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1065 Hibiscus St 2014 roof z CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . 14-00001449 Date 9/03/14 Property Address . . . . . . 1065 HIBISCUS ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3900 ----------------------------------------------------------- Application desc REROOF --------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- SALT AIR HOMES LEAKBUSTERS LLC ROOF 226 TALLWOOD RD 6040 GEORGEWOOD LN W JACKSONVILLE BEACH FL 32250 JACKSONVILLE FL 32244 (904) 778-4377 ------------------------------------------------------ Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3900 Expiration Date . . 3/02/15 ---------------------------- 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 JobAddress: ( b 6 5 t4[ g&2_uS S+- Permit Number: Legal Description Parcel# 1-1 ©gg--C) Valuation of Work$ 3,�I�o• 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 rmhler system nstalled? (Circle one): Yes No N/A Florida Product Approval# C_( ,( For multiple products use pro uct a0pnoval form Describe in detail the type of work to be performed: Property Owner Information: Name: S�L`1`j�l jL— �OV`A [ oz-- Address: �2-� City Staten-Zip Phone E-Mail or Fax#(Optional) 12- CD C' ST Contractor Information: � � uali m Agent: Company Name: / Q �nV g Address: r City �fF tge f- ZipOffice rhone -` Joti Site/Contact Number�'y - `-{- 3S �i' State Certification/Registration# C 2 17— Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address- Mortgage ddressMortgage 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 well be performed to meet the standards of all laws regulating construction in thpis jurisdiction. This permit becomes null and er work void ommenced of commenced 1 understand tethin six hat separate permits mumonths, or st be conssecured for Electrical'Work,ction or work is or Plumbing,Signs,or aWells, Pools,eriod xJurnaces,Boilers,months at any time Heaters, Tanks and Air Conditioners,eta 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 BEFR ENTE RECORDING YOUR NOTICE OF I hereb certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type certify well be complied with whether sped eed 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 construction. Signature of Owner Signature of Contractor Print Name '- 2hv' ..._............. Print Name �.l..� ...... .........- ... . O � vc ......- ....... �' Sworn nd subscri d before me Sw subscribe fo me te20 this��7"Day of this Day f Notary Public U io 8ta of Florida g*Cwnm1s91on tM P b ARSE aofFMURRAY Shirley L Grah tary PubNc,State of Florida � My Commi FF osssso evised 01.26.10 /AN i FF 27406 w Expires 02/14/2018 comm.expires June 13,20W NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of t County of ,j, :� �. 11L 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: Address of property being improved: Iv S ck,� General description of improvements: Owner 74`1- 4 k � ��✓�� � N� pp Address :z 2 t , 'T liL- ` Owner's interest in site of the improvement oe Fee Simple Titleholder(if other than owner) Name Address Contractor Address ._ �. c,,. .3a i1. .�;,`* �..c� L- N' Z L-f t tl! Phone No. Fax No. bC( 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 Phone No. Fax No. �1 Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a l different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: �•�^ y DATE Before me this day of in the Coyptyof Duv�l, te�j Iorid personalty appeared !/L iii//' herein by himself/herself and affirms that all statements and de 61jill6maAmmisrres� are we and accurate PAULA MURRAY Doc#2014198945,OR BK 16899 Pagel 663, a+ Number Pages:1 Notary RNbAo,Slate 2 Florida Recorded 09;03x'2014 at 02:29 PM, � � Comm18910r►#FF 27405 Ronnie Fussell CLERK CIRCUIT COURT DUVAL MY comm.expires June t3,2017 COUNTY Notary Public n Large,State of Cou RECORDING$10.00 My tonally Kon expires: Personally Known or Produced Identification AZ40AICIIA X r/C-