1431 Begonia St - ReRoof Garage Only I '
- S ► 11`I \
w t CITY OF ATLANTIC BEACH
7 --- 1. 800 SEMINOLE ROAD
\ J ,:f" 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: 16- ROOF -422
Job Type: ROOF PERMIT
Description: RE ROOF GARAGE ONLY
Estimated Value: $4,500.00
Issue Date: 2/18/2016
Expiration Date: 8/16/2016
PROPERTY ADDRESS:
Address: 1431 BEGONIA ST
RE Number: 171082 -0600
PROPERTY OWNER:
Name: LYON, JONATHAN R
Address: 1837 SEA OATS DR
GENERAL CONTRACTOR INFORMATION:
Name: GREAT WHITE CONSTRUCTION INC
Address: 4320 DEERWOOD TRAVIS SLAUGHTER
Phone: - -
FEES:
BUILDING PERMIT FEE $72.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $76.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION g ROOF 471111-1464-/° u `L(
mac
C)
CITY OF ATLANTIC BEACH �"���
800 Seminole Road, Atlantic Beach, FL 32233 T Kb Svc/ (�• MC r� S i�
y !� ce (904) 247 -5826 Fax (904) 247 -5845
1Z1� -STte C t'�-
Job Address: 1 1 3 3 6'0 lJ IA fl-A 6C. 00 Permit Number:
-
Legal Description 0 1 i9 f�TLAc3Tle 6ji+ a Ee_ H Parcel #
c Floor Area of to Sq.Ft. Sq.Ft
Valuation of Work $ N 1 Sac : " -' Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration Repavy/ Move Demolition pool/spa window /door
Use of existing /proposed structure(s) (circle one): Commercial
If an existing structure, is a fire spri, ikler system installed? (Circle one): Yes o N /A
Florida Product Approval # RO'4 1
For multiple products use product approval form
I s I Osq 5/ (
Describe in detail the type of work to be performed: cxI 5 AOC: V n �0c---vaC
TnJsmut DC fr.w.n -ki4t- ot: &- - Act) r/Thw 3c qn, SA4
Property Owner Information:
Name : — i- tarl+Crs, I;) Address: 1 S - 51 S ic I-'
City AT(. Z 13 fati-e..44 State Ft_Zip 31133 Phone ciai.( iota - yc`, L
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: f/ bi N\S Qualifyin Agent: rtY1;W \S S VA . ,(A \ �,
,
Address: ' ?O c$ X VX L JCQ City State Zip 322 l b
Office Phone u'4 -'t'l Job Site/ Contact Number s3K - kleV1 Fax # ak,(e ^ 14(0 t keto
State Certification/Registration # (Na` 1 S240
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. T'his permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six (6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, urnaces, 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 1 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.
�---
Si of Owner ' iii .d/ ,11,° Signature of Contractor
Print Name 0.0N ipps- ltcyti j2 • L 1.t t o iJ Print Name ��} -
\ S 5��1(�
Sworn to and subscribed before me Sworn to and subscribed before me ,J
this 15( Day of \ e,(U (L1) , 20 ‘k this j ( Day of feAVVAAGLVA. , 20 \
Notary Publl •
. ' ASHLEY E
l _ - ',,�`' -... ' RIDG �evil • 01.26.10
ASHLEY RIO�EMNtr
► � � Not ary Public . State of F Nobly Peak - Stafe of Florida i .�' My Comm. Expires Jun 20, 2017
f\
Cai My Comm. Expires Jun 20, 201 • •' �'` Commission # FF 29966
••,,w ,;,,.•° Commission M FF 29966
��
Doc # 2016036348, OR BK 17464 Page 440, Number Pages: 1, Recorded 02/18/2016
at 11:05 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
State of Al t,, A 3ccis dt Tax Folio No.
County of
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 s in this NOTICE OF COMMENCEMENT
I
Legal Description of property being improved: t - 3S - Z S - 2- E & 2- Q t-t 4-t- _____ L
LON LO eu4 2c ‘
Address of property being improved: 1 131z.6.C -S %% 'Cai btz- L A; Lt —
General description of improvements: ■1.V; k ii >• 13 rt N: Pct,A - f uk714.41 64i... /
T-+N:i i74t L 0 1St f a ttt4u..Cc i r k•B ti 6K, 3 t 1 )4 7W f14E /4(4. tit l Cia/ 5 isS
Owner: -460 t ia-tt-W.p (L.,. L. l a rJ Address: 1 3 31 fi f'' 1 AT'S p IL . i T L • (3S.vh cR t A .
Owner's interest in site of the improvement: 3 ZZ;
Fee Simple Titleholder (if other than owner):
Name:
•
Contractor: X12 t1. A r - (� — 10 -.. - - - --
Address: 4520 0.0N' 1 CCL LE i F-L. 5 LZI 0
Telephone No.: (.04 Fax No: T<ti62 — 14 • l rS'4O
Surety(ifany) _. ... -- _ -__
Address: Amount of Bond $
Telephone 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:
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(2Xb), Florida Statues. (Fill in at Owner's option)
Name:
Address: --_ -- - - -- --
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 'L 11' 11O
Signed: 2 Date:
Before me this Vie day of t in the Coun of Duval, State
Of Florida, has personally appeared J()Wki - ,I tCtJ C U
. GO
Notary Public at Large, State of Florida, County of Duval.
My commission exp _s0..17(14 i 1
Personally Known: _ _ — - '
Produced Identificafion: AlP 0W , , y
+p, r- Notary tYWK Seta of ibrid•
co V M Comm. Espitts Jun 20, 2017
1� v' I =.. ����d. Y # FF 29968
+, o. ;; , Commission