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2233 SEMINOLE RD UNIT 016 ROOF PERMIT ►' CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ry ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 1)2-0111 ROOF PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-ROOF-1488 Job Type: ROOF PERMIT Description: Replacing shingles. Estimated Value: $2,950.00 Issue Date: 6/29/2016 Expiration Date: 12/26/2016 PROPERTY ADDRESS: Address: 2233 SEMINOLE RD UNIT 016 RE Number: 169519-0130 PROPERTY OWNER: Name: NIXON, CHRISTOPHER C Address: 3301 PERRINS CHASE GENERAL CONTRACTOR INFORMATION: Name: JOHN GILMORE ROOFING, INC. Address: 11647 GWYNFORD LN QA JOHN CHARLES GILMORE Phone: - - FEES: BUILDING PERMIT FEE $64.75 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $68.75 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF :VFLANI IC BEACH ORDINANCES AND TIIE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax (904)247-5845 Job Address: LZ,33 . E.4471,:,-)-014E__ I , 3e233 Permit Number: ? ( F Ile o, j'K iQ N I{3,Sec Legal Description ')q- ?..5- 2qE Oce ;r V. Illi , Ori Circeitr",4\w" Parcel # G'l:; Floor Area-bf Sq.Ft. Sq.r t Valuation of Work$o� I .20- Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial esidential - If an existing structure,is a fire_spri -nkler system installed? (Circle one): Yes No N/A Florida Product Approval# / 1 /U L I ti For multiple products use product approval form Describe in detail the type of work to be performed: A' 1c�i�7 x-7713 /f0/2/4-at2 e- Property Owner information: r Name: c_T€C\ c t C tel— Address: 3 c-7 +-\,d�rA€,J City Fly, l(t; State Li Zip 3-2-2-1 Phone`ci 0&) b(t, - t-f i Z E-Mail or Fax#(Optional) bit/r i c-P Arc'u s'I-ic L )MA - (vrtil Contractor Information: CONTRACTOR EMAIL ADDRESS: • Company Name: j p4 t Fvv)re.. Qt nos VI(' Qualifying Agent: Li.,i Lnor; . Address: 1 1 oCity 4c Statet" Zip 32 2.23 Office Phone rt(2./ - Job Site/Contact N_umber 6-'5 5-/S 5'7 Fax# '4. 'C State Certification/Registration# C C C 65 7c, /CZ 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 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, Furnaces, 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 I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with w_hether 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,st• e;or local J•. • luting construction or the performance of construction. Signature of Owner - r�- Signature of Contracto - �Print Name c� __.._ _._.._._._.... Print Name fjx7 Beforo a Bef�� ��� thi Day pf �—.�_.. : 0 c 4.Y 9i 4 • .20 ND A /I 11�- . . _ •. ` ; :'h, JASMINE /_.:�. 1-c_. - 'h' NotaryPublic ` " 1 .1�`� : • • Iic• 7 •o on.a NOTARY PUBLIC I;r�`� ...4.. .11'--.STATE eOF FLORIDA "� Comm.Expire Oct 26,2018 - 44"`•-0 Comm#EE879166 4 '•A,yA,!,t, Commission#FF 171582 E Revised 01. 6.10 E 9 s Expires 2/28/2017 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. p Legal description of•roperty being improved: d 9--_2 5 `"', 7 ode-,44/ 4 i v L - . • • Address of property being improved: /a 1 A r Ar 4-747•51W , A. ;(4-cA ,L 7 3 2 23 3 General description of improvements: / 1 L7Roc) [. A. Owner -Of - i\r, •iv �-� XAddress l � 1. _ 2 ZI� Owner's interest in site of the improvement 4: Fee Simple Titleholder(if other than owner) Name Address _ Contractor n;i2A/ i liGln t? • , gte- Address v a yr--7 /a • • - 3 Phone No. ‘617/4M© 'KO ity Fax No. Q n O"'e 'O Surety(if any) Address Amount of bond$ • Phone 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 Phone 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 Statutes.(Fill in at Owner's option). Name Address Phone 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 X�2NE Iq, Signed: DATE V/V4r Before m ay of —1-u h L in the C,punty of Duval,State of Florida,has personal(appeared Ci C o R 4 e W I t 1!4 h 1 YSi C t �1 GLENNA M.LOCKE himself/Bernet and affirms that all statements and declarations h GL• PK YA .LOC are true and accurate 1� rtr ,STATE OF FLORIDA Doc#2016148725,OR BK 17616 Page 927, i J GY-(, �•, Cam*EE879/64 Number Pages:1 �� DOM 2/25/2017 Recorded 06/29/2016 at 10:47 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL MyoorPublic tLarge,State oof 2County o�yoof V ur4-f COUNTY Personally known or RECORDING$10.00 Produced Identification