257 jasmine St 2014 Roof CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ROOF PERMIT INSPECTION PHONE LINE 247-5814
U CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ROOF-234
Job Type: ROOF PERMIT
Description: REROOF FL 10124R7
Estimated Value: $5,370.00
Issue Date: 10/15/2014
Expiration Date: 4/13/2015
PROPERTY ADDRESS:
Address: 257 JASMINE ST
RE Number: 170861-0400
PROPERTY OWNER:
Name: WHELPLEY, ROY E
Address: 4765 HODGES BLVD SUITE 20
GENERAL CONTRACTOR INFORMATION:
Name: BUILDERS TRUST CONSTRUCTION
Address:
Phone: - -
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $76.85
Total Payments: $80.85
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 0771 ST• Permit Number:
Legal Description Parcel#
Floor Area of t
Valuation of Work$�� •00 Proposed Work het.ated/cooled non-heated/cooled
Class of Work(circle one): New Addition eration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler syste installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use pro uct approva orm
Describe in detail the type of work to be performed: 44.f- .5le-OCIL
Property Owner Information:
Name: Address:
-hon(OE-Mal nal) •1
�d. W
Contractor Information: CONTRACTOR EMA DRESS:
Company y3e' t I�� Quali ing ent d
Addres i( City V� •q. Statel _Zi�Z1�J
Office Phone I Job Site/Contact ber Fax#
State Cert ificahon/Registration
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 aperiod 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, urnaces,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
BE OMENTERECORDING YOUR NOTICE OF
COMMEI hereb 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 o7work 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,state, or local to regulating construction or the performance of construction.
ignature of Own Signature of Contracto
I ` Print Name 14oc V.. .. ............. :.Q... .+Z......................................
Print Name ..(,3...... .. .. ..
Before meBefor
this Day of 20 1 Y' this I� ay of 20
Notary is Notai hi y L Graham
M ommission FF 086990
?+�<�:tti'•., DUSTIN VAUGHNcon E pies o�1aizo�a 01.26.10
.,
Commission#EE 189798
;o Expires May 12,2016
'•'f„pi�4`,, S.& 1.Troy Fain Inwnnoe 800-3857019
NOTICE OF COMMENCEMENT
State oF441 Comw: County o V V'aL--P Tax Folio No.
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 inforniation is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
Address of property being improved: l'I'1 5 T �►' t '
General description of improvements: 00e 00C-At. 00
Owner: Address:��n� Tzck(4 � L
T
Owner's inte est in site of the impr ementa.4,� 1 Z22
Fee Simple Titleholder(if other than owner):
Name:
Contractor: ,..l�t� • Q $��US �- l Z2�� _
Address:
Telephone No.:5zl/CT- d — Fax o:
Surety(if any) —
Address: Amount of Bond$
Telephone 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:
Telephone 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 Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax 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 O Y OWNER �j
Signed ; tUr—
y 1 Date:
Before me thida of Oe a in the County of Duval,State
DUSTIN VAUGHN Of Florida5 haally app ared or
CortlTiN VAion# H 189798 Personally Known:
o^ P5 May 12 2016 Produced Identi V tla
8**dThuTMYFa:�►�,„an,W0,3ea7o�a Notary Public: Doc 2014234319,OR BK 10945 Page 1336.
My commissio pires: Zb 1 Number Pages:1
Recrrs-led 10 15,,2014 at 01:46 PM
Rennie F:iSseii CLER GIRCu T COURT DU\/A'_
iIU'"iTY
RECORDING$10.00