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391 8TH ST - ROOF P .7' CITY CITY OF ATLANTIC BEACH �.. T:,:,_,R,,,,,., ;� 800 SEMINOLE ROAD J 1: ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ' / r , ]f' �J 3,1 ROOF PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ROOF-2828 Job Type: ROOF PERMIT Description: REROOF Estimated Value: $13,500.00 Issue Date: 12/7/2015 Expiration Date: 6/4/2016 PROPERTY ADDRESS: Address: 391 8TH ST RE Number: 169980-1000 PROPERTY OWNER: Name: FINOTTI, JOHN CHRISTOPHER I Address: 391 8TH ST 391 8TH ST GENERAL CONTRACTOR INFORMATION: Name: PATRIOT ROOFING SERVICES, INC. Address: 3326 GAY RD Phone: - - FEES: BUILDING PERMIT FEE $117.50 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $121.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904)247-5845 Job Address: 391 1 7 t ' Permit Number: Legal Description �'�D�i . —a5 "a5I /� Parcel# /( 1)O Floor Area of q.Ft. q, t Valuation of Work$ /3 S Uv Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alterati Repai� ove Demolition pool/spa window/door Use of existing/pro osed structure(s)(circle one):. geod?mmercial esidentia • If an existing structure,is a fireA�!!rmkler s ste (Circle o N/A Florida Product Approval# /Z�� For multiple products use product approva orm Describe in detail the type of work to be performed: �'- ' L �/ Qom,, Property Ownesinformation: 1 Me.--fail 3q/ r t St-. y-- Name• f l9# I//. 0 1 �f�0 i � Address: �, f L 32233 City State Zip Phone E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company N.me: ' t/f , A /G ___■1I _ ! C- Quali in Agent: a5�2�- !i r fell Address: ,9 lifft i City State'ZipU g Office Phone 11 - Job Site/Contact Numbers Fax# State Certificatio •egistration# /_ 3 Dp 9 v 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 cert 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 f work is not commenced within six(6)months, or if construction or work is sus ended or abandoned for a_period of six(6)months at any time after work is Tanks coiAir ced. lI I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters, 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 thismplication 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 authori to violate or cancel the provisions of any other federal,state,or local law regulating construction or the performance of construction. 1,,,,,,_ Signature of Owner �' Sint IA g a ure of Contractor ,� Print Name Pkr/511 Iv l 0,-4.1-sbc97- Print Name s( 1' o f j^ Befor- - e Before me - � this Day of 1. # ',// )•20 1` J6 this Q2 ay of JV ✓fir �� ,20 /.5....---- .40.1" _/ ., s WILLIE C.RICHARDSON _ ..r / ...:4 . WILLIE C. / " �T�Y �'Iw l Ttary Public St NOTARY FLORIDA Notary Public _ . : STATE puma- -�`•� Comm*FF136858 •�'�^t;=+r: STATE o FFIsio ExPfres 8/12/2018 Eik' •8/ NiTICE OF CSMIMENCEMENT State of /64 County of t_t ( Tax Folio No. 16_f8W Obi 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 star in this NOTICE OF.CO vJ NCE ENT. Legal Description of property being improved: �� -" !�-— ? /T Address of property being improved: .3R l $ 5-e hin Ft, 32-Z-?J 3 General description of improvements: / e-'/-.. ►^,, A- 1 / • S._ Owner: # 15a- ' / - r , i 1 D •f Address: 3Ci 41- / A4 fiL 322 33 Owner's interest in site of the impr,vement:44://, Fee Simple Titleholder(if other than owner):• Al/f4 Name: / r cf nhhCeS Jt c Contractor: J / �,�, Address: �7QE!7 1C,L i.'.C4 • It « - . I.L.. _. .� Telephone No.: 9OLI -cO Cj... Fax No: Surety(if any) ` , Address: j J//q Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the imnrnvementQ Name: Doc#2015277534,OR BK 17389 Page 1746, Address: Number Pages:1 Recorded 12/07/2015 at 11:51 AM, Phone No: Ronnie Fussell CLERK CIRCUIT COURT DUVAL Fax No:_ COUNTY RECORDING$10.00 Name of person within the State of Florida, other than himself,•designate( served: Name: Address: • , N/A . Telephone 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 Statues. (Fill in at Owner's option) Name: /v Address: /A Telephone 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): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: 4( Date:. /2) at)/5 Before me this ,.,241 day of Ale,✓E M b ,t_ in the County of Duval,State • Of Florid has personally appeared Art, t 1 (1 a Ir ersuTlyKxown: Pro u entification • : It SON Notary Public: /, !. s�/� �f•. ,; _ My commission expires: rfirAir iat,JA- - Expires 8/12!2018 •