345 10th St roof 2014 CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
J
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-581
�JS31��
Application Number . . . . . 14-00001380 Date 8/25/14
Property Address . . . . . . 345 10TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 5500
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Application desc
REROOF
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Owner Contractor
_ _ ------------------------
LOOMIS, FREDERICK & JEANNINE BILTRITE HOMES CONTRACTING
345 10TH ST 4511 ISH BRANT RD
ATLANTIC BEACH FL 32233JACKSONVILLE 0 L 32210
042
-----------------------------------
Permit ROOF PERMIT
Additional desc Plan Check Fee . 00
Permit Fee . . . . 80 . 00 5500
Issue Date Valuation
Expiration Date . . 2/21/15
---------------------------------
Special Notes and Comments
NEED NOC
---------------------------------------------------------------------------------------------
STATE DCA SURCHARGE 2
Other Fees 2 . 00
. 00
STATE DBPR SURCHARGE
_ ________ --
Fee summary Charged
Paid Credited ----Due---
. 00
_ _ ----------
----------
- - . 00
Permit Fee Total 80 . 00 80 . 00 00 . 00
Plan Check Total . 00 . 00
4 . 00 4 . 00 . 00 . 00
Other Fee Total
Grand Total 84 . 00 84 . 00 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i
BUILDING PERMIT APPLICATION
/ CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address: 3Y5—5— l 'S 0"c9c4- F Permit Number: _
Legal Description 4 l� 1�At�l �/eh Parcel#
ioor Area o qTt• Sq-.Ft
Valuation of Work$ ��Dv Proposed Work heated/cooled_ non-heated/cooled
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 spr kler s tem instal;ed? (Circle one): Yes No N/A
Florida Product Approval# 60 L •
For multiple products use product approva form
Describe in detail the type of work to be performed:
tT\S-(p�!y n,ew .2S�ea� - > -�ss S-Qt&MG
IoM t'ocsF a d v
Property Owner Information:
Name: �' vyk. Address: Shos
city �i >1.�. i State 1.Zip Phone
E-Mail or Fax# (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
` LL4- Qualifying Agent: �'• '�a^�
Company Name: i!.T�lee Ci * o�w State Zip 3 zuo
Address: TV/ SSI+ Q �• �'
Office Phone QOY—S'09 —30SIf2 Job Site/Contact Number 4_3 C of 1 Fax# '�3d ^ 030
State Certification/Registration# Z—
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
that no work or installation has commenced
rior
iseuanaelonis a permithereby
nd that al work made to obtain will belt to do the performethe
d toork and meet the standards of all latallations as lws regulatincated. I g construction on in this jurisdiction. This permit becomesonull
work void
�mrk is not
tcommenced within six l understand that separate months,
omust be secuconstructred for Electricalion or work is Work, Plumbing, Sigor ns,aWellseri�PoolsxFurnaces,Boilerrsmonths at any tHeaters,
Tanks and Air Conditioners,eta
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR END TO OBTAIN FINANCING, CON IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INT LT WITH
YOUR LENDER OR AN ATTORNEY
BE ORE ECORDING YOUR NOTICE OF
CO
I herebD
yywert w 11 t come read and plied with whether sr,
eeihis aedlherein or not.ow the same to be The granting of true o peand r i doesct. All notpresumelons to givelaws and authority to violatences gor cancelthe
pr J
provisions of arty other federal,state, or local l,e regulating construction or the performance of construction.
Signature of Ow�� - '') �'' mom-- Signature of Contractor
PQ�l
rn� S Print Name ..V`�L;...(..Y....'Ifi,-4�.... ..�.5.
Print Name """
.......................................
..................................... .
Befo e Before e
this 20 ` thi Day of 20
KELLY LULLI tary Pub
Notary Public + �:jf?r CLAUDIA AL NTARA
p3 Notary Public,&tate of Florida '�: O 1. 6.10
Commtss 'n�i FF 100524 Commission# 1 �
�. Expires November 6,2017 i
My comm.expires May 17,2018 , ,' Bonded Th u T oy Fa n Inwronce gpp 3AS 7014 F
NOTICEOF C0MME 'CEME jT
/[� 1 (PREPARE IN DUPLICATE)
Permit No.- [7� � (�
State of Lr'j Tax Folio No.
County of
To whom it may concern:
The fi
accordance with Section 7b13 of a Florida Statutes,the followiinforms you that improvements ng information be is Stated ide to c"UtFUJI real n this Oand TICEtOF
COMMENCEMENT.
s
S
Legal description of property being improved:
Address of property being improved:
General em-iption ofimprovements:
N SJ
Owner !' S F('G�Gr t ---
Address /4p
Owner's interest in site of the improvement_ /4S
Fee Simple Titleholder(if other than owner)
Name --- --
Address
Contractor
Address [ �r Q tTgt
Phone No-74—j/ � �-t 3Ztn
Fax No. �—
Surety(if any)
Address _ Amount of bond$
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 Lienors 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 spectlied): L
THIS SPACE FOR RECORDER'S USE ONLY OW ER
C w� CtJ°f71 c .J—
fore me this day of
OR BK 16890 Page 785, gun o Dtiva t tent rich,h p d"
i Doc#2014192072' herein by
Number Pages:1 nseitt herselfand affirms that all are ements end tlec ar2t(. herein
Recorded 08/25/2014 at 04.12 PM, a true and accurate
Ronnie Fussell CLERK CIRCUIT COURT DUVAL t /;1 y KELLY LULLI
COUNTY Notary Public,State of Florida
0
RECORDING$10.0Commissional FF 100524
aryPublic at Large,state of unly comm.expires May 17,2018
wy commission expires: `
Personally Known _ or
Produced Identiri tion