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1780 E PARK TER - ROOF CITY OF ATLANTIC BEACH _ . -2 800 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-2166 Job Type: ROOF PERMIT Description: RE ROOF Estimated Value: $9.829.00 Issue Date: 9/14/2015 Expiration Date: 3/12/2016 PROPERTY ADDRESS: Address: 1780 E PARK TER RE Number: 172020-0384 PROPERTY OWNER: Name: APP, LAWRENCE Address: 1780 E PARK TERR GENERAL CONTRACTOR INFORMATION: Name: BIG FISH ROOFING INC Address: 6821 N SOUTHPOINT DR APT 114 STEVEN SCOATES Phone: - - FEES: BUILDING PERMIT FEE $99.15 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $103.15 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. • JACKSONVILLE. BEACH BUILDING PERMIT APPLICATION I S �-R©©r - 16, �O *Pursuant to F.S.553.721&F.S.468.631,a surcharge fee will be collected on any permit regulated under the FBC* Job Address Application No. /780 Aik %e141(._DI 4,/ Mlari 's 1)4-4a Iii., 3L213 Teni}nt Name(If Able) Legal Description / Type of Wor New ❑ Addition ❑Alteration 0 epair ❑ Move Ild"Replacement ❑ Occupancy Change . Use of existing/proposed structure(s): ❑Commercial RResidential If an existing structure,is a fire sprinkler system install d? ❑ es 114 ❑N/A Roofing Materials:Main Material FL Approval# I k) o14• Underlayment FL Approval# Prajov4 Cost/Value Desc{ibe in detail the type of work to be performe :,F 7 AZ�f /�en'ievv aid r 91P4-c. .Cac Property w O er Name Owner's Authorized Agent(If Applicable) Mailing Address" f/ ?2 2 33 Phone Number E-Mail /79d £,Tca*e .dr. 1- /'l(il/ic 38(4VC •O087 Company am Quay ter/License Holder Name FL Certification Number /3/ / cA �, 'l Yk feA yuelef &!C/330WY/ g 68Z f o- wt,s A,. /4/ Office Phone E-Mail or Fax Number Mailing A ress oily itkiInyli/e/ FL 322,/4 665-83)y 40`1-8c3-5141c Jobsite Contact Name Jobsite Phone No. DPlilnpy 610- 949- 9 i/ G OG Architect Name,Mailing Address,and Phone Number Engineer Name,Mailing Address,and Phone Number 'ppiication 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 •suance of-a permit and that all work will be er ormed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null nd void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after •ork is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks nd Air Conditioners,etc. )wner's Affidavit:i hereby certify that!have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances egulating construction and zoning will be complied with whether specified herein or not. The granting ofa permit does not presume to give authority to violate or once!the provisions of any other federal,state,or local laws regulating construction or the performance of construction. "YARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 2ESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE )F COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE ?IRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR ENDER OR AN A ORNEY :EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. varrommlirmOr ;ignature of OwnerX i/;. ��v Signature of Contractor yy tint Name �" Print Name vl.eUL'l2......_.. cU2.Tt•..5............___.._..... 7"t' ' ;TATE OF FLORIDA,COUNTY OF CLtV A-1 STATE OF FLORIDA,COUNTY OF i UQi ,"i"1;" kin D ;worn to(or affirmed)and subscribed before me this — Sworn to(or afft ed)and subscribed before me this 3 /U day of S-1 pot ` ,20t' 10 day of ,20/5 - c- v7 fJ / S S� S m Jo Public6.t ature �- 3 at;2 (Print r/�Type Commissioned Name Below) Notary Publi 'gnature (Print or Type Commissioned Name Below) N : low �12, ... ........S7i.._H�..t'r:�..✓..t._. .. (Affix Seal Below) O =`.:.,iey SrAUYSIMMONS Identificati• Type IYKnown/OR 4 erso y Known/OR °°$ .t —� t,rcalion'r r �•, :. Commission#FF 098012 re.--V�' .••:!+.r0.•,,. S IAUY SI „elf • J t -M t.. '1TEBELOWT I '' ..t-', gi f '.t LORIDA BUIL �tLS ' "' - �'''I 't :2014)•ieview Result(circle one): ••.• • •Nut'. Fain 1 • 8004e5-7019 kpproved Disapproved Approved w/Conditions Review Initial Date: )evelopment Size iabitable Space Non-Habitable Impervious Area Total Area st Floor 2nd Floor Garage Lanai Porch Patio Balcony Miscellaneous Information Conditions/Comments: )ccupancy Group Cype of Construction. lumber of Stories 'toning District I Parking Spaces. vlax.Occupancy Load ?ire Sprinklers Required good Zone .1 North 3rd Street Phone(904)247-6235 Fax(904)247-6107 Revised 6/30/15 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of fL. County of DUV4 1 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. z / /t Legal description of property being improved:3V-Ss- £29 2S - 294 Address of property being improved: l 78o Park 7errkcP 6g-sii- Al2.71it 8ica,FL �ZZ33 General description of improvements: e—rreF Owner Lero !' Address / /8O"i?rt< PT r/'ac-e- 6• f ficn l+c 1eacA,,t '223 3 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address /) /' Contractor i l�4 rA e (Aso),Address " ••Z Cc, I o /1 f /v � ( . A5o'Y1 rI C 3 Z Z 1°1 ik(( Phone No. g0 v- 1.1---g33 V 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 documents may be served: Name Address Phone 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 Statutes.(Fill in at Owner's option). Name 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 .01+ '>•• different date is specified): THIS SPACE FOR RECORDER'S USE ONLY 41'NER '" Signed: J271 '" - DATE 9 in the x Before me this /r) day of Q�' �• Doc#2015210202,OR BK i 7300 Page i 151, County of Duval.State of F a. ally appeared pArson `�, •< j oturerVe, herein by Number Pages:1 hinfsum herself and ammo ttthhhdddttt I statements and declarations herein Recorded 09/14/2015 at 09:52 AM, are true and accurate ee 331 T` Ronnie Fussell CLERK CIRCUIT COURT DUVAL W � COUNTY WIC as cog RECORDING$10.00 co Notary Public at Large.Stile of County of y • My commission expires: 3 Personally Known or 4 Produced Identification r( OZ.