2293 Oceanside Ct 2014 roof CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
J ; = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
C r3 ).
Application Number . . . . . 14-00001469 Date 9/05/14
Property Address . . . . . . 2293 OCEANSIDE CT
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 12272
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Application desc
reroof 10124 . 1
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Owner Contractor
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BADII, AHMAD A & PARVINK THE HOME DEPOT SVCS (ROOF)
2293 OCEANSIDE CT 2690 CUMBERLAND PKWY
ATLANTIC BEACH FL 32233 ATLANTA GA 30339
(770) 779-1423
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Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 115 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 12272
Expiration Date . . 3/04/15
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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 115 . 00 115 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 119 . 00 119 . 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: ocpermit Number:
Legal Description yq.34 37•aS•3kW Oe ovoASucQ -7 Parcel# /(Pkff q(o S 3
3-
oor Area o q. t. Sq.Ft
Valuation of Work S /vAo)7)-- Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration 6;� Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercialesidenti
If an existing structure,is a fire sprinkler system installed? (Circle one): es NoN/
Florida Product Approval # /00 V- I
For multiple products use product approval form
Describe in detail the type of work to be performed: [tee- ;L�r- *eo.0 C)Vr-'.r e r t_P\C9- aS�q q
PropertyOwnerInformation:
Name:�1 ICY ,� , "� � Address:_6a°\3
City Ari ,YA \e )Lw_6\— State�Zip3,23Phone q64•a`4 G - 3 a J a
E-Mail or Fax#(Optional)
Contractor Information• CONTRACTOR EMAIL ADDRESS:+i v" 6c �te� 2�Ya-Qa•�e �c(ti�� e
Company Name: �b�n� Dc`s� %Q� t`I Qv ualifying Agent: J in
Addressc"1N YCAM City"[.�V-1--0- State >rc- Zip 3-)G l9
Office Phone 6*1(o-—7-Y"4 8 Job Site/Contact Number X17_(,,37_J yci d Fax#
State Certification/Registration# (�C�_�.dJ, ?
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. I 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 a period 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 this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal or local law regulating construction or the performance of construction. .
Signature of Owner Z< Signature of Contractor
Print Name N J T.j1............941>11 Print Name
.. ..... . .................................... . ......................
Before_ane Befor e
t h i 't of 20 tt ` t QDay of 414114S20)y
MICHAEL J.HOLEVA
�Tqotary ublic Notary CHRISTINECMALLEY
.+� STATE OF FLORIDA .�; MY COMMISSION N FF 087307
ala►Comm#EE0483 ra= EXPIRES:January�g�
�d,,{ �b EXpi(8s���� + �� Bonded Thio Notary Public Underv+�ters 1.26.l 0
Doc # 2014198152, OR BK 16898 Page 1264, Number Pages: 1, Recorded
09/03/2014 at 09:00 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
This Instrument Prepared By:
THD At-Home Services
9208 Florida Palm Dr.
Tampa,FL 33619
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No. j(
State of Florid /
County of V l
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713,Florida
Statutes,the following information is provided in this Notice of Commencement: I
1.Descri tion of property:(legal description of property,and street address if available)y y-3 �M7'a.s •01 q� a T0V\'�
e c'
2.General description of improvement: lelcD n
3.Owner information
(a)Name and address:/T /✓�u Z K [ G
(b)Interest in property: 615LAK [ a
(c)Name and address of fee simple titleholder(if other than owner):
4.Contractor
(a)Name and address: THD At-Home Services,9208 Florida Palm Drive,Tampa,FL 33619
(b)Phone number: 813-626-7548
5.Surety
(a)Name and address: NIA
(b)Amount of bond
(c)Phone number:
6.Lender
(a)Name and address: N/A
(b)Phone number:
7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(l)(a)7.,Florida Statutes:
(a)Name and address: N/A
(b)Phone number:
8.In addition to himself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),
Florida Statutes:
(a)Name and address: N/A
(b)Phone number:
9.Expiration date of notice of commencement(the expiration date is 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
10.
Vj .fa0.1A 4�. .e s Authoriz�Offi..�O—t-r
Partner/Manager
Si`gnatory's Title/Office
The foregoing instrument was acknowledged before me this me day of ;0141{'t�Y1`q.� �C t t
(naof person)as�y�y,Zy�y� (type of authority,e.g.officer,trustee,atto ey in )for
(name of party on behalf of whom instrument was executed).
MICHAEL J.HOLEVA
VOTARY PUBLIC gmture of taryPubli tate onda
TAT .`OF FLORIDA Personally known_or roduced Identificationwin#EE04M14 -•.A?M-•-
r;. " Esplres 12/1212014 Verification Pursuant to Section 92.525 Florida Statutes
Under penalties of perjury,I declare that 1 have read the foregoing and that the facts stated in it are true to the best of owl a o
U�
Si tura ofNatuml arson Signing(in Line#10)Above
Revised 7/28/14