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301 MAGNOLIA ST 2016 ROOF i �� r" Jai �J 1*': SSL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j "" ATLANTIC BEACH, FL 32233 >� INSPECTION PHONE LINE 247 -5814 \0;31 >f ROOF PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814 JOB INFORMATION: Job ID: 16- ROOF -556 Job Type: ROOF PERMIT Description: RE - ROOF Estimated Value: $6,700.00 Issue Date: 3/7/2016 Expiration Date: 9/3/2016 PROPERTY ADDRESS: Address: 301 MAGNOLIA ST RE Number: 170448 -0100 PROPERTY OWNER: Name: ROSS, WILLIAM ERIC Address: 301 MAGNOLIA ST GENERAL CONTRACTOR INFORMATION: Name: ARMOR ROOFING CO Address: 3885 JULINGTON CREEK RD STEHEN A KELLY Phone: - - FEES: BUILDING PERMIT FEE $83.50 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $87.50 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 I - p�� — S s6 Job Address: 1 �� cy \ + r A . . °� Permit Number: Legal Description D-1l0 1(0- 1 , c,3).. '3 Parcel # oor ea of q.Ft. Sq.Ft Valuation of Work $ 10 0 Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New Addition Alteration epa Move Demolition pool/spa window /door Use of existing/proposed structure(s) (circle one): Commercial a tial If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # FL 181�A R1 trues( kimua ( 0 * 1(Cic).a,(a .1 For multiple products use product approval form Describe in detail the type of work to be performed: V‘(.,- Property Owner Information: . Name: — i sm Address: 30\ V\ ®\ \a City I�� _\ State Zip Phone q8A- (51S4 E -Mail or Fax • (Optional) Contractor Information: a Company Name: �G PT s 111 A 4 E 6 Qualify' g Agent: /`P. \1�s' C Address: • . IniM 1 _ M EVE Cityx state Zip Office Phone 1' r , Job Site/ Contact Number 3`A - �►� Fax # State Certification/Registration # C,C C . V? 4 r4M 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 void f 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, Furnaces, Bo 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. 1 hereb certify that I have read and examined this and know the same to be true and correct. All provisions of laws and ordinances governing this type o/ specified work will be complied with whether speced 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 y Signature of Contra . �� 1 ` Print Name ► � C.l�1 1�1(�f 1 �(� Print Name S �: /�� � � l�C_l Sworn to and subscrik4l before me Sworn to and subscribed before me this _AA Day of \1 lak`Gh , 20 \(.0 this — 1 Day of Mar , 20 10 ai STEPHEN A. KELLY `Lir. �..A0/ Caw Sided lib000k Not. " ub c c ' , \ MY COMMISSION It EE178807 Notary Pu • f STATE OF ROIIOA " ' EXPIRES May 14, 2018 , abide FIV13254 w,, gee o,s9 FlaideNobloyeervIce.corn Expires MS/2019 NOTICE OF COMMENCEMENT State of IES)S■i(itA Tax Folio No. County of ( VB►� 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 COMME NCEMENT, Legal Description of property being improved: 1e) - 1(Q 1(D - aS - aq \-\ c t SC,C L© Address of property being improved: 3)\ «\ t (NOVO . \94A l a P1sle General description of improvements: \ Owner: rl (' . 1',(3m Address: 301 kt fro (4,\ A Owner's interest in site of the improvement: Fee Simple Titleholder (if other than owner): Name: Contractor: mfr 40 �\ A 0 1 , Address: V 11 n�Z s i 1 I'll! �- . 3c�'�d3 Telephone No.: ` � � Fax No: Surety (if any) 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: Far ,.T^ In addition to himself, owner designates the following person Doc # 2016051962, OR BK 17484 Page 1268, iection 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Number P03 1 Recorrdd e ed 03//00 7/2016 at 04:24 PM, Name: Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY Address: RECORDING $10.00 Telephone No: Fa 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 /14i 1 J 7 : STEPHEN A. KELLY Signed: pa" 51.,. Date: 3 -1-1 l0 MY COMMISSION # EE178607 Before me this I A day of C in the County of Duval, State • * Of Florida, has personally appeared P Y PP C 0 (401 3G8•otss EXPIRES Y 14, 2016 Notary Public at Large, State of Florida, County of Duval. ccm My commission expires: 14-14) Personally Known: or 4 4150 � C,. Produced Identification: ,�