1845 LIVE OAK LN 2015 ROOF CITY OF ATLANTIC BEACH
J 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: 15-ROOF-749
Job Type: ROOF PERMIT
Description: new roof fl 10674.1
Estimated Value: $8,000.00
Issue Date: 3/31/2015
Expiration Date: 9/27/2015
PROPERTY ADDRESS:
Address: 1845 LIVE OAK LN
RE Number: 172020-1406
PROPERTY OWNER:
Name: POLAT, EGE
Address: 1845 LIVE OAK LN
GENERAL CONTRACTOR INFORMATION:
Name: A J WELLS ROOFING
Address: 5432 WELLER PL ARTHUR J WELLS JR
Phone: - -
FEES:
BUILDING PERMIT FEE $90.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax(904)247-5845
.�u 3
Job Address: V Permit Number:
� ✓
11 1 - �5 'A tGZ r t n
Legal Description Iei Parcel# /2 a.D a-.0 (4 DG
,t r,,t~ 1 a..-�
ooh rea o lSqPt.
Valuation of Work$ Proposed Work heated/cooled ol.9-r/3 non-heated/cooled 31LIS
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proosed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval# r0,0(6-74 t
For multiple products use jiroductapproval form
Describe in detail the type of work to be performed: �en wit Q�,A o"s-P�1al+ _
10,e T-00
Property Owner Information: LA
Name: 'P6 10--� _C61 L _Address: 184-" L.kVA, Oay
City A4-1&,)+k(+_. &,arC k ii._r State Zip.3 i2SV, Phone _
E-Mail or Fax#(Optional)—_
Contractor Information:
Company Name:l QLV, �n-r Qualifying Agent:
Address:.2.1 AJt—x'hoId City-j7a�_ __State Zi
Office Phone`M iY UU-C� _Job Site/Contact N umber�j�Y5 o d���_Fax#qDq 5-57 Ef93
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 _
,4pplication is hereby»tack to obtain a lxr snit to do the work and installations as indicated t cert that no work or installation has commenced prior to the
issuance of a permit'cmd that all work will he performed to meet dw standards of all laws regulating construction in this jurisdiction. ?'his permit becomes null
and void If work is not commenced within six(6)'months.or if'construction or work is suspended or abandoned Jbr a period of six�6)months at any time after
work is rommenced I understand that separate permits must be secured for Electrical-Work, Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters,
Tanks and Alr 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.
/hereli,certify(licit I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
(vpe pJ work 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
provisions pl'any other federol,state, or local law regulatingconstrucam a•the pericn•mance of construction.
Signature of Contragi-'
Signature of Owner 8m
Print Name o '4 Print Name
1........_....................._._ _...._........................_. _.__............. _......._ _ _
Sworn tqand subscribed before me Sworn hand subscribed before me
this3d _Day of M(>><r '
.20 /5 this o Day of r'YIGE�'c:(,� _ ---__-__ -- _ _•20 IS
otary PkWc��oj
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NotaryPublic State of Florida Notary Public State of Fbrid�eV edO1.26.10
Kimberly Baker ;p Kimberly BakerMy Commission FF 012533 V4 My Commission FF 012533Expires 04/28/2017 a Expires 04/2812017
03/30/2015 at 11 :53 AM, Ronnie Fussell CLERK CIRCUITCOURTDUVAL COUNTY
RECORDING $10 .00
NOTICE OF COMMVNCEMMY
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County of
The undmignod herby inibrms you that impxavements will be made to certain real property,.and in acror;;&ice with Section.713 of
the Flod&Statutes,the following information is semi in tit Nt4{3t �t}F t�� -W-IMM-1iy£EN T
Lagxf I escripfiQo of property being,improved... �'" `�. ..,����.� r. ,... ��` ;.:�t`;���. �i� ��;�•`-^
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Expirsdon dm ofWatic*of Commencement(tile expiration:date is one(1)year from the ti,i_to of recording un: a dif arent date is
speeiFs�dl _.
THIS SPACE FOR RRE+C€:RDEWSUS1ONLY OWNER � �'�€+•:.
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