358 7TH ST ROOF 2015 -j y1��f jJ
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CITY OF ATLANTIC BEACH
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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-41
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $5,000.00
Issue Date: 1/15/2015
Expiration Date: 7/14/2015
PROPERTY ADDRESS:
Address: 358 7TH ST
RE Number: 169899-0000
PROPERTY OWNER:
Name: WATTERSON, SHARON A
Address: 358 7TH ST
GENERAL CONTRACTOR INFORMATION:
Name: ARMADILLO CONSTRUCTION
Address: 59 CORAL ST QA JAMES NATHANIEL BOWEN
Phone: - -
FEES:
BUILDING PERMIT FEE $75.00
STATE DCA SURCHARGE $1.13
STATE DBPR SURCHARGE $1.13
Total Payments: $77.26
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 s�,p
Job Address: W4 7 �f. . 1 fit�. '1• T72 TT Permit Nu r:
Legal Description 0 r 7< 14 /607'11 10 Parcel #
Floor Area o q. t. Sq.Ft
Valuation of Work� /Q 0 d _Proposed Work heated/cooled Z rO non-heated Z rev
Class of Work(circle one): New AdditionAlteration Repair Move Demolition pool/sp window/do
Use of existing/proosed structure(s) (circle one): Commercial Residenti
If an existing structure,is a fire sprinkler system installed? (Circle one): No N/
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed:_ IF _
AWR AWAt-VACAe,&J i
Property Owner Information:
Name: Address: ;f19 7 (T
City E Stat t-Zip ZL3 Phone 0�— '61-r— 33 O
E-Mail or Fax# (Optional) Ia9.7611 f0A) /> AV-1A%6:;1_ . Go/ti
Contractor Information• CONTRACTOR EMAIL ADDRESS: grl-q,Afu•N�
Company Name:&mmolke 4AA04W41-0,W Qualifying Agent: �9�iES I✓• D�c�
Address: Ci $9Gt-0. State ri Zip 3LZ 3
Office Phone 0 / - Job Site/Contact Number 905/, j 6;Z/ Fax# 4?19V_ 7,V1—707/
State Certification/Registration# G
Architect Name&Phone# OO
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 of work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aWeriod 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,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 1 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 gave authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the peaformance of construction.
Signature of Owner Wwm Signature of Contractor /
Print Name Wd�- Print Name ...... . .....N.•....... l�it/�'tl
5... . .............................r....c.., .�...o... ,...................
Befo _/ Beforq�
this a of Jam' 7� �'� . 20 thi [ Day of 201K
Notaryu is NOTARY PUBLIC „th -_bli EXPIRES:May 21,2015
STATE OF FLORIDA Bonded Thru Notary Pubk Underwriters
vised 01.26.10
Comm#EE871462
419),1Expires 2/4/2017
i
NOTICE OF COMMENCEMENT
State of County of 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: ^A0AwT A17- ZT- -2OJUIT k-f 7.7 AGo4!tf
P. 1 9. 5�7—AVe b-
Address of property being improved: 3�� 7 7H �7 ,���' '✓7iG /3HnGff /GL _
General description of improvements: .
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Owner: �.��I9><'�?.S9a! Address: ��� 7 �• i�'1/G ��_��- 31=-�j
Owner's interest in site of the improvement: _ /
Fee Simple Titleholder(if other than owner): M o
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Name: m D
r Contractor: LG} Al. &A16J � j%!�O G SZ?�G G• (o 0
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Address: S9 (�v/ �G A �/� ggve y A`. ?Z L3; 0
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Telephone No.: i?y ((J/L- L 3Z/ Fax No:
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Surety(if any) W o
Address: Amount of Bond$
01
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Telephone No: Fax No: o d LL}o
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Name and address of any person making a loan for the construction of the improvements o'r- o
$ M �i oOw
Name: 0zQ�W0W
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, 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 `
Signed: �`_ Lia Date:
KELLY RIGDON Before me this day of�� in the�ognty of Duval,State
NOTARY PUBLIC Of Florida,has personally appe 7 F� f� 4,�( �C-'I-��S�—
Personally Known: or
STATE OF FLORIDA Produced Identification: A A —
{ Comm#EE871462 Notary Public:
Expires 2/412017 My commission expires: Y 1