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712 Vecuna 2014 roof CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 ROOF PERMIT INSPECTION PHONE LINE 247-5814 J, CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-ROOF-70 Job Type: ROOF PERMIT Description: REROOF Estimated Value: $5,900.00 Issue Date: 9/24/2014 Expiration Date: 3/23/2015 PROPERTY ADDRESS: Address: 712 VECUNA RD RE Number: 171361-0000 PROPERTY OWNER: Name: MCGLYNN, DORIS M Address: 712 VECUNA RD GENERAL CONTRACTOR INFORMATION: Name: BRC HIGH TECH ROOF DIVISION Address: Phone: - - FEES: BUILDING PERMIT FEE $79.50 STATE DCA SURCHARGE $1.19 STATE DBPR SURCHARGE $1.19 Total Payments: $81.88 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of T j 77 _ County of '`7U I/e-` To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: �"L'XJr .J,5 -A .i — ..2 Address of property being improved: W1 C: ' A/-1 c General description of improvements: Owner r &I-52,I S lot HC C 1 U AV& Address P l.✓3'c-u A.> T L u N 7s c /�_c Iii Owner's Interest in site of the improvement f— c e S l.rs�✓�/� Fee Simple Titleholder(if other than owner) Name Address Contactor BRC Roofing&Construction,Inc. Address 1175f1 nlri St Aucuctine Rd.#15313 Jacksonville. FL ----- Phone No.904-288-0431 Fax No.904-2929-9390 Surety(if any) Address Amount of Bond$ Phone No. Fax No. Name and address of any person making a long for the construction of the improvements. Name Address 1J Phone No. Fax No. Name of person within the Stats of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address PV d Phone No. Fax No. in addition to himself,owner designates the following person to receive a copy of the Uenoes Notice as provided in Section 713.06(2)(b),Florida Statutes. (Fill in at Owner's option). Name Address Phone 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 ONLY 0 ate ass �/ Signed: Y Before me this day of e �y in the Countyof L 1 kyc,.( Stated ;v has personally appeared 00 f-S �, W-\c herein by himsetf/herseff. \ and affirm that all statements and declaration herein are true and accu4 r 717U ljvv�'V�rv-"4 Notary Public at Large,State of r-1 rl'Ak n County of�l My Commission expires: vay5'k- 1`{, ac L S Personally Known ✓ or Produced Identification UOC#201421 b014,OR BK 1692"I Page 1830. ' ,gyp ,I BETTY SAMANTHA JONES Number Pages:1 Notary Public-State of Florida Recorded 09/24/2014 at 12:06 PMI, , Ronnie Fussell CLERK CIRCUIT COURT DUVAL r My Comm.Expires Aug 14,2015 Bonded Through Commission#EE 87239 RECORDING$10.00 9 COUNTY ����OF` °�+ h National Notary Assn. ����� BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: _ `7 1 2 Ve ,ug fL® Permit Number: Legal Description 3_(-.got Reye,( lft s 1,A,,7 24 Parcel # oor Area o q. t. q. 't Valuation of Work$ fj y4t7 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition AlterationC�paMove Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial esldenti If an existing structure,is a fire sprinkler system installed? (Circle one es' No N/A Florida Product Approval# it For multiple products use product approval Describe in detail the type of work to be performed: 12eNYZdv-c 0 37:�6 S S6,s CW Pike... /Lyv�Sy S7�'r Property Owner Information: ,,-/ Name: nt;, W'l c o P Address: 7 P- I)e«[Nu /4 City tic . State/--(Zip 3zi Phone E-Mail or Fax#(Optional) Contractor Infor(Lm�ation: Company Name:t PC +(' l"7'r i, Qualifying Agent: /ZDV Address: I[WSJ U lB S Z u s 64" /S [3 City .r/i c[c su vv�l�t State 1--1awl Zip Office Phone 2s _O 4 31 Job Site/Contact Number If 6,3-2-9 r2— Fax# .2 y1- f 3 Pz, State Certification/Registration# Cc c a ;t,3es& Architect Name&Phone# A)Pt Engineer's Name&Phone# N A Fee Simple Title Holder Name and Address tv p- Bonding Company Name and Address t%/ Mortgage Lender Name and Address N A 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, 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 BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I here certify t/3at I have read and examined thisplication 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 speci zed 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 ) 0M. Signature of Contractor G Print'Name ,2�.5..........(Y1................ �..�.1 '.N.tl...................... Print Nasne J .....C./�ur-�— Sworn to and subs c ibed before me Sworn to and subscribed before me this Day of rn1 er 20 IV this aDay ofr 20 1�-I `'iii'r'P'•••, BETTY SAMANTHA J Notary P lic " Notary Public-State of """' (iAL B.lA001 - MComm- Pu ry ,, it EE 154238 yCommie3lon#�EE 87239015 2=k EXPIRES: 26.10 Bonded Through National Notary Asan.