750 Sabalo 2015 Roof f.SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J 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: 15-ROOF-702
Job Type: ROOF PERMIT
Description: reroof f110124.1
Estimated Value: $6,300.00
Issue Date: 3/25/2015
Expiration Date: 9/21/2015
PROPERTY ADDRESS:
Address: 750 SABALO DR
RE Number: 171456-0000
PROPERTY OWNER:
Name: FEDERAL NATIONAL MGT ASSOC
Address: P O BOX 650043
GENERAL CONTRACTOR INFORMATION:
Name: ROOF IT RIGHT LLC
Address: 2175 KINGSLEY AVE SUITE 207 QA BRIAN J. CAMERON
Phone: - -
FEES:
BUILDING PERMIT FEE $81.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $85.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Doc#2015067235,OR BK 17408 Page 565,
Number Pages:1
Recorded 03;25/2015 at 02:42 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
PERMITNTIMBER RECORDING$10.00
NOTICE OF COAIlViENCFAffNT
FLORIDA STATUTE 713.13
STATE OF FLORIDA
COUNTY OF CLAY
The undersigned hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes,the following information is provided in
the Notice of Commencement.
1. Description of property: (legal description of the property,and street address if available).
2. General description of improvement:
3. Owner Information:
a. Name and address: c E -C (,tAW 2W�? b..ke
_
Fi-
b.
Lb. Interest in property:
c. Name and address of fee simple titleholder(if other than owner):
Contractor(Name and address): - '
4L T
21X
a.Phone numbe : `—I/ b. Fax number:
Surety:
a. Name and address:
b. Phone number: c. Fax number:
d. Amount of bond: $
6. Lender:(Name and Address)
a. Phone number: b. Fax number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents
may be served as provided in Section 713.13(lxa) 7., Florida Statutes: (name and address)
a.Phone number: b.Fax number.
8. In addition to himself,Owner designates
of to receive a copy of the Lienoes Notice as provided
in Section 713.13(l)(b),Florida Statutes.
9. Expiration date of notice of commencement (the expiration date is one (1)year from the date of
recording unless a different date is specified)
Signature offOwner
.r-
Print Name
Sworn to (or affirmed) and subscribed before me this
_, S day of 20 �� by
(Name of person making statement).
Y Pr T.HATE
Seal: ?»t « MY COMMISSION FF 186420 Signature o tary-State of Florida
^: •a= EXPIRES;January 18,2o19
Bonded Thru Notary Public Ur4wa%a
Personally Known OR Produced Identification/Type __
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904)247-5845
Job Address: WO S6L6 lo Al� k Permit Number:
Legal Description 3/ 35` k/2 Parcel # /7/�/.�6
oor A ea o� q. t. 'q.Ft
Valuation of Work$ 'OU Proposed Work heated/cooled i non-heated/cooled
Class of Work(circle one): New Additio Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial R Si enti
If an existing structure,is a fire sprinkler system installed? (Circle one : es N/A
Florida Product Approval # L 1012,4-1
For multiple products use product approvalorm
Describe in detail the type of work to be performed:
Gmtk
Property Owner Information:
Name: J Address: -
City 1� State FL Zip 332233 Phone ;d7 1127
E-Mail or Fax#(Optional)
Contractor Information:
Qualifying A�ent �L 1?&2
: 6rh� yW!&
city Company Name: ( �� —
State Zip _R____
Address:XS_ Fax# ,,5V
Office Phone ti-rise Job Site/Contact Number f
State Certification/Registration#
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 penod of six 16)months at any time after
work is commenced I understand that separate permits must be secured for Electrics[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
ECORDING 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 p�work
o any be era with or oca sQ cid lat'ng constructioherein or not. n the pe�orfinan of crmit onstructis not on pre
to give a ority to violate or cancel the
p f ny f
Signature of Owne
Signature of Contractor
Print Name
r g Print Name y U --- .....
c
Sworn to and subscribed befo a me S Sworn to and subscribec�b`e�fo me
this � Day of Mk'i 20 this SC—Day of -'v No o
evise
::� ti''•., T.HITS
t MY COMMISSION Y FF 186420
%a•, EXPIRES:January 18,2019
4 = MY COMMISSION II FF 186420el
Banded Thru Notary Public uneawiten
;�i�± •� XPIRM.Inniiary IR 9n19 �R`� :