484 WHITING LN - ROOF f- r,J\J
�9 CITY OF ATLANTIC BEACH
s-) 800 SEMINOLE ROAD
\J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
!.11V
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-512
Job Type: ROOF PERMIT
Description: RE- ROOF
Estimated Value: $9,000.00
Issue Date: 3/1/2016
Expiration Date: 8/28/2016
PROPERTY ADDRESS:
Address: 484 WHITING LN
RE Number: 171454-0000
PROPERTY OWNER:
Name: VICTORINO, JAMES
Address: 484 WHITING LN
GENERAL CONTRACTOR INFORMATION:
Name: SYNOT CONSTRUCTION LLC
Address: 8717 Mathonia AVE
Phone: 904-312-2475
FEES:
BUILDING PERMIT FEE $95.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of fi County of
0 To whom it may concern:
y ~
[� O The undersigned hereby informs you that Improvements will be made to certain real property,and in
L
accordance with Section 713 of the Florida Statutes,the following information is stated In this NOTICE OF
-I- COMMENCEMENT. 1.Legal description ofprroperty being improved: (1 ,,•�02A3.00 � 1 I $ ,j
in r U RE 171454-0000 1 f QT ( 0- p o y/' L P A I /°1 S ) Wr 11 (Lk I Z
ft o Y
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• v � Address of property being improved:4134 whiting In atlantic beach n 32233
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ornr) a
<D 10 O N z
rO General description of improvements: roof repair
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Sa• UioOw
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Owner L i:TA T-U t QUO
Address 484 whiting In atlantic beach 11 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Synot Construction LLC
Address 8717 Mathonia ave Jacksonville fl 32211
Phone No.904 312 2475 Fax No.
r3.Y Surety(if any)
Address Amount of bond S
Phone No. Fax No.
Name and address of any person : ing a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida,other than hims- 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' otice as provided in
Section 713.06(2)(b), Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is cne(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY r •• ir./N *�
Signed: 'i ►1K 1 G %U D.TE 3 _',.
Before me this day of i • i in the
Con of Duval.S ate of Florida,has personally appeared
RL'Gi ITA �!lCLT0121tVi� herein by
himself/herself and affirm ....true and accurate ,.1k; r'• NICHOLAS CALVIN KIMBRELL
.= Commission#FF 910129
Expires August 17,2019
f.Ai �Thm Try Fin Irwrw 800368-7019
Notary Public at Large.State o Co my of 0c;.0 c,
My commission expires: 0 0U
Personally Known or
Produced Identification Ili*ill11111iLWIEN AIllEktlp
JACKSONVILLE
BEACH BUILDING PERMIT APPLICATION
*Pursuant to F.S. 553.721& F.S. 468.631,a surcharge fee will be collected on any permit regulated under the FBC.*
Job Address A lication No.
9C-69 v� � ► � )—rN) . ;c �3w�c1,. 40-Boor -51 Z.
Tenant Name(If Applicable) KLegal t l;7 J 4 S l>,-opt) Oa PALMS
Type of Work: ❑ New ❑ Addition ❑ Alteration ❑ Repair ❑ Move Ei.Replacement ❑ Occupancy Change
Use of existing/proposed structure(s): ❑ Commercial .Residential
If an existing structure,is a fire sprinkler system installed? ❑ Y o ❑ N /A 4(.- 1 f
�l., b� —0.2 S
Roofing Materials: Main Material FL Approval# ► Under ayment FL Approval #
Project CostNalue Describe in detail the pe of work to be performed:
Property Owner Name Owner's Authorized Agent(If Applicable)
ti eft.t e - ( . \/ t c-r 1 NDO -
Mailing Address Phone Number E-Mail
61350. (ZOLLS 20Y L.1 AY. FL. 3224-6
Company Name Qualifier/License Holder Name FL Certification Number
•
Ste.J CA. Y
Mailing Address Office Phone E-Mail or Fax Number
..
Jobsite Contact Name Jobsite Phone No.
moo+_-v1 1)'°`-) 312._ aL\ 7 S
Architect Name,Mailing Address,and Phone Number
Engineer Name, Mailing Address,and Phone Number
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 f 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. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks
and Air Conditioners,etc.
Owner's Affidavit:1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances
regulating construction and zoning will be complied with whether specified herein or not. The granting ofa permit does not presume to give authority to violate or
cancel the provisions of any other federal,state, or local laws regulating construction or the performance of construction.
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature of Owner (-11 l Signature of Contractor
Print Name 1ZCE L ITA V+ CT b 21 N v Print Name1'J'
STATE OF FLORIDA, COUNTY OF Q u@ a k STATE OF FLORIDA, COUNTY OF V kti a1
Sworn to (or faffirmed)and spbscribed before me this 6 4 Sworn to(or affirmed)and su)scribed before me this
c� \ ( day •f 1AarC/1 /� ,201(2
/ • c_ tA
No N _' . ' i Si'nature Print or Type Commissioned Name Below) No ' . ' Si_nature (Print or Type Commissioned Name Below)
t' ."` ,°"NICHOLAS CALVIN KIMBRELL (Affix .call NICHOLAS CALVIN KiMBRI:LL
v Commission#FF 910129 ❑Personally Known/OR ��` = Commission#FF 910129 °Personal KnoAy�V/OR
Expires August 17,2019 Identification Type .FL �- - "r Expires A 7201 Identification/Type .). 40-1g1)
�� %l August 1 , s (9 -�?i3O-
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DO NOT WRITE BELOW THIS LINE: OFFICE USE ONLY
Applicable Codes: FLORIDA BUILDING CODE, 5"T EDITION (2014)
Review Result(circle one):
Approved Disapproved Approved w/Conditions Review Initials/Date:
Development Size
Habitable Space Non-Habitable Impervious Area _Total Area
1st Floor 2nd Floor Garage Lanai Porch Patio Balcony
Miscellaneous Information Conditions/Comments:
Occupancy Group •
Type of Construction
Number of Stories
Zoning District
#Parking Spaces
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
11 North 3rd Street Phone (904) 247-6235 Fax (904) 247-6107 Revised 6/30/15