2277 Seminole Rd Unit o 2014 Roof CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
� s)
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001213 Date 7/30/14
Property Address . . . . . . 2277 SEMINOLE RD UNIT O
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 4990
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Application desc
reroof
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Owner Contractor
------------------------ ------------------------
NATIONSTAR MORTGAGE INC EXCEL ROOFING CONTRACTING
350 HIGHLAND DR 5722 DUNN AVE
LEWISVILLE TX 75067 MIDDLEBURG FL 32068
(904) 463-3438
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4990
Expiration Date . . 1/26/15
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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 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Doc # 2014165845, OR BK 16856 Page 59, Number Pages: 1, Recorded 07/25/2014
at 10:07 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office (904)247-5826 Fax(904)247-5845
Job Address:
X2'1-7 IZ4 W EM A 101- Permit Number:
a+a+di1'rSlor1 3 ofd EIS rarrf SM t' F w� Parcel# 1/ -6 1 5D
Legal Description aangc 29 %fes EQt
oorArea q• t• q
Valuation of Work$ 411q96.06 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): (!� Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proosed structure(s)(circle one): Commercial esidenti
If an existing structure,is a fire sprinkler system installed?(Circle one): es No
Mb
Florida Product Approval# ! SZD
For multiple products use product approval form
Describe in detail the type of work to be performed: L V'04 S h 1 nQ Ilv
Property Owner Information:
Name:�1[r1(`n V !I C Address:
City_T�r r�SQ n I� State�Z><p x_22 1S Phone �lawl LD2 ?CQlS"
E-Mail or Fax#(Optional)
Contractor Information: n n " `�
Company Name: PP f rl L � - YS. n r. Qualif�mg Agent:S'�[lZT SO rer)SIt'l7
Address: S7L 2 lkt n n A�P City State�—Zip
Office Phone % h o3 171L L�3—_Job Site/Contact Number g0L/�(Qj�Az/3 Fax#
State Certification/Registration# C ;2S L16 L2.
Architect Name&Phone# 101
Engineer's Name&Phone#
Fee Simple Title Holder Name andAddress�l4
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. 1 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 six6)months at any time after
work is commenced. I understand that separate permits must be secured for Elecoical Work,PGtmbing,Signs, Wells,Pools, unlaces,Boilers,Heaters,
Tanks and Air Conditioners,etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT N YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YATTOOU NRTNEY BE ORE RECORDING YTO OBTAIN OUR NOTICE OF CONSULT H
YOUR LENDER OR AN COMMENCEMENT.
I herebycertify 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 olwork will be complied with whether speci ied herein or not. The granting of a permit does not presume to g:v authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
,�, Signature of Contractor
Signature of Owner p�p � /
Print Name t t ,1 ( r Print Name SC.6T_'r.... F 1�,�5 .........................................
..,fit................... ...e. ..n...�,.�.... t,............. ................
Sworn to and subscribed before me Sworn to and subscribed fore me 20
this 2,Day of 20 this Z�Day of
Notary Public
""�w� M.SCHUBERT rol''Y'`$� M.SCHUBERT Revised 01.26.10
_�� ° MY COMMISSION#FF068187
MY COMMISSION#FF068187
„p�` EXPIRES:NOV 04,2017 �a'w� EXPIRES:NOV 04,2017