695 ATLANTIC BLVD - ROOF r y\JJ r
''' \S, CITY OF ATLANTIC BEACH
'` C'' fl 800 SEMINOLE ROAD
J'191 J.i 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-1024
Job Type: ROOF PERMIT
Description: REPLACING WOOD AND SOFFITT
Estimated Value: $5,800.00
Issue Date: 5/3/2016
Expiration Date: 10/30/2016
PROPERTY ADDRESS:
Address: 695 ATLANTIC BLVD
RE Number: 170656-0000
PROPERTY OWNER:
Name: ELITE PRO REALTY LLC
Address: P 0 BOX 50664
GENERAL CONTRACTOR INFORMATION:
Name: BUILDING DYNAMICS INC.
Address: 33 FAIRWAY LN QA RICHARD FLEMING FARMER
Phone: - -
FEES: --. _ -------
BUILDING PERMIT FEE $79.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $83.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i�-��r',.
, BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
��'tI>� Office: (904)247-5826 • Fax: (904)247-5845
Job Address: (e ?5 / lQ.1 74 c 8/ve) Permit Number:
Legal Description S cc,I l e t.f c e G ...t L d S ?fit 752/?7(RE# /' '0 4 S 000 )
Valuation of Work(Replacement Cost) $ STGO r 00 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): t ommerci. Resident'
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes l .o- N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: /
i,e..,/&c r K wood CO Per P4 pa 4 s�it
Florida Product Aproval#
for multiple products use product approval form
Property Owner Information
/yzss
Name: Co / .44_o.t, P'bpc/1feS Address: t oc 4 L/fp
City )--e,c Lcc,-, ,..,,//-e State fGZip 32250 Phone romot'- 223 - 09-Vr42-
E-Mail So/o.ita�t 3- OC cco lr .c o
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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.
Contractor Information: / �, D
Name of Company I t-/Jr,t O q ,L s .tit L Qualifying Agent: Z'Ci & M,.,,,,'
ry�
Address: 3 F cgc/'..r a &.e•Z /_ City S4c,LsootA' f. State Zip t4-L 32ZS0
Office Phone ?9 ?/3-YJ'Po Job Site/Contact Number ./3 '-clF f`o
State Certification/Registration # C /2.So eo y E-Mail Alf ' •/r'co dm rid ,,.�
Architect Name & Phone#
Engineer's Name &Phone#
Worker's Compensation
R5/ Insurer / Lease Employees / Expiration Date
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 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 wok is commenced. I understand that separate permits must be secured for Electr' 'l Work,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers,He ters, Tanks and Air Conditioi ers,etc.
Signature of Property Owner: �/ /
g P rty Signature of Contractor:
Before me n
this 29 Day of / A.. I . •; - Before me Day • ' !4 246/(0
ww.n44, PATRICIA A.HENRY
it L.: i�r, :.= Commission#FF 083273
Notary Public: (!_� 'it -��:g Expires May 9,2018 !It/.
Nota• .u• -
..rT iI• ti V Tt r-4-
4 t Ns. Not-ry Public Ilk of Florida
I hereby certify that I have read and examined this application and know the sa • t$ Iie uurwd:,�• - allia 4ll provisi• •c of laws and
ordinances governing this type of work will be complied with whether specsife•./ct�� n tco,h�govern sdrfa p.-met does not
presume to give authority to violate or cancel the provisions of any other.feder,i, AAA,-r IgngebieilVli Watin_ cons •tction or the
performance of construction.
7/ // - ' ev.3/14/16
Doc # 2016098745, OR BK 17548 Page 24, Number Pages: 1, Recorded 05/03/2016
at 09:25 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
/ NOTICE OF COMMENCEMENT
•
State of C o.1'i CQC._ County of /9u Ottl. Tax Folio No. `74 45.‘ -COO
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.
Legal Description of property being improved:
Ste.«:, $'cc -4 Gott ?S// 7521 ??I1 cv 3RD e-ol� ?42- C�c pt 2eJ CIA PY� -AR. 6
Address of property being improved: QS" "14-M-2..t-el Q 4 el /444.,4c &c 4 //=4 3 2 2 33
General description of improvements: nn / /'
A- �a.c—r4 K>O00, £o6147 y`/0ocri2h 4, Q
Owner: So/o oq 1�Fopr/'4.rS Address: /yLS'S Ace?c 4 /' S.<1c. FG 322-0
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner): /f7/q-
Name:
Contractor: if 'ci, , ,/ 4 s ' Q-.
Address: 3. cYu.1rt / 'e ,31:_y._ 6c 4, l'.- - 32210
Telephone No.: Fa L( 3'-`/g it 6 Fax No:
Surety(if any) /j/j�
Address: ! Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: ////4
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: /(f/9
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(2)(b),Florida Statue . (Fill in at Owner's option)
Name: A/ piL
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 )
Signed: � Date: y 1 1-S i 16
�y
Before me this .9 day of A f`.:i 2./1(2 in the County of Duval,State
Of Florida,has personally appeared
aiVnl" PATRICIA A.HENRY (Personally Known: or
7 ro u en tfi n•
�,; Commission#FF 083213
V„,_-.11 ;a Expires May 9,2018 Notary Public: ,, p-
,R :TS Bonded Tku Troy Fin lmuraw8063'S-'119 My commission expires: rk 9 1 n.Gl b
•