159 Ocean Blvd 2014 Roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ROOF-625
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $39,379.00
Issue Date: 12/10/2014
Expiration Date: 6/8/2015
PROPERTY ADDRESS:
Address: 159 OCEAN BLVD
RE Number: 170209-0000
PROPERTY OWNER:
Name: HUDSON,
Address: 159 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: THORNE METAL SYSTEMS INC
Address: 2072 BELLE GROVE TRAC QA WILLIAM JOHN THORNE
Phone:
FEES:
BUILDING PERMIT FEE $246.90
STATE DCA SURCHARGE $3.70
STATE DBPR SURCHARGE $3.70
Total Payments: $254-30
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: 159 Ocean Blvd. Atlantic Beach. FL 3223.3 Permit Number:
Legal Description Lot 4, Block 3 1.. Plot No I. ','�_�ubdivision A Atlantic Beach, Parcel#
Floor Area of Sq.Ft. licl.Ft
Valuation of Work 66 ProposedWork heated/cooled non-heated/cooled
Class of Work(circle one): N.ew I Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial `CjEes��jd
If an existing structure,is a fire sl)rinkler system installed? (Circle one): es No (&l
Florida Product Approval# FL, 10.17 2 k-)=
For multiple products use�ir_oduct a pffo-val form
Describe in detail the type of work to be performed:
Property Owner Information: ZZ
Name: bmc-,,n- K. KUA 5 0 n A d d re s s: 1-v-,-f:- A'8&114 k C, h r EL 3
city tan Aute 5e
E-Mail or Fax#(Optional)_____&jA___ 2j-77-
1i�- 3
Contractor Information,
Company Name-71,mo,,e, Me,+,,\ _5��,__QualifyingAgent:
Address: Vf i f L.-&-v 14e—re Cit,,t_", c State zip ---43 --
ntact I crAvq-4;0-,�; '�ax 4 't
Office Phone q-41-A*4 Job Site/Co ��,9......
State Certification/Registration ft (-r— 152 5 h 2 5: ................
Architect Name&Phone#
Engineer's Name&Phone
Fee Simple Title Holder Narne and Ad ress
Bonding Company Name and Add res
Mortgage Lender Name and Address 4_Qet
Application,is hereby made to obtain a permit to do the work and installations as indicated. I cert�ly that no.work or installation has commencedprior to the
issuance ofa permit and that all work will be performed to meet the standards ofali laws regulating construction In thisjurisdiction. This permit becomes null
if r -uelion or li?ork is suspended or abandoned for aWeriod of six f(5)months at any time after
and void ff work is not commenced within six(6)month�, ot --onsh
work,is commenced I understand that separate permits mi.4st be secured,for Flectrical Work. Plumbing,Sik"s, ells, Poois, Furnaces, Boilers, fleaters,
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby,ce�rtify that I have read and examined this qpplicatio)i and know the sante to he true and correct. All provisions ofluws and ordinances governing this
iype p�work viill be coqzplied with whether specified herein or not. 7he grantin'g ol'a permit does not presume to giVe authority to violate or cancel the
provisions ofany otherfed.eral,state,or local laiv rogulaling construclion ot the pei-fo�mance ofconstrucaon.
Sionature of Contractor-.-,vL-f
Signature of Owner-1 i. Z__
Print Name Print Name
RtXSondaXI lknton S�Vorllt andsubscri dbeforeme
SwortLjo and subscribed before me .20
this tl Tgzayu- V 11
Day of V -A, - -
Notary Public PAULA J.RELDS NotaryP Notary Pu lic-State of Florida
M
Commission 9 FF 162320 M=Clys Aug 30,2016
90L%)-\A-3,Ti-e� ',,OFF" ion#EE 831270
Expires SeptemWr 23,2018
OW4W ThV TMV Fain Uo"M.MMal$
NOTICE OF COMMENCEMENT
state of Tax Folio No.
County of
To Whom It May Concern: perty, and in accordance with Section 713 of
The undersigned hereby informs you that improvements will be made to certain real pro
the Florida Statutes,the following information is stated in this NOTICE OF COMME�NCFMENT.
Legal DescCiption of property being improved:_L,_,�Jr.-
r
Address of property being improved:j 11�61 .......
Generat description of improvements: ------
Address: A 13, F L,—3—Z Z3
Owner: IAJ�jC
Owner's interest in site of tile jinpl-overnent:
Fee Simple Titleholder(if other than owner):
Name;
Contractor:
GWcL
'/Address.
CID/+ Fax No:
Telephone No.:
Surety(if any) ...............
Amount of Bond$
Address:
Telephone No: Fax No:- Doc 4 201420?175 1.OR Sv,169Y, Page 14C2,
'Aurn!)er�,2ges: ,
Name and address of any person making a loan for the construction of 11- �',eco.r�j ed,N:139;20 14 a--03�2.0 MA
F,,npia Fusseil C�.ERr,CIRCUIT C-CURT DUVAL
Naine: U N T,
R -OP.D!N-G,S4 0 00
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, ovmer designates the following person to receive a copy of the Lienor's 'Notice as provided in Section
713.06(2)(b),Florida Statues'. (rill 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);
TIH IS SPACE FNq ONLY OWNER Q-
&,"CORDER'S USE
Fit%,
....... Signed: Duval,State
;r,- Before a
gz,
of Frorida,has personally appeared
Notary Public at Large-Staie.of I-Iorida,County of Duval-
My Commission expi res:
or
Iff Personalh,Kno%m-
P
Pro Uce entil�icat M
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