950 SEMINOLE RD 0 ROOF 01j1417: 6
, :s. CITY OF ATLANTIC BEACH
, s) 800 SEMINOLE ROAD
LOW 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-2412
Job Type: ROOF PERMIT
Description: ROOF - REROOF
Estimated Value: $11,750.00
Issue Date: 10/13/2015
Expiration Date: 4/10/2016
PROPERTY ADDRESS:
Address: 950 SEMINOLE RD
RE Number: 171972-0000
PROPERTY OWNER:
Name: HOWELL, SHIRLEY B
Address: 950 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: NORTH FLORIDA ROOFING CONTRACTORS INC
Address: 13758 Pleasant Valley DR
Phone: - -
FEES:
BUILDING PERMIT FEE $108.75
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $112.75
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,.a
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
•
800 Seminole Road, Atlantic Beach,FL 32233
Office (904) 247-5826 Fax (904)247-5845 t 5 —ROO F— �4 I Z_
Job Address: 950 Seminole Rd Atlantic Beach, FL, 32233 Permit Number:
Legal Description 29-27 16-2S-29E SELVA MARINA UNIT 3 Parcel# 171972-0000
Valuation of Work$ 11,750.00 Proposed Work heated/cooled 1823 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 'esidentia
If an existing structure,is a fire sprinkler system iinst lled? (Circle one . - C. N/A
Florida Product Approval# L I 0
For multiple products use product approva orm O 1 t l 0
FL, L (c y _
Describe in detail the type of work to be performed: 2,2_12.04i p 11,4y1 6 h i`rio ks $ !sb
ry1 P- ;m 0 '36.,.. cL1,533R1
Property Owner Information:
Name: Sherly Howell Address: 950 Seminole Rd
CityAtlantic Beach State FL Zip 32233 Phone 904-728-0707
E-Mail or Fax#(Optional)
•
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Compare Name: North Florida Roofing Qualifying Agent:Mark Fries
Address. 730 Isabella Blvd#50 City Jacksonville Beach State FL Zip 32250
Office Phone 800-229-9908 Job Site/Contact Number 904-219-1812 Fax# 866-941-6461
State Certification/Registration# CCC1330474
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 ofa 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 of 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
work is commenced. I understand that separate permits must be secured for ElectricalWork,Plumbing, Signs, Wells,Pools,.Furnaces,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.
I hereby certify that I have read and examined thisplication 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 specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
90P f
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Signature of Owner A/_1... 0 Ag,A, Signature of Contractor
Print Name /
_...__ ✓_' ..__..a t i._. Print Name Pti air'IL--
Before e Before e
this Da of 10/�20 this Day of OC� ,2016.--.
o��"` JAMIE L MIRANDA ;ao` 'L(..: JAMIE
i• jig MY COMMISSION#FF15£so2 Revised 01.26.10
MY COMMISSION #FF158025 I. d; September 8.2018
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?�„C!., EXPIRES September 8,2018 ` �F '` Service.com
(407)398-0153 FloritlallotaryService.com (a071 398-0153 Flontlallotary
Number Pages: 1, Recorded
Doc # 2015216413, OR BK 17308 Page 1605,
09/21/2015 at 03:47 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 .00
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NOTICE OF COMMENCEMENT
o'PEFAF<C:Ni G;.ipt.io;i1
Permit NC._ _
Tax Folio No
State of -- r *�s County of OUP--
To whom it may concern: —
The undersigned hereby informs you that Im provernents will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes.the following information Is stated in this NOTICE OF
COMMENCEMENT,
Legal description of properly being improved: C:ci"�� 1..(1..: r�q
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Aoti ess of property being,mprovad _+ —
l:ener3l descnption of mproimments; ie.e t
Address 10 ' i 'a a� LL it s .
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G'arner's interest in site of the improvement fib f,
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Fee Simple Titleholder iii other than owner)_
Name ...._.._ -..-_.....
Address
Contractor Q('.' l'
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Surety if any;._ ._. v _.. _.
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Address
_._ - _ _ . . .- - Amount of bond$�
Plione No. ^_Fax No. __
Nnmla and address of any person making a loan for the construction of the improvements. _._ -•-,
Name
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Phew"do ____ Fay No
Name of cerson within the State of Florida.other than hi vretf.designated by owner upon, •<hom notices or other
documents may be served:
Name
Address
Phone No. __ ._ __Fax No.�. _ _ _---
In addition to himself•owner designates 11:e following prlrson to receive a copy of the Lienor's Notice as provided in
Section 713.06 t_)(b).Fiorida Statutes.;Fit:in at Owners option;.
Name
Address _.. _ _ .._.
Phone No.- •.. _ Fax Ni"r
Expiration date of Notice of Commencer:ant{the expiration date is one 1;
year from;tae date of recording unless a \
different Aare is specified): - ,�!° )
THIS SPACE FOR RECORDER'S USE ONLY—
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