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370 1st St 2014 roof CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 ROOF PERMIT INSPECTION PHONE LINE 247-5814 CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-ROOF-251 Job Type: ROOF PERMIT Description: REROOF Estimated Value: $6,900.00 Issue Date: 10/17/2014 Expiration Date: 4/15/2015 PROPERTY ADDRESS: Address: 370 1 ST ST RE Number: None GENERAL CONTRACTOR INFORMATION: Name: DAVID MERRITT CONST. CO.(ROOF) Address: Phone: - - FEES: PLAN CHECK FEES $42.25 BUILDING PERMIT FEE $84.50 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $130.75 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904)247-5845 Job Address: 300 1 Permit Number: Legal Description Parcel # Floor Area o O. t. q, t Valuation of Work$ ��' Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proosed structure(s) (circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# Fc. l o raN. I For multiple products use product approva orm Describe in detail the type of work to be performed: �ec Proaerty Owner Information: Name: 6, w S Address: 3b3 Cpm St City- A-t�vh C tach State Zip 2� 2.?3 Phone E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: �vW" ci'Y eoaa�6 C. QualifMace i g Agent: Address: 1 7 USF ✓) r n City �-c ac 7✓1/1 e State�'I - Zip 3� Office Phone 9 Job Site/Contact Number /7Z Fax# d 37 L,� State Certification/Registration# /3Z 51' / 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 f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a eriod of six 6)months at any time after work is commenced. I to that separate permits must be secured for Electricar 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 s eci ted herein or not. The granting of a permit does not presume to give authority to violate or cdncel the provisions of any other federal,state, or�jpca construction or the performance of construction. Signature of Owner ! Signature of Contractor *4-4e Print Name ......... ......................�.r......i/`�...0. .1/ ........ Print Name SI ............................�......._/Nl-rr t .................................. Befor Befor 07,this ay n this y of 20 0*y p E.fwf�nnl I �ttY NOtary ub11C S. Commission At FF 063174 N of icS irley raham °i My Co mission FF 086990 � ��, Bonded National Notary Assn. ,� o an Expir 02/14/2018 Rev ed 01.26.10 NOTICE OF COMMENCEMENT =OEPARE!N C.,PL!CATEI hermit No. Tax Folio No. State of County of (/1 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: t ! 3Z z 33 Address of property being improved: 3034h S / J�ZZ� General description of improvements: Owner e-F o©n-S 3 70 / 'rte H— Address +415 t-y 2 2j HCl �J Z Z 33 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name � ) Address n �" Contractor 0( Wri-r ,M}r 00-7-W(— Address 7Uq -irvl 3aa Phone No. H23 ZL97 Fax No. a'3,0— 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 th 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,/,Flonda ner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b Statutes.(Fill in at Owner's option). Name Address Phone NJoNotice Fax No. • �_ D� Expiration daof Commencement(the expiration date is one(1)year from the date of recording unless a %�'•o, oma' different date is specified): °r z THIS SPACE FOR RECORDER'S USE ONLY R (! o e v Signed: TE I v-(od / 3 3 a D Before me this n the a m v O County of .S Pta o fhas VAN r x `! ►'V herein by 0 T DOG ff 2U 14L3U44a,V t<[f K I O`�J4V Page i 75 i, en true t1°rserr aaaffirms that all rris and declarations herein T m g m Number Pages:1 T °f Recorded 10110(2014 at 08:30 AM, -4 Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY A o a RECORDING$10.00 Notary at Largs.State of G t County of ti1y com ion exares: Personaiy Known or Produced!doMMudan