411 Whiting Ln 14-ROOF-54 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J
r� ATLANTIC BEACH,FL 32233
ROOF PERMIT INSPECTION PHONE LINE 247-5814
ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORM N:
o -
Job Type: ROOF PERMIT
Description: FL 10674.1
Estimated Value: $6,430.00
Issue Date: 9/23/2014
Expiration Date: 3/22/2015
PROPERTY ADDRESS:
Address: 411 WHITING LN
RE Number: 171442-0000
PROPERTY OWNER:
Name: JONES, ROSIE L
Address: 411 WHITING LN
FEES:
PLAN CHECK FEES $41.08
BUILDING PERMIT FEE $82.15
Total Payments: $123.23
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
Tax Folio No.
State of w R''p A
County of 0K.vA�'
To Whom It May Concern: I property,
The undersigned hereby informs you that improvements
it NOmade to certain rea
TICE OF COMMENCEMENT.d in accordance with Section 713 0
the Florida Statutes,the following information is stated
Legal Description of property being improved: 31 1
1 0� P�r�S r✓� 'LAS,aa
-3nZ
Address of property being improved: L4 t\ !�' �'"� L
T��• a qc.N - 33
General description of improvements: /JE'"a 9-.,C>o
Address: y l l 3 2 2 3 3
Owner: l2 o s i t SJ^� S
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
\ Contractor: A-- `� els f G�~s �`l
Address: 2 i
aid 4 Fax No:
Telephone No.: S'�1 s'S -
i
Surety(if any) Amount of Bond S
Address:
Fax No:
Telephone No:
king a loan for the construction of the improvements
Name and address of any person ma
Name:
Address:
Fax No:
Phone No:
than himself, designated by owner upon whom notices or other documents may e
Name of person within the State of Florida, other
served: Name:
Address:
Fax No:
Telephone 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 Statues. (Fill in at Owner's option)
Name:
Address:
Fax No:
Telephone No:
Expiration date of Notice of Commencement (the expiration date is one (1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNE/. Date:F iy�!
Signed:4 i
_da of in the ounty DuvalofDState
Before me thi y !y ale 5
Of Florida,has personally appeared
Doc 4 20142147
46,VK B Oy y Page 204-i, Notary Public at Large,State f Florida,County of Duval.
Number Pages:1 My commission expires: �ZS��
Recorded 09/23/2014 at 11:00 AM, personally Known: P nda
Ronnie Fussell CLERK CIRCUIT COURT DUVAL a Notary
COUNTY Produced Identification: S My Commission FF 012533 i
RECORDING$10 00 a
+'�OF F� Expires 04128/2017
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
t I �N��t� L-0 . All X -r "Permit Number:
Job Address: ,
Legal Description I- - ZS- 29 E t t ePt-Mis U.1�1'1v Parcel# �7 Z oo�
g oor ea o q. t. t
�, �� Proposed Work heated/cooled 60� non-heated/cooled
Valuation of Work$ `� 3 p�oF
Class of Work(circle one): New �ition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro a fire sprinlrler system installed? (Circle one Commercial C' Resi esn No
If ane g
Florida Product Approval it L - 1 �
For multiple products use pro uct approva orm �F�,� ?1�e I
Describe in detail the type of work to be performed: K-j ( F
USN G�� 1•�C�T
Property Owner Information:
Address: ''l I v`►H t '''` L r,
Name: �5 iE �or E S 3 i L3 r Phone
City ATl�T'` �Ac[.1 State k-Zip
E-Mail or Fax#(Optional) f
Contractor Information: A tLrt�ti wC 1l�
c o,.•s��Qualifying Agent: � Zi 3 Z�-l.L
Company Name: A 5 wx U s 1f,.— �'� ' Cit}, �� l y;,.-,•r� State P
Address: Z I k N Fax# gay,3 /L Y
Office Phone 12>q457'5 '00�A Job Site/Contact Number 901• S 3 5` 68
State Certification/Registration# Cc-e- 13 2845 7
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
becomes null
e ormed to meet the standards of all laws regulating ccoba eruct for aon in hteriord of six n6)mon hs attany tim
Application is hereby made to obtain xPtll be
to do the work and installations as indicated. 1 certify that no work or installation has commenced prior tot e
issuance of a permit and that all work p
and void tf work is not commenced within six(6) months, or if construction or work is sus ended o
g Sign
s, ells, Pools, urnaces,
Boilers, Heaters,
Tanks and Air work is nceConditioners,nunderstand that separate permits must be secured for Electric Work, Plumbin ,
etc
WARNING TO OWNER: YOUR FAIPAYIIN 4RECORD
WI� OR IMPROVEMENTS TO
COMMENCEMENT MAY RESULT IN YOUR PA YOUR NOTICE OF
YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING� CONSULT WITH YOUR
LENDER OR AN ATTORNBEFORE
COMMENCEMENT.
i ted herein or not. The grantin of a permit does not presume to give authority to violate or cancel the
l hereb certify that/have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ojYwork will be complied with whether sp
provisions of any other federal,state, or local law regulating construction or the per of construction.
��� Signature of C ntrac
Signature of Owner
t Print Name
.........._�E.S.......................................................
Print Name Y�...�: ...............................
Sworn to nd subscribed before e Sworn to nd subscribed before pe 20 4
thisay of �
20 this��JDay of er
otary Public P public state of Florida ,CRY PC, Notary Public State of Florida vised 01.26.10
yc+ v Notary `s Kimberly Baker
+F Kimberly Baker • My Commission FF 012533
My Commission FF 012533 d,� OT Expires 0412812017
'Pq Expires 04128/2017 '�