1365 Violet St 2013 roof C,
CITY OF ATLANTIC BEACH
800 SEMINOLE R6AD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003440 Date 9/23/13
Property Address . . . . . . 136S VIOLET ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8000
Owner Contractor
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FEDERAL NATIONAL MORTGAGE ASSO GREAT WHITE CONSTRUCTION INC
P.O. BOX 650043 4320 DEERWOOD LAKE PWY
DALLAS TX 752650043 JACKSONVILLE FL 32216
(904) 838-1659
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Permit ROOF PERMIT
Additional desc . -
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 8000
Expiration Date . . 3/22/14
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 00 . 00 . 00
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
JobAddress: 13(oo \401iff b>r A+A11hj-jC_ 3A,� 3 PermitNumber:
Parcel#
Legal Description 90-C �A A4ACAOiC E42,Ck S3 Lb
��w TOP Floor Area of - q.Ft. Sq'tt
Valuation of Work$_ —Proposed Wo -ooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial (iEe,;id;e:nti;")
s N,
If an existing structure,is a fire sprinkler system installed? (Circle one): es No N/A
Florida Product Approval # 10 12).4 . 1(.0
For multiple products use product approval form '511
Describe in detail the type of work to be performed: rkV Q 0 3 9
Property Owner Information:
Name: FNM A Address: P() BQN4 CoS-C)CH3
City -C -1 10 q- 3-14 -S7(4 63
__Dq,LLC-,S State AZip (PS' Phone I
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:oreaf yvhl.ft condlul"fio" Qualifying Agent: S/auq
Address:Y3ab De MW VA KC pr—AN City ��X Statt! FL_ Zip 3aa�-It6
Office Phone YN 4 9 J?-/to S_ Job ite/Contact Number--rr64 1#q-kff-/1,E7Fax# I-A&-7qtv-I S_q
State Certification/Registration# CCC_ (3XC) Oq -7
Architect Name& Phone#
Engineer's Name& Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
'a la ns ndi cat ertify that no work or installation has commenced prior to the
Ap a 7, her "de, b ana e d he work and ns 'd triods s 1 law ng construction in this jurisdiction. This permit becomes null
' " I rm t to 0 0 t tom tt s f six months at any time after
s y k J be e ed he tan a
0 0 t p
m
k s or abandonedfor a period o
i f r hs, or st s cto or 01or Plumbing,Signs, Wells, Pools, PI)rnaces, Boilers,Heaters,
ic 0 e'
tand ha a r
(6 m nt on r n
0 s P) 0
c p d hin
'0
,d oid work is ot'o'Te ce -
"'o 'is c ""c . I", , , th at separate Perm t,m, t be secured 0,Elec"ca
,k d de sta d
Tanks andAir Conditioners,e1c.
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 here 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 VIwork 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
provi.si.ons of any otherfederal,state, or local law regulating construction or the pe�formance of construction.
Signature of Owner Signature of Contractor
41 PrintName -1—rotvfs
Print Name (A� ..................... .......................................... ...................................................................
M
swom to and subscribed before me "or to and subscribeo b fore me
this I/ Day of Day of
V ASHLEY RIDGEWAY ASHLEY RIDGEWAY
ida
Notary public-State of Florid ef.fe Of Honda
21 as jun 20,201
my omm. Is un 20,,2 ary Public My 7
6
otary Pu c commissi n#FF 29966 salon#FF 29966
k ed 6? 1
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of 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. jr, 'S 3444 Lfj+ �11
Legal description of property being improved: Se a H &BLn-Tic -BCC&C
LtA 5 bkk &33
Address of property being improved: 13(p.5 �Ablef -St -A+1QV1f1C 16 e.0II i F-
General description of improvements: Cr rmf
OwnerENMA
Address po 150)& LA
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
ContractorGr,ea+ Ny�itr- C-on-stTur-tion FL S la-I LP
Address 4,51u� Deefoinc3d LCAKC Rckq2���k .
Phone No.coq- cpl�-Ci— FaxNo.1- R(e(P- -741,e- 18q0
Surety(if any) Amount of bond$
Address
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 expire I tion date is one(i)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY ;i Signed: 0 ER DATE I-A-Y
Before met 60 day of pl- -in the
County of D val St a of Florida.has a onatly appeared herein by
C�it
Doc#2013245101,OR BK 16536 Page 2339, himselff herself and a ms that all statern dh OWWOW
Number Pages:1 are true and accurate ASHM R10"AY
Recorded 09/23/2013 at 01:32 PM, Noill pvW.I;We of FWW&
Ronnie Fussell CLERK CIRCUIT COURT DUVAL my Comm.Ex"Jun 20,2017
COUNTY *FF 2"56
0
RECORDING$10.00 Notary Publi Larg to of 0 or
my commis to pi
Personally .n or
Produced Identification