1650-1 Beach ave 2014 roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
INSPECTION PHONE LINE 247
Application Number . . . . . 14-00001386 Date 8/26/14
16SO BEACH AVE
Property Address . . . . . . 1650-1
Tenant nbr, name . . . . . .
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8000 -----------------------
----------------------------------------------------
Application desc
reroof -------------------------------
----------------------------
Contractor
Owner ------------------------
------ ------- --------- A TO Z REMODELING (ROOF)
ELMORE, KELLY R 131 S WILDERNESS TRAIL
1650 BEACH AVE PONTE VEDRA BEACH FL 32082
ATLANTIC BEACH FL 32233 (904) 273-7042
------------------- --------------------------------------------------------
Permit ROOF PERMIT
Additional desc - - 90 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation 8000
Issue Date . . . .
Expiration Date - - 2/22/15----------------------------------------
-- ------- -------------------------STATE DCA SURCHARGE 2 . 00
other Fees . . . . . . . . . STATE DBPR SURCHARGE 2 . 00
-------- ---
--------------------------- ---------------------Credited Due
Fee summary Charged Paid ---------- ----------
------ --- ----- ----- -----
Permit-Fee-Total 90 . 00 -----90 . 00 . 00 . 00
Plan check Total . 00 . 00 . 00 . 00
4 . 00 4 . 00 . 00 . 00
other Fee Total 94 . 00 94 . 00 . 00 . 00
Grand Total
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: (c) C) C�)Lk -A 0
Permit Number:
Legal Description n Floor Area of Sq.Ft. Parcel 9 Sq.Ft
Valuation of Work$ 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/ ro losed structure(s) circle one): Commercial Residential
I -
x,st, g s Cf
If an e n tpru Ure,is a fire sprinMr,,sptein installed? (Circle one): Yes No (:N/A
Florida Product Approval#,6,161 z st,/
For multiple products use product approval form
Describe in detail the type of work to be performed: C
Property Owner Information:
Name: W,1%4 r-- J�tVhOA�� - Address:
cityAlAdh%—&�1�114 Stateg�Zip;jM3 Phone 601(-- ';3,---3--3 - -7403
E-Mail or Fax 4(Optional) Kjeqjh1,-r<,- 0, het�
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name:.4)-2 A"L J'kk Qualifying Agent:
Address: 1315,W it_oc-m*_fm -rjZA--C - I jj-�A_ F-4 L+ State fT
City,y4?- n -Z. 3ZOR
OfficePhone .27,?-701+-L- Job Site/Co er I &A---Z-A Fax# ,-L23- ') .3
jitact Numb
State Certification/Registration#-CCc-
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A a 's he e ade a*na ermit to do the work and installations as indicated I certify that no work or installation has commenced prior to the
O't ', p,be pe�jbrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
p 'Ic 'i0f y in h all k i f six(6) months at any time after
r ' to
issp ance q 17 permit and t at -0 w
and'old, work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor aWeriod o
is cormn, , I , rt, t t s
k- n ed de nd ha eparate permits must be securedfor Electricar Work,Plumbing,Signs, ells,Pools, Ftirnaces, 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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I here certify that I have read and examined th' lication and know the same to be true and correct. All provisions of laws and ordinances governing this
type IlVwork will be complied with whether 'ecifaffe§herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state, or localsf,w regulating construction or the performance of construction.
Signature of Owner U Signature of Contractls;����
0-1--
Print Name Print Name 1"AA.0.$4/............/.-,- -.-'Ie S...- ...................................
......................... .... ......... . ... ... ...............
... ...................................................
Before I q Bef0Z
this-, kaylof n- A 20 this 4(ayff— 20
No(2)i,Public JENNIFER WALKER tO Iorida
tri y L Graha
MY COMMISSION#FF 011480
Z. My commission F 990
EXPIRES:ApdI 24,2017 Revised 01.26.10
...... Bonded Thru Notary Public Underwriters_ Expires 02/14/2018
NOTICE OF commENcEMERIT
(PREPARE IN DUPLICATE)
Permit No.
State of Tax Foffo No.
County of
To whom it may concern:
The undersigned hereby Informs You that improvements Will be made to c'
accordance with Section 713 of the Florida Statutes,the following info real PrOPeft and in
COMMENCEMENT. rmatiOn is stated in this NOTICE OF
Legal description ropedy being improved: OC-CAW K I
U'u
0
Address of property being improved:
1 ��n A rc . C<51-4
General description of improvement TN
owndy
Address
Owner's Interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor /L2
Address IS /0 601,2& C.
i !,,,062?A-j -
Phone No-
Fax No-
Su
ly Cifany)
Address
ountofbond
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 oprion).
Name
Address
Phone No. Fax No.
Expiration date ofNot!Ge ofCommencement(the expiration date is one(1)yearfrom the date ofreCDrdIrig unless a
different date is speciffed):
THIS SPACE FOR RECORDER'S USE ONLY R
Sig xa'. DjrE
Be ore i is ILL day of �N
coun�y Late o 1---pffsona y appea in the
—el t�t '�F"
Doc#201418,5489.'--,R BK 168.81, Page'1880, lsy - " 0--) red
Number Pages.�1 3re tnie and accurate and decla"
Recorde:l Mil 8/1-014 3t 02-01 PIVI, Ffig"PHER 8 GALLAHER
Ronnie Fussell CL ERK CIRCUIT COURT DUVAL Notary Public-State of Florida
COUNTY 'Ay Comm.Expires Jul 31,2015
0 ission#EE 117538
RECORDING$10.00
ional Notary Assn.
folary Pu lic at Large te
ly comml on expf
,Jersonally Kno
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Produced Idenffic�t�lon or