2066 BEACH AVE ROOF 2015 11 SS\ CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Dim
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-573
Job Type: ROOF PERMIT
Description: reroof
Estimated Value: $9,000.00
Issue Date: 3/13/2015
Expiration Date: 9/9/2015
PROPERTY ADDRESS:
Address: 2066 BEACH AVE
RE Number: 169716-0000
PROPERTY OWNER:
Name: MILLER B/E, JONES DOROTHY,
Address: 2066 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: LOCKHART CONSTRUCTION &
Address: 5380 TIMBERLINE DR 5380 TIMBERLINE DR
Phone: - -
FEES:
BUILDING PERMIT FEE $95.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $99.00
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 (90,4)247-5845
Job Address: ",Q vc Permit Number:
Legal Description -Q'7OQ-ZS Zq E rcel#
Floor Area ot Sq.Ft. \ q. t
Valuation of Work COO.0'r—' Proposed Work heated/cooled 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 Residentia
If an existing structure,is a fire sprinkler system installed? (Circle one): es o N/A
Florida Product Approval# V L
For multiple products use product approval form
Describe in detail the type of work terformed: v'c �'DZ:�doc_e-
=
X111
Property Owner Information:
Name: D L 01( E Address: � ' �C i ttV�14
City Zip 32_ Phone Q C-14- 2A SS-A3
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: Vii'c to 1�fl LWE �i �IAW ;? t•0 !{ 7'_
Address: �3c f City�SUWvi € State - Zip 3:� 7
Office Phone Job Site/Conta t Number '70f- Fax#
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. 1 certify that no work or installation has commenced prior to the
issuance of a per n:it and that all wor k will be per formed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_penod of siX I )months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, ells,Pools, urnnees, 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.
there 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 of work will be complied with whether s eci eed herein or not. The granting of a permit does not presume to gyve authority to violate or cancel the
provisions of any other federal,state, or local regulating construction or the performance of construction.
Signature of Owner Signature of Contractor _
3rint Name �O(10 V�(�P.SValer Print Name � tnE �CKh{ [
�p�sorurgp�
3efo e �e��Y A. e� Before rrrr��e
his D of � • " j' �S this rt"'Day of �1,� ,20 /S
• w J
otai Publib 15,2616 Notary P _� scc,ri 9 EE 849916
Er ,a r,mrn:....i.. ,
„,:5a3 s:, q: Expires Nnveni�28,201 (� 26.10
••• r. • '�,,o ff ., 2oaow tiro Troy Fain in19r
NOTICE of COMMENCEMENT
Return to: (self addressed stamped envelope enclosed)
Lockhart Construction and Roofing Services LLC Doc#2015057671,OR BK 17095 Page 2083,
5380 Timberline Drive Number Pages: 1 9
Jacksonville,Florida 32277 Recorded 03,13:2015 at 09:01 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
This Instrument Prepared by: COUNTY
James Lenard Lockhart RECORDING$10.00
5380 Timberline Drive
Jacksonville,Florida 32277
Property Appraisers Parcel Identification Number
Tax ID Nuff
SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DATA
NOTICE of COMMENCEMENT
State of Florida
County of Duval
The undersigned hereby gives notice that improve
of the Florida Statutes,the following information is
Legal description of property: 15-093 09-2S-29E North Atlantic Beach
Unit 3
Street address of property: 2066 Beach Avenue Atlantic Beach Florida 32233-5935
Description of improvements: New Roof
Property owner Name: Dorothy Jones Miller
Property Owner Address: 2066 Beach Avenue Atlantic Beach Florida 32233-5935
Owner's interest in property: Owner
Fee Simple Title Holder Name: Dorothy Jones Miller
Title Holder Address: 2066 Beach Avenue Atlantic Beach Florida 32233-5935
Contractor Name: Lockhart Construction and Roofing Services LLC
Contractor Mailing Address: 5380 Timberline Drive Jacksonville Florida 32277
Surety Name: None Amt of Bond $ None
Surety Mailing Address: None
Lender Name:
Lender Mailing Address:
Person within the State of Florida designated by Owner upon which notices and other documents may be served as
provided by Section 713.13(1)(a)7.,Florida Statutes.
Name Dorothy Jones Miller
Address 2066 Beach Avenue Atlantic Beach Florida 32233-5935
In addition to himself,the Owner des
in Section 713.13(1)(b),Florida Statutes.
Name
Address
Expiration date of this Notice of Commencement: This Notice of Commencement expires in one year.
Dorothy Jones Miller
nature of Owner Printed Signature of Owner
APPLY NOTARY SEAL HERE I have relied upon the following identification of the Affiant:
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c���^_" - ''`i,r �^•�flg S orn to ands tribe before me this YW day of
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