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320 4TH ST - ROOF >>\1.- -' . r ,;.._ (�,'I> .. S� CITY OF ATLANTIC BEACH 44800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 1319`' ROOF PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-ROOF-1165 Job Type: ROOF PERMIT Description: RE-ROOF SHINGLES - ONE SIDE OF DUPLEX Estimated Value: $6,970.00 Issue Date: 5/19/2016 Expiration Date: 11/15/2016 PROPERTY ADDRESS: Address: 320 4TH ST RE Number: 169815-0100 PROPERTY OWNER: Name: OGIE, SARAH Address: 1451 BEACH AVE GENERAL CONTRACTOR INFORMATION: Name: PREFERRED ROOFING LLC Address: 2332 DUNN AVE QA ROLAND KEVIN GREEN Phone: - - FEES: BUILDING PERMIT FEE $84.85 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $88.85 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 (6p-R© - ( ( (0S Job Address: '!iPC I " - Permit Number: Legal Description " [-tN' ' fi4G'D etQ. i�`-� s�l Parcel# t(Ala 15'--0100 CAI) Floor Area of q.Ft. Sq.t.i Valuation of Work$C 1 N•4f Proposed Work heated/cooled �O non-tasted/cooled•1*-1 0�0 Class of Work(circle one): OP Addition Alteration Repair Move Demo mon pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Reside l If an existing structure,is a t....e si rinkl sy to installed?(Circle one): es N/A Florida Product Approval# (�,lV( � 1 Q�pyr� • . ': (r 1,,,8`1• I For multiple products use net approval form �d'(^� Describe in detail the type of work to be performed: e r(.7LK Property Owner Information: ry 4 j 1 Name: Lae, W n.e. 'Lr"� :_&04/ "$ City State iiir hone brig"' /'SLj.,Q E-Mail or Fax#(Optional)__ --_ Contractor Information: P Y tictiecirge?.030 , �s� N�,Com an e: �� Qualif in A entad11:04 •��AddressCity I1 V t State Zip .;! _ t'i. Office Phone b Job it N tuber Fax# -7.51-�• • State Certification/Registration# I'V Architect Name&Phone# - Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Namc 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 ofa 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 iworkis 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 15 commenced. 1 understand that separate permits must be secured for Ekcrrica/Work,Plumbing.Signs, Wells,Pools.Furnaces,Boilers,Hears. 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. /hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this , type ofYwork will be compli d with whether specified herein or not. The granting of a permit does not presume to girt•authority to violate or cancel the provisions of any other fe .state,or local law regulating constr tion or the performance of construction. Signature of Own r WA r 6 Signature of Contracto ` . Print Name h 01,k e .,...Car,n•`‹.(f[J�, Print Name �(,�( ( V1 \'\ 1 �:7� e 1 Swand subsc a befge me Swor �q,and subs "bed the ore me 1. tit' Day of ` 20thi e`5 Day of •20 LP is P 1fblic Wry l • Revised 01.26.10 flit Notary Public WOO Of PIAAdc . Melvin WAN tc SPP it5I144 R.>� T. Public State of Florida a Meagan My Commission FE 962745 a%4, Expires 02/18/2029 1-1 i Doc # 2016109559, OR BK 17562 Page 2103, Number Pages: 1 , Recorded 05/16/2016 at 11 :04 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT REPa9c`'Li_,;a_iC''; Pernut No Q tc State o`rl.0r)nA Tar.Folio Nov VJ F _ah Count),et Di;.:,,, To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property:and in accordance with Section 713 of the Florida Statutes.the following information is stated in this NOTICE OF COMMENCEMENT. • Legal description of property berng linnero,:ea0 ` t4''. —a9 g _• • -- • Ana s t. C-c* q r • - 0te. to - TA2 sl+t415 Address or property being imer oaec i' LttIP General cescnplon of improvement= RE O':ner_ LuKt. nus Address -q4 ', extol 1 202- 0, ner's interest in site of ihe_Improeernen, Fee Simple Titleholder of other than e•:•neri Name Address — Contrecto; W�9►eSee/'w�_,, r� IY1 Address jC r7aIl ng Phone No. 1451-cL{0 ray No 7,1 " C. O surety ii anyi Address — Amount of bond$ Phone No Fax No -- Name and address of any person making a!can for the cons:ruc!ion of the improvements Name Addr ass Phone No Fax No — — — Name or person::nh!n the State of Florida.other than n.mself cesignated by c- net;ipon morin maces crier dorLrnenls may he served Name Address ---- Phone No Fax No In addition to rimse!f owner designates the following person to receive a copy of the Lienor's Notice as orrb:-:iec::n Section 713.06 l2)ibi.Florida Statutes.:Fill in at O;.nor s option'. Name Address -- - ..--•-- Phone No Fax No. Expiration date of Notice of Commencement fine expiration date is one i t i year from the date of recoroin4 sinless a different date is specified'i: • THIS SPACE FOR RECORDER'S USE ONLY j OWNER / itZ:zeo4. 14:7 5�fore[Ile iiv5 Rddee J' – _— ._•. •+Il: C^Ur`i',of.u+'• :late Or�-•rida has celsosai.a.pp7ea'e(i nc- '.icl•-el'soma,`and aff.-.s los;sir s:_:-sir c .•.• d iare vue ala stci:'3:f 4. N. Notary Public State of Florida Meagan Woifa 'a My Commission FF 982745 +or pc Expires 02/18/2020 Y z:- . ib;:at Ler .5' cr •,al;:kp/Aj i.r:conrniss!an a vrres- –... .. .. _..... b::uc4C tda^!i'�C2fG-1 t), ,el S Lc/2,4u_, —. ....