2233 SEMINOLE RD # 24 ROOF 2016 �' � \S, CITY OF ATLANTIC BEACH
r) 800 SEMINOLE ROAD
j � 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 -693
Job Type: ROOF PERMIT
Description: REROOF
Estimated Value: $2,380.00
Issue Date: 3/22/2016
Expiration Date: 9/18/2016
PROPERTY ADDRESS:
Address: 2233 SEMINOLE RD UNIT 024
RE Number: 169519 -0146
GENERAL CONTRACTOR INFORMATION:
Name: JOHN GILMORE ROOFING, INC.
Address: 11647 GWYNFORD LN QA JOHN CHARLES GILMORE
Phone: - -
FEES:
BUILDING PERMIT FEE $61.90
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $65.90 1
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: Z ZS 3 . e &y r note t)11
24 Permit Number:
Legal Description r/' -" - 2g - it ' w! , I,• Parcel #
oor • ea o q. q. q.
Valuation of Work $ a 3 $Q Proposed Work heated /cooled n heated /cooled
Class of Work (circle one): New Addition teration ;Repair Move Demolition pool/spa window /door
Use of existing /proposed structure(s) (circle one): Commercial es' tial •
If an existing structure, is a fi stem installed? (Circle one): N /A
Florida Product Approval # fa sprinkler system
0 ( Q r'
For multiple products use product approval firm
ri /►�hl' L'iiCivr try ,rl �'•� F FL � (Q 2 Z &
Describe in detail the type of work to be performed: Re -lever Ui l �- 4 at! R - nave 3
RJflice Q ih S-ltingkS •
Property Owner Information :: __ n� �
Name:OCetw∎ VI Ua — tC5tt6oCtx6%.,` A t ddre C/v Metrv1N- Flo h ppo& 1825 — K) 3`4 S- -.
City :._;,L c• v ■ 1 z Staten-Zip 3 :2 Phone A4 • (MeV o v l a.t ■ te_ A
E -Mail or Fax # (Optional 6 1 0 4 2 'i • 8 5q {3 24 q . 5 541
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name., i 1.1 1/ Ill � 1 Qualifying Agent: j�j/77 � dirjorc,
Address:_ 096/1 D Qn #,V s I / 967 Cityt, JIWk eY7Ot /!f State Zip 32.223 Office Phone WId . �SD - fogy Job Site/ Contact Number 955 -/ 5 s 7 Fax # yrO . (p s
State Certification/Registration # C,,C C OS 7(.079
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 certifir 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 if 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 I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F 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 certifie 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
r r
type of work will be complied with whether s.eced herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other fe ' • al, state, or local / regulating construction or the performance of construction.
f / / r r
gnature of 0 :1,t.(. L L -/ , Signature of Contractor ,,, f 1- --L 4_.A..., V 4e-- 0cea.K t , - 11.•e--t , • tow/
'tint Nanie eon• e . 14((l`ty _ Print Name r -- -
far Before me
's'4 II a of Ma4'c'k, , 20 ((o this OZ- Day of rc , 20 1G,
��� '1 o n GT\ Of ' /8'ao'2,o �., -
lotary Public Notary Public 1 ; o ,,;,.,:, ; ,, '
CARLOS INFANTE
': of u State of Florida
r R Y TALLON SCOTT _ . ,., ; 4 „ ff t 1. . 1 `j
:* ge , *_ MY COMMISSIONfFF956858 ; o �; y Comm. xpires Aug 1, 2017
y ��`:o t7(PIRES:February 8,2020 ( %;oF , • ' Commission # FF 041767
4; ► Z, Bonded Thal Notary Public Underwrftera •
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of 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 stated in this NOTICE OF
COMMENCEMENT. 1 _ V t egel description of property being improved: 9 - 9 5 - a l (�, C. Oc e. on V` I 1 , 1 ' L
L1_11_010/11 i r1 i Cr n'l 'vJ' I I,'n '1' I f- 0
Address of property being improved: 2•33 -I'V'1 r/101e.- TIA * 24- A+4et tt;'c geetch FL- 322 3
General description of improvements: )3- ,f
Owner '-:..V` Vi I ‘ A S S OV
t 1.i tt t ,�S; c . Address C/t, 1 tY C�'l v Fla yd {� 1 Z� 1 `& 25 - IJ 3 r( S �J u i to - l-, J' / I le, C L
'Owner's interest in site of the improvement r Re ii a nr,P 3 zz,ED
Fee Simple Titleholder (if other than owner)
Name
Address p,,,,
Contractor J 11 II T f Poo 1 r!) rei h4 rig . G
Address t Lg5r) -!d) San Jose t3hid 0IQ4 Ja 4 Ft_ 3 2 ZZ3
Phone No. Fax No.
Surety (if any)
Address Amount of bond $ 1
Phone No. Fax No.
Name and address of any person malting a loan for the construction of the improvements. 74. •
Name w
Address _
Phone No. Fax r oo
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other
documents may be served: `(U ri—y J' a 44il.. c.=sr � �
Na meNIA4'v.. . 4 N cl eQ1 1 1 '`(etA, Fo ( 0 o?GcsilVr 1 e, , Ssee .(� fdPit
Address vvyy rd I 2
t� z s -> 3 5-�- .Ja.(,�I.f- s`xuttt� r t� 3 2-6
Phone No. ( aA-) .4'1 ' r ' l'1 Fax No. nil' 2 --e
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).
Name 0Ced..v1Y11tctF e ,s ae 65010 ' . i/tIYi -e,.. ct 4L.Ye-s �1 Ire c' 'r
Address t'.. r \-4 0! 'JJ�■ lit-•f o ti..I r4 S"•t LLute_ /:s :Tew,/L.. nkv`i\L.) 4� -
Phone No.1 v `C g7 Fax No. 4 10" 2-1. h5 3 2.2-5 - U
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
signed 0 ocav1 fitter •c d.! l pgTE Si Itil b \
Doc # 20166063575, OR BK 17499 Page 2225, ■ Before me this ;' day rd ^ M ic' in the (i 1
Number Pages: 1 Cou or p„val, le of Flo h as personal appeared u
Recorded 03/22/2016 at 11:35 AM, rt n c f \ herein by
himself/ herself and a mIS lh statements and declarations herein
Ronnie Fussell CLERK CIRCUIT COURT DUVAL are true and accurate
COUNTY
RECORDING $10.00
Notary Public at Large, stqat County of `(___
My commission expires: 'Le ■
�c,,,u,,, TAL rs
ON SCOTT Personally Known or
3 T '. Y : ‘ MY COMMISSION RFF958658 ProducedIdentSCetion ix
*: Public U iw 'mac EXPI February 8, 2020 �`' J V
� N � ar S l .... T o r 5LO 1
s ±� woP,• Bonded Thou Notary Public ()
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