458 mako Dr 2014 Roof � ) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ROOF PERMIT INSPECTION PHONE LINE 247-5814
0. ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30BINFORM
Job - -
3ob Type: ROOF PERMIT
Description: REROOF FL1956.3
Estimated Value: $5,400.00
Issue Date: 10/15/2014
Expiration Date: 4/13/2015
PROPERTY ADDRESS:
Address: 458 MAKO DR
RE Number: 171477-0000
PROPERTY OWNER:
Name: SULLIVAN, FREDERICK B
Address: 691 AMBERJACK LN
GENERAL CONTRACTOR INFORMATION:
Name: HIGH STANDARD ROOFING, INC.
Address:
Phone• - -
FEES:
PLAN CHECK FEES $38.50
BUILDING PERMIT FEE $77.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $119.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
State of County of, bV VAI— Tax Folio No.
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 4TT 4"K6-P9-- .
Address
"K6-P9-
Address of property being improved: /Sir
General description of improvements: I Ce
• Owner: 1"l i•L' 'E. 1"111 VcZst. Address: Am b�'-+',(.11.C* L1, 441 &-k 1c[. 3 ZZ
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name: /
Contractor:
Address:
Telephone No.: f'- 79 Td Fax No:1��/,�
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the i
Doc#20i 4233136,OR BK 16944 Page 7,i 9,
Name: Number Pages:1
Recorded 10/14/2014 at 02:52 PM,
Address: Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Fax No: COUNTY
Phone No: RECORDING$10.00
Name of person within the State of Florida,other than himself, designated
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
t H
Signed: Date:
Before me is�L71ay of in the County of Duval,State
CHARLOTTE S.ABNER Of Florida,has personally or
appeared
AT-1 Commission#FF 105756 Personally Known:PD n ,&s Nv
;Ar Expires July 24,2018 Produced Identification:
en-- e-,md TMu Troy F*In"ame NO-M-7019 Notary Public:
My commission expires:
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax(904) 247-5845
Job Address: _ 7-.5y / &xCq zX Permit Number:
Legal Description Parcel#
� ��
Floor ea o q. t. t
Valuation of Work$ J, Wig 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/pro osed structure(s) ((circle one): Commercial Residential
If an existing structure,is a fire prinkl r s s em installed? (Circle one): � No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: �Peltvue .�.vc>✓/�e, 7/ e /j?Qr/'
o Property Owner Informatiion:
Name: M ,e, 9. 3'WiVO-.4
Address: �091 bei `a CSC ILA .
City &/ Beqc,4 StateFL Zip3 zz33 Phone — — b�5(D
E-Mail or Fax#(Optional) J l
Contractor Information• CONTRACTOR EMAIL ADDRESS: d i I�JA � . to/Y-04com
Company Name: li, oll S7 AW 10i/ Qualifying Agent:
Address: D �U7 City �i�e�/f.v vi%l�_State' Zip Z Z
Office Phon4�-.k) 7 �-7 70 Job Site/Contact Number��y J �8,.� �4 3y' Fax
#�d� ry(o
State Certificafio�egistration# C CC UR JaZ Q!
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_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,L 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 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 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 law regulating construction or the performance of constrz ction.
o Signature of Owner Signature of Contractor
Print Name M /� . S u��i
l. I Q G� t ..V .................................. Print Name �i'' Ir 6� ....... ...........�.t._,
Before me Before me
this fL Day of 20 / _ this Day of 20
-C.A ama&4gg�� -.0 Notary Public isvApt"',
.� = ComAm S�o FTP=. R
F p5756 otary Public
• Expires July 24,2018
BmdW Thm Tray Fain hn to WO.M54019 Revised 01.26.10