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2143 S FAIRWAY VILLAS LN ROOF PERMIT �' A ''' S, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD jATLANTIC 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-1499 Job Type: ROOF PERMIT Description: REROOF 19 SQ. FT. 6/12. 15487-R5 UNDERLAYMENT, 10124- R17 SHINGLES. Estimated Value: $6,325.37 Issue Date: 6/30/2016 Expiration Date: 12/27/2016 PROPERTY ADDRESS: Address: 2143 S FAIRWAY VILLAS LN RE Number: 169398-1048 PROPERTY OWNER: Name: COATES, CHRISTOPHER J Address: 2143 S FAIRWAY LN GENERAL CONTRACTOR INFORMATION: Name: GREAT WHITE CONSTRUCTION INC Address: 4320 DEERWOOD TRAVIS SLAUGHTER Phone: - - FEES: BUILDING PERMIT FEE $81.63 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $85.63 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 243 F v«a V1 \ S NO4 � `Permit Number: 1(— 100e- - 1917 cZ 371E 3 Legal Description rrQ fl U-111 V kl(C(S un-24/1/,f - - tcci Parcel# FIoor Areaff Sq.Ft. Sq.Ft Valuation of Work$ t0l 32S '. 1 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration epai Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Re-•r 1%1'1 installed?an existing structure,is a fire sprinkler system (Circle one): Yes No al Florida Product Approval # tL) pt-c141 Sn j ylgk-e&. 15.51-(Z Ut ?X I • For multiple products use product approval forth Describe in detail the type of work to be performed: te .QOF k a SCA t (ra Property Owner Information: Name: ChnnsheAr e0ate eS Address: 24'3 ffVXl.\WV 1\n FYI S City 'PA-lCt.(\.(`, 6COC.v\ State�ZZip : 1,33 Phone Q - ( • (QS•S• 8` 1y E-Mail or Fax#(Optional) C-co esc- (-mama-• -t- Contractor Information: Company Name: * V h t- CC(I• 1 .sC1 Qualifying Agent: \I -OBJ\ S soli. l'Cle( Address: A320 'D)( LGNte • t- U3 City -V-V, State Zip Office Phone 41,04- [04 1 • -r-a Job Site/ ontact Number $3$- t l,VI Fax# Co-14(p•( gi d State Certification/Registration # (CCl�ZaO6i 1 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 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 thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether 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, •ate, or local law re- lacing construction or the performance of construction. ,//Pr , Signature of Owner //�n,,.,i§. Signature of Contractor . _.;-,,... <.--- 2) ---� Print Name ' :.., i. r id Print NameCr-c. -.s. . ��v.r.�+r Ft-nC C3Xll 2 37/0 Sworn to and subsc i ed ore me Sworn to and subscribed before me this' Day o A � 20 �ka� this I�,o Day of , i_. ice• iTEE Notary 'ubli, :;o�°-" ANKE B DEASON Nota .�"`. AVM / `? Nagry PuOMe-Spq M/iMf/� MY COMMISSION #FF085842i,t My comm.Eyir,s .26.10 . o,,,,cF EXPIRES January 23,2018 '''ol%g,,1:= Commission#FF?!!N (407)398.0153 FiondallotaryService.com �� Doc # 2016150054 , OR BK 17618 Page 695, Number Pages: 1 , Recorded 06/30/2016 at 10:46 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of 't''c(,iilA (, '\ County of 11 Lu)(,U( To whom It may concern: The undersigned hereby Informs you that improvements will be made to certain real property,and In accordance wit',Section 713 of the Florida Statutes,the following Information is stated In this NOTICE OF COMMENCEMENT. • Legal description of property being improved: T-r Z /1 " i \C& (.JV 24 Q/12- 6 • Address of property being improved: 2\4 FOw--.�J 1 v 1``O S 1./n J • � rr � ��� tf u C .t� �t 322- 3 General description of improvements CL2A-(Xi ke- Owner '\11.1/A,5 A( C.QC_Ct(Q0 1 _ l� , _ Address 2 `T f{j ;) L.QUJ UJ�} V\l\,�s (M J A"TC�l C vL}n 3Z23 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address /��- Contractor �\1.6CA \ )(\ CC,1\�"t'(tJLL Address 4V -1,(.) W(L J C. .Q 0 14 40 3 OJ Phone No. LOA"-1 Fax No. Ste[C 1,4(0 t._kjC._ Surety(if any; Address Amount of bord S Phone No. Fax No. Name and address of any parser.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 Lienors Notice as provided in Section 713.06(2)(h).Florida Statutes.(Fill in et Owner's option). Name Address Phone No. Fax No I29-© o F Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a �� ri different date is specified)._ W �. 2 THIS SPACE FOR RECORDER'S USE ONLY I •WNER 0 O sto.d: - //:,4 DATE j. t a-� CO Raton ma• tr• day of ..1//4-7o, .r tM W Con Duvd. • fnrfde.hayparaawty runxtY W sin r1 n�'i�t! at riariti 8 hinw Mrsa s rmf tear stat•. and dadaradons herein Q >- ?C ars true antd accurate c w Notary Puck at Large.State or CI:fr_ati.,Co: ty of \ • •c My commission expires: • P•rscea:y Kro.+n Produced IdeMmcetwn