747 JASMINE ST - ROOF - rV. r
�
'' S CITY OF ATLANTIC BEACH
10 : J 800 SEMINOLE ROAD
fi
_c-r? 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-2582
Job Type: ROOF PERMIT
Description: REROOF FL 10124
Estimated Value: $9,000.00
Issue Date: 11/2/2015
Expiration Date: 4/30/2016
PROPERTY ADDRESS:
Address: 747 JASMINE ST
RE Number: 170930-1000
PROPERTY OWNER:
Name: CARTER ET AL, ROSARIO
Address: 747 JASMINE ST 747 JASMINE ST
GENERAL CONTRACTOR INFORMATION:
Name: RIVER CITY ROOFING CORP
Address: 1855 WELLS RD STE 6 CHAD DAVID BELL
Phone: - -
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $95.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Oct 30 1506:14p p.1
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Oct. 27. 2015 3:34Pti No. 078.1 P.
. ' 7•Lp,
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8UD.DING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: tl . ) t - c el.''
Ch R P ...ft N ben
Legal Description ig- 314 3-6-a 496 . )11- 'ice':c at I�EC 1i
}loot of q.Ft. s .Fl
Valuation of Work S qi 0)0 Proposed Work heated/cooled now-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/doo Pt"MCf}{— J
Use of enlatingfproposed structure(,))(circle one): Commercial Residents. `./
If an.:bating structure,Is a Are��ttprfnlde a to installed?(Circle one): • 'o N IA
Florida Product Approval# rt'J.,Q7/0
For multiple products use product approval form
Describe in Beta➢the type of work to be performed: -. CJ1�C l 0:.rat( L 2��
Property Owaer'letfonmjition.
Name: b 1%pAQ % Address .
EiMeiI or Foot#(Optloaat) StatetUip Phone 9tlu `/+} _ ZZ�
Contractor leformationt
Company Name:■Nv r ' t. a. .1!1• Qualifying Agent i-l.t
Address: : "VilQ1TSTVIII ., City U f gt1QS •r State F t-- Zip 32013
office Phone: IA 11,u-34 t,79 Job Sitel Contact tanber Fax# 10`t-[Go2/ `Cl
State CeRlfl¢atlon/Registratlon#_ CCC Imo? 7 ci
Architect Name&.Phone#
Engineer's Name&Phone It — --
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage LenderName and Address
•
efppttcarton is hereby made ra obratn a pi tact,the work cal lnrrallolloru at Polkaed. I cart15 shot no work or lrvroltatlon liar noweeenced prior to the
/manes of o penal(a,vf that all workw;11 bape5Seweed to nett the iraedordr of of/brat regvlaling oonrhace on in thiejwlsdkrfon M t:permtr ammo cult
and�d if wornk�iired I !1 rde(6f re permits a Vc be d or work!r',wended or ahrndonedfor a period of rte.r6)months or mot rhne after
b Work,Pio 10ieres,Signs,Wear,Peak FLrnacts.Hailers.11• 14
Tert/or andAir Cvrdltlanue.ea.
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.
ihrreby ctrr i5.Mai l here read and van lncd lhts icalian and brow the.weoe to be snot cod tortes. AKprovtr/ons of haws and ardlnanfer gmerei rho
type of work will be compiled with whether r eel(wren or oat. TIC paretge of a permit does flat ores-raw to tole authority to violate ar C . el the
provisions easy other federal,state,or on regulate g aorubvction a r the perforce of consteur rots.
Signature of Qwner G��i"
1, Signature of Contractor
Print Nemo �'?Z�. �1Z..(IPat,e•/f /13/Z6/IC Print Name a4/, l
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Oct 30 15 06:14p
p.2
Doc 4 2015250016, OR BK 17352 Page 2249, Number Pages: 1, Recorded
10/23/2015 at 04:05 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
:
I NOTICE OF COMMENCEMENT •
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To(Mont t may women: ��
Teo undersigned honMy reforms na you Met Imp rovornertc wre be made to caftan real property.and In
r ' a ms"AM&tenon Mot tn.Florida Statutes,the
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COSSIENCENEN T, Meowing Mrfomletto>,is stared In thic NOTICE OF
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address 18551~ells Id 5ultt 6,Qr n4e.Part,Ft 32073
«troe,No.904-3754181 Fax lip.904-579-3)38
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J TNIE BPACE FOR RECOROERI IIE OMY , OVIN
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