351 Seminole Rd 2014 roof J
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CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ROOF PERMIT INSPECTION PHONE LINE 247-5814
'L ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 14-ROOF-376
Job Type: ROOF PERMIT
Description: roof
Estimated Value: $9,000.00
Issue Date: 11/5/2014
Expiration Date: 5/4/2015
PROPERTY ADDRESS:
Address: 351 SEMINOLE RD
RE Number: 170434-0005
PROPERTY OWNER:
Name: PETERSON, HELEN M
Address: 351 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: PLEMMONS ROOFING INC
Address: P O BOX 37475 QA HAROLD MARVIN PLEMMONS
Phone:
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $95.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
80JCITY OF ATLANTIC BEACH
Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax(904)247-5845
Job Address- 3 51 Pcrmit Number:
Legal Description SET Z. S 6 -3 1 W, ( Parcel# 1 O — Docs
Valuation!of Work S__ i7GC 'Proposed Work )aeatted/cooled res non-heated/eooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition Pool/spa window/door
Use of existing/proposed structere(s)((drele one):• Commercial Restdenti
ff an existing strucc�tuure,is afire Sprinkler system installed?(Circle one): ` s p
Florida Product Approval# =l_ 5 y
For multiple products use producrapproval form
Describe in detail the type of work to be performed: f'_a-v- 0% p cj- r-001-�t; C.
N i 5 } i ,rA S U-h C \Y 1 S�Cti f 1 z�,J r`cl Gt r--( �CL1S ,
Proocrty Owner information:
Name: e �u rht� Address: -3
City S O
e�Zip 3L 3 Phone 33 e
E-ivlsil or Fax#(Optional)
Contractor Information: CONTRACTOWENfATL-ADDRESS:
i�
Company trM OC C3 Quali miz Agent: k Ck I ,
Address: , Ci State t~✓l - zip
Office Phone 0 - Job Site/Contact Number State CertifcatiR # Fax
gdt �
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
dpplteatij
is hereby made to obtain a permit to do the work and irutollations as Indicated. 1 cert! the
isfuance perm!(and that all work will be pe{�ormed to meet the standerdc of al[laws re�ulattng consiruc o,n fhis ul nsd c pna Th, perm t becomes ntu%1
and void ork r s not commenced within su(6J months, or jconstruclion or work is suspended or obondoned for a�perood ojsis 6)months at any time after
work is cmenced 1 underrtand that reparate permit must be secured jot Electrical Work, Plttmbing,Slg,tt, We/Ls,Poorrwces,Bolters.He ers,
T.'kc anir Conditioners,ctG
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR I1vIPR.OVEMEl\TTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINGCONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereb certify that/have read and examined this plication and know the same to be true and correct. .411provisions oflou a and ordinances governing flus
type a work will be complied with whether spec',ed herein or not. The granting of a permit does not presume to give authority,to violate or cancel the
provWons of any other federal,state,or local l9w regulating construction or the perfor nranee of construction_
Signature of Own Signature of Contractor Jvirfk ok,
Print Name �� ��lN�/� Print Name
Before me r Before
this i
Day of , 2
014 this e--me-Day of\ 20
Notary Public R-55-4 Public
MARCIA SMITH eV 01.x6.10
"H�P' MARCIA SMITH '�$�H''PaZ-11
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o�� �e;'' =r°• s Notary Public-State of Florida
�«. »°�1M otpry Public-Statecg�pigrLr#Z OB' ti6L9E816 of - • My Comm.Expires AYIj2015 6O't+l-b0-tt
�°�' y omm.Expires Aug 31,2015 Commission#EE 93582
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Commission#EE 93582 °�%°;,',;``'••
or«�.•` Bonded Through National Notary Assn.
" "`' Bonded Through National Notary Assn.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio N .
State of r"L County of
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 pro erty being improved: a (D a`> •--�(��y 19 y�L�
Y
' a c� ii ✓'
Address of property being improved:c j 's e-ry-%
General description of improvements: ffe. ("
Owner , ,r
Address ea
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor --M A ;
Address
Phone No.^ IQ t ) Z i-(n�(r} Fax No. Q C ` — s 2
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 the 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,owner designates the following person to receive a copy of the Lienor's 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 OWNER
Sig DATE
Be
f dey ! in
County pf Duval. fate lorida.has personally appeared
Doc 4 2014251861,OR SK 10960 Page 1790, Helei, A ►P—r4 r,r herein by
Number Pages:1
himself/herself and anIrms that all state nts and declarations herein
are true and accurate
Recorded 11,'05,'2014 at 01:59 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY ,``,.�p'% MARCIA SMITH
RECORDING$10.00 .P Gb`��: Notary Public-State of Florida
Notary P iic at Large,state of inm.Expires Aug to 2015
Mycommissiorfexpires: _ %� or fission#EE 93582
Personally Known '�.FOF c. ,•`
Produced Iderxtr�atron hrough National Notary Assn.