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464 IREX RD - ROOF PERMIT �5 f CITY OF ATLANTIC BEACH eti 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-1877 Job Type: ROOF PERMIT Description: RE-ROOF - TORCH DOWN Estimated Value: $7.200.00 Issue Date: 8/5/2015 Expiration Date: 2/1/2016 PROPERTY ADDRESS: Address: 464 IREX RD RE Number: 171426-0000 PROPERTY OWNER: Name: PITTMAN. BLAKE CAROLYN Address: 464 IREX RD GENERAL CONTRACTOR INFORMATION: Name: EMCO RAIN GUTTERS INC Address: 404 BEVERLY LN STEVEN MIDYETTE Phone:_- - FEES: BUILDING PERMIT FEE $86.00 STATE DCA SURCHARGE $2 00 STATE DBPR SURCHARGE $2.00 Total Payments: S90.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904)247-5845 15_ R oo c _ I .?,7 7 Job Address:4C t'X Ela gAL(( CI?j -A VL Permit Number: Legal Description?)/t no P-i- yp ?o y() I P1\Vc ) rarcel# p0 or Area o q. t. Sq.Ft Valuation of Work$—120©-- 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 structures)(circle one):. Commercial sidentia If an existing structure,is a ire sprinkler system installed?(Circle'one): es No N/A Florida Product Approval#1-it_ �- l f 4 For multiple products use produc approva orm 1^n n Describe in detail the type of work to be performed: l� r -Qt 7C lc" 2�O �Q -roil�� douo Property Owner Information: •�,r-,n• 3 LLC Name: ,CA F) rn. i-,0C-.06 1A in��res: i. 11 54----b A\)0_. City . ;(�('1''i r i ,LLe fl— tateLZip 37150 Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: as • °a e. • ' ... 'a ' I Qualifying Agent: Address:4.34. • e‘J(W' ' 0'1 City C.VVM 1:Li r_ State c L Zip?9'Z.ZC L Office Phone 104 -(A1) W1 LV Job Site/Contact Number 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 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 if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period Pools,d ix(6)months t Heaters,after work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, W 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 a u NCEMENT. o 1 hereby certh&that 1 have read and examined this a plicati. :same.to he true and correct. All provisions of laws and ordinances govern I type of work will be complied with whether specified here' 1.7;c,`�. • anting of a permit does not presume to give authority to violate or can h18 I provisions of any other federal,state,or local law regulatin_ -.1?,.,.: t,.or the performance of construction. ,o e „r uT7� � vi Signature of Owner Alr i. IL . . . AM Vire A . Signature of Contractor' 4&' °a Print Name 4� it.—/ A . =_ _3..- Print Name 6%y-eve/II _ /'. e �4, , Sworn to and subscribed b fore me n Sworn to . d s. •scri•�. before me 7, ' 4v this k1" Day of .►...1,,s 2 �._ ' fo w this ' D. , of i i -�•y'* s�' //� Af'2 Notary Public — _ g .4 ' t' . ' I '° t Revised 01.26.10 NOTICE OF COMMENCEMENT /PREPARE IN DUPLICATE) Permit No. Tax Folio N State of r County of t (a vi"(L. 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. /j�-, a--- t (� L al description of property being improv : f t /p PA-. O4 ' V 1QLcL pntn--) ( In ,-V 'R p- ress of property eing improved: • �L . tL smN �,' �'Ca�'rt - L ' '7 General description of improvements: { ' • c7- roc) Owner L a Y, (C-lJ ��- C,,r\ P \ \a..CV �,Cr;r-ed Li Address fl �Pb 2 \J _ 1 l C a 1pon■.L L LIE PC h; F I-- 9 Z2 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor ' ea 0 a Address r .0 �d��jM �r� e a , J l #41 fl'1 --TL s � .2'54- Phone No�Th r ' ! ' Fax No. Surety(if any) Address Amount of bond$ 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 NNAN documents may be served: Name z.11-7 rd i Address =o I N N U U g Phone No. Fax No. c yk v d Es` In addition to himself,owner designates the following person to receive a copy of the Lienor s Notice as provided in a <W Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option). o E J Y E ° Name c.,i c' Address Phone 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): vN THIS SPACE FOR RECORDER'S USE ONLY ,' • r���►t/►�/tOWNE Signed: w — DATE Before me this i ••y of nr in the County of• •. 9 •.has• '• Ily appeared LOS 47 j&/45 Go • ir t/hh?€- 4 herein by r himself/herself and aflSm s that all statements and declarations herein i are true and accurate i ' "I Notary Public at Large.State of . County of L.o 5 Aiv4 Et e- 5 • My commission expires: S.24. • S- DorcnnOlh.Kn•v.•n