762 Aquatic Dr 2014 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . 14-00001214 Date 7/30/14
Property Address . . . . . . 762 AQUATIC DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3500
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Application desc
REROOF FL 10674 . 1
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Owner Contractor
-
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XINGPING CHIN JAX ROOFING
762 AQUATIC DRIVE 601 ABBEY CT DR
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073
(904) 472-3452 (904) 434-7346
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Permit . . . . . . ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 70 . 00 Plan Check Fee .
Issue Date . . . . Valuation . . . . 3500
Expiration Date . . 1/26/15
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
--------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 74 . 00 74 . 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: -76Z- 4gloa,"ic'- Pr tOl-'t n4,C;; ig'qNl-� Permit Number:
Legal Description 7 1 �l Zs — 2 1 C� Parcel# 1-7 / 1 J�- - Z S
Floor �'
Area o � t. 'qct
Valuation of Work$ ,��O� Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Rep Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial �ential�_
If an existing structure,is a fire sprinkler system installed? (Circle one N/A
Florida Product Approval# FG /e 6 ;i(--• /
For multiple products use product approval form
Describe in detail the type of work to be performed: roz+ f e--
Property Owner Information:
Name: A ,n Address:
City 1c,,J c 12,e, cA State r Zip 1 Phone U>L f-`7 ZZ- yc S Z
E-Mail or Fax# (Optional)
Contractor Information: "eT
Company Name: Qualifyin Agent: 1!'r frk
Address: City r)Y State r-- Zip 3 lt�;?
Office Phone o 3 Job Site/Contact Number �j��---� Fax# �,,_ Z
I? k� q7
State Certification/Registration# 9- C Z`1 c,"Z-7
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. 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
Pu void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a Pertod 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 hereby certify that I have read and examined th' application and know the same to be true and correct. All provisions of laws and ordinances governing this
type o1 work will be complied with whether speci ied 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 construt' �.•l
��$=1�—
Signature of Owner i I,t L'i t Signature of Contracto
Print Name 4N Tl/J Print Name r—'�\C6 A- 4,Ce4rC�2 f—
vJ V...... ...... .. ..........................................................
Before me Befe ,r
this �'c'Da of 20 1 this .XJDay of 201
•: MY
Not A �. � ;; Qry PUUbMIFERWALKER
*: .. MY COMMISSION#FF 01148o
a EXPIRES:April 24,2017 Revised 01.26.10
'b�; Bonded Thru Notary Public Undervnders
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 762 Aquatic Dr.Atlantic Beach, FL 32233
Address of property being improved: 762 Aquatic Dr.Atlantic Beach, FL 32233
General description of improvements: Re-roof
ownerMpgping Chen
Address 762 Aquatic Dr.Atlantic Beach, FL 32233
Owner's interest in site of the improvement N/A
Fee Simple Titleholder(if other than owner) N/A
Name N/A
Address N/A
Contractor Jaime Tulio Cardona Jax Roofing LLC,
Address 601 Abbey Ct.Orange Park, Florida 32073
Phone No. 904-4347346 Fax No. 904-772-8947
Surety(if any) N/A
Address N/A Amount of bond$
Phone No. N/A Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name N/A
Address N/A
Phone No. N/A 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 N/A
Address N/A
Phone No. N/A 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 NIA
Address N/A
Phone No. N/A 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):
'7
THIS SPACE FOR RECORDER'S USE ONLY ow EIR $ •..t.i`'
�i
Signed: `✓► 'C't2 DATE D7 23f 2 <
me—this 1` Before " day of in the ;
`j County of Duval,State of Florida,Wsprsohally appeared n 0
., /` herein by A 3
himself/herself andlaffirms th all statements and declarations herein M t'A
Doc#2014169360,OR BK 16860 Page 1541, are true and accurate yj y W -4
Number Pages: 1 Z
Recorded at 11:59 AM, � )
Ronnie Fussellssell CLERK CIRCUIT COURT DUVAL � Zlf� � *t �
COUNTY iO m C
RECORDING$10.00 Notaryarge,Stat�f %tom County of ;�ur� W Z
res: — D
Pe y or tit
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