Loading...
115 S SARATOGA CIR - ROOF (!) ,- \� CITY OF ATLANTIC BEACH r a,.: , }SJ 800 SEMINOLE ROAD J f'.;' _"'y= 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-2685 Job Type: ROOF PERMIT Description: ROOF - BUILT UP GRAVEL Estimated Value: $10,090.00 Issue Date: 11/16/2015 Expiration Date: 5/14/2016 PROPERTY ADDRESS: Address: 115 S SARATOGA CIR RE Number: 171768-0000 PROPERTY OWNER: Name: CLEMENT, LARRY E Address: 551 CAMELIA TERRACE DR GENERAL CONTRACTOR INFORMATION: Name: DIBBLE ROOFING COMPANY Address: 3518 MORROW ST QA JOHN R. DIBBLE Phone: - - FEES: BUILDING PERMIT FEE $100.45 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $104.45 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904)247-5845 cj -R o - 2 6,°5 Job Address: 115 SYQ.QG l if Permit Number:6Its Legal Description?-13??g dS Qiq 1 C, em'4j1�t1 Dntf Parcel# ©© Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ \� D-l( ,OO 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 Residents If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# �L. For multiple products use pr uct approva orm '/ Describe in detail the type of work to be performed: rafYlk( 1l-4- rooCinc) ° rQ aM� U YF Property Owner Information: �- Name: b_.lhil/J 'ii Address: B 5.! ,rune 1 P-Irirate, Qri At) City s�'M!'i!V..' f_ k State-Pi Zip3g P Phone L -k-LP35- 33161 E-Mail or Fax#(Optional) Contractor Information: Company Name:u Q� CO Qualifying Agent: Address:'351 $ 1'YIMOW City 3O OO1VI(le, State P/ zip VD-1�7 Office Phone • lo - 1-o?g S Job Site/Contact Number g ' 3I c� 23-s- Fax# 4&-/- -133-g$S State Certification/Registration# C; WS' 'S( lol 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 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 work is commenced.not I understand that separate permits must be secured for Electrical (Fork,Plumbing,Signs,a Wells, ools,xFurnaes months oile any Heaters,construction or work is suspended or abandoned for 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 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 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. Signature of Owner Signature of Contractor Print Name N .. ... Print Name -3-6 bK : Sworn to and subscribed before me Sworn tc and subscrAed before e ,20 I S� this 13 Day of �f?>inbJ ,20 1 S this l Day of 1U • o lic , �: \ MISTY LYNN JAMES Notary 'ub lc 4 / : r tart' �*I') F MY COMMISSION#FF093710 •? MY COMMISSION#FF093710 `• llair918,2018 V.„to,,i,e1 EXPIRES February 18,2018 (401)3e8-0153 FloridaNaaryService.com (407)3880153 FbridallofaryServlce.com NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No . State of 1 DV C ('117 County of 'D1 A U ( . I 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. n Legal description of•roperty bein• improved: .-32•--- vl f • Li i ot , 1.1 3 Address of property being improved: C t1 V , A . 1. P--1 co,(*IC, c v) , 1., 3')) General description of improvements: () '(TI" Owner .'�hf1 m k C 1 Q to nPi - Address •_ OS ► t. a' A '.O i !1• •L , c( 3 3 o Owner's interest in site of the improvement e Iv Fee Simple Titleholder(if other than owner) ,/ Name }1� Address if� Contractor i U -) ._11 ' •. ' )' I L'i P Address 3 '5 M t ' �` (,ip .c r , - �it• JiL , .. i IJ Phone No. • . I' . S Fax No. -„ I t 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). 7C-1) Name Address Phone No. Fax No. N o Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a f° iZ different date is specified): Q THIS SPACE FOR RECORDER'S USE ONLY OWNER . 2 2 i z-O Signed: ' _0/ i/ _II ✓ h ' DATE�U *%2e:e N . m Before me this .1 I . day of bT!lii,44Ji WT In the J N ti i Coen d :At state of a. a••• red g Y tny��� herein by Doc#2015243927,OR BK 17345 Page 113, hi nsei herself and a'fN- atateme and declarations herein CC II are true and accurate — i£ Number Pages:1 l 2 6 Recorded 10122(2015 at 02:42 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL 1 1 ,`•,....`o g COUNTY !.. �� r �_� f:� ...... ,o` RECORDING$10.00 ��,� `` .ai ^"�l�1j[r res: 1' ICr�lt • .M?dlilit∎ '`', dY 1