Address 1"A A4
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address_
White's Roofing Co.Inc.
Contractor_ 14262 Pleasant Point Lane
Jacksonville,FI 32225
Address_
Phone No. Fax No. q7� r 6 7 7
Surety(if any)
Amount of bond $
Address
Phone 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
Phone 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 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):
BUILDI NG PERMIT APPLICATION
,S r
CITY OF ATLANTIC BEACH
,Y
800 Seminole Road,Atlantic Beach FL 322
33
'��135vr Office: (904)247-5826 • Fax: (904)247-5845
Permit Number:
Job Address:
Legal Description q"
Valuation of Work(Replacement Cost)$ y X11 o0
■ Class of Work((Circle one): re( cle one):Addition A1teCrotmmere'Repa' Res dent' A
■ Use of existing/proposed structures) Ci ) N/
■ if an existing structure,is a fire sprier system installed? (Circle oneCircle one): Yes o
■ Is approval of homeowner's association or other private entity required? ( )
aJ
escribe in detail the type of work to be performed: L l
S to Pe N,1 a
Property Owner Information �J
a
� Address: I 9-7 J,�� �
Name' State ELZip 3 --Phone 0
City
t %
Contractor Information:
S (�� C o 1 NG Quali g Agent:
Name of Company: State�-1___Zip 3
.L City � � r G 3
Address: I Job Site/Contact NTuneber 0 q-333
Office Phon 0 Office Fax# - -7-
State Certification/Registration
Architect Name &Phone#
Engineer's Name &Phone# s as
hereby made to obtain a permit to do the work anall work l non 'bel erfgrmed to meet ndicated. I certify
e standards oeall
that no work or
Application ash y
installation has commenced prior to the issuance oda permit and thatperiod o six w months commenced are a work as
in construction.in thasjurisdiction. Thispermit b oo e anull and f id i work as nottanytieawithinPrk is
laws regulating gSigns, e ,
months, ori construction or work ass pee fined must
be secured fo rElectrical Fork, Plumbing,
oo
commenced f I understand that separatep EENT MAY
Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc. A NOTICE OF CoN&AENC
WARNING TO OWNER:YOUR FAILURE TO RECORD ER OR AN ATTORNEY
PAYING TWICE FOR INiPROVEMENT5 TO END PROPERTY. IF YOU
RESULT IN YOUR PA
INTEND TO OBTAIN FINANCING, CONSULT E OF COMMENCEMENT'YOUR LENDER
L
BEFORE RECORDING YOUR NOT
hether s ecifaed herein or not. The grantin o�f'a
that I have read and examined this a lication an with w he same
o be true and correct. All provl c g law
Thereby certify al
laws and ordinances governing this type of work wi be comply
rinv other
'} annn of „s.nn.iv�nn to gni authority to violate or �anrel the provisions of__-- Ot-_rr federa; state, o
per!l bit does (LVL presume to
regulating construction or the performance of construction.
Signature of Contractor.
Signature of Property Owner: T MAI
Ry F Pi G�4� Swom to and subscribed before me
Sworn to and sub tribe before me this_a Day of
this_]_Day of 0 db IE J.RITTER
IE J.NMR ry P I e f Florida
wlary Public-Sto 01 Florida
c 12,2017 Nom'Public: omm. xpires Dec 12,201
Notary Public: = ommission #FF 058465
;" Ff= Commission#FF 058465 r
'
or f 1gtla�
Bonded Tfraugh W mia►Y Assn. ,,, Bonded rnrouor Natior�l NOW4nu.`�
REVISED 03.05.07