131 Jasmine St 2014 ROOF Ile
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ROOF PERMIT INSPECTION PHONE LINE 247-5814
'Ai ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATI N:
Job - -
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $6,074.00
Issue Date: 9/19/2014
Expiration Date: 3/18/2015
PROPERTY ADDRESS:
Address: 131 JASMINE ST
RE Number: 170848-5000
PROPERTY OWNER:
Name: POOLE, PHILLIP R
Address: 131 JASMINE ST
GENERAL CONTRACTOR INFORMATION:
Name: BIG FISH ROOFING INC
Address:
Phone: - -
FEES:
BUILDING PERMIT FEE $80.37
STATE DCA SURCHARGE $1.21
STATE DBPR SURCHARGE $1.21
Total Payments: $82.79
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No
State of L County of fity
To whom It may concern:
The undersigned hereby informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following Information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 18-34 38-25-29E 0'094
ATLANTIC BEACH SEC H
Address of property being improved:
131 JASMINE ST
ATLANTIC BEACH,FL 32233
General description of improvements: REROOF
Owner PHILLIP R POOLE
Address 131 JASMINE ST
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor BIG FISH ROOFING
Address 6821 SOUTHPOINT DR N,SUITE 114,JACKSONVILLE,FL 32216
Phone No. (904)685-8334 Fax No. (904)853-5676
Surety(if any)
Address Amount of bond$
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 Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address \ ,l
Fax No.
Phone No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
? x'.
different date is specified):
1
THIS SPACE FOR RECORDER'S USE ONLY NEi; r "
y x a >
Signed: DATE'414,/ v D
Before I y o / 3
County of Duval to e o loride,has personally appeared y
I 11 D ry V i[' herein by y 7 c)
Doc#20'14[124/-5,OR BK 1691! Page o22, himself/heNeff and affirms that all statements and declarations herein
Number Pages:1 are true and accurate
SO,4t
0
Recorded 09/19,'-1014 at 11:46 AM, "„z
Ronnie Fussell CLERK CIRCUIT COURT DUVALOD
m
COUNTY `\AN• - o
RE $1G. ? 6 C v�40 5. r C. ,51 mrnu,l S a i3
Notary Pub t Large,State of County of I-JLr U 44
My commission —1 Fe
Personally Known or
Pmrl,.rod Id—tift. Lr n i
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 131 54 3 33 Permit Number:
/++a7r c
Legal Description %,9- 3:X 3s 2.5 'Z E 95i h Sic fi Parcel# /7Q , ��SDU U
Fl
oor ea o Sq.Ft. q. t
Valuation of Work$ Proposed Work heated/cooled Z 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 �so
If an existing structure,is a fire sprinkler sprinkler sy�tem installed? (Circle one): N /A
Florida Product Approval e 12d --a va orm
For multiple products us p pp
Describe in detail the type of work to be performed: &��
Property Owner Information:
.1le-
11;a Address:
Name: &City G Stater6 Zip32Z33 Phone 901 7flS- X305
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: /A- Quali nig Agent: ���� &-d XeS
Address: City C��!-41UI /lam State L Zip
Office Phone 9d�1-1o; - �33�/ Job Site/Contact Number 540y
State
Fax#
State Cert ification/Registration# 'CC1330Yyl
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
ion
s cornmenced
rior
issuaincerof a permit and that allmade to btain work will be perfot to rmed tothe ork and installations as meet the standards of all larwsted I regu regulatingconstruction inothis juraisdiction.This permit becomesothe
null
and work void
sc o�imenced.not 1commenced within six understand that separate permitsom if
be secuconstructred for Electricalion or work is susWork,Plumbing, Sigor ns,
aWells�Pools, ur races,Boilermonths at s, 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 Y E OF
COMMENCEMENT. STACY SIMMONS
"` �e Co
N mmisSron#FF W80
1 hereb certify that 1 have read and examined this a plication and know th :� ¢e rue and correct. All provisi an it�l r1Ht1te ar— 1ce tth
e o work will be complied with whether s eci red herein or not. The a permit does not presume to r '6"J�fete.µ�„f nceeh
typ o7work of construction.
provisions of any other federal,state, or local taw regulating construction
K C cn
Signature of Owner -Q•s 3 nature of Contractor
SI.-0<
f ��3a int Name S ' .u..e..n.....5cc�af ........�'C �. .3....o...yyl............
Print Name `i'/��1�/ ................. ......................
• Ca T /
Before me // r 20 y �" t is/2 y 20�y
this Day of / Da of S� '/rlG�i�
g
or ' ►1.-
Notary P is otary Pub
Revised 10.24.12