176 Magnolia St re-roof permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
-? 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-2619
Job Type: ROOF PERMIT
Description: RE ROOF
Estimated Value: $9,569.00
Issue Date: 11/2212016
Expiration Date: 5/21/2017
PROPERTY ADDRESS:
Address: 176 MAGNOLIA ST
RE Number: 170615-0050
PROPERTY OWNER:
Name: MCCLOUD, JOAN K
Address: 176 MAGNOLIA ST
GENERAL CONTRACTOR INFORMATION:
Name: HOUSE DOCTORS CONSTRUCTION INC
James Hosldns,Jr.,CCC1328920
Address: 5782 SAWYER AVE JAMES HOSKINS JR
Phone: -
FEES:
BUILDING PERMIT FEE $97.85
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $101.85
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233 ^
Office(904)247-5826 Fax (904)247-5845 &-ROO F-2(O 1 y
Job Address: Permit Number: ,17n(I t-fi(JCn
l of
u2
Legal Description Ib- g � ( r.� a4 �o 1o.�C Parcel# 170 1C- 1010,rS0
— P'loorrt Area of liq.F
Valuation of Work$ q,gG gQ .l R Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repan Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial ent
If an existing structure,is a fire sprinkler system installed? (Circle one): es No NIA
Florida Product Approval# ia 1 a 4-R4
For multiple products use pr LuM approve o-T orm
Describe in detail the type of work to be performed: ( —
Property Owner Information:
Name: p r MC r I OUd Address:
CiTy a.}�_f�pn r L. State ct Zip Phone (9ficl) g C O(t{]_
E-Mail or Fax#(Optional)
Contractor Information• CONTRACTOR E AU,ADDRESS:
Company Name:P�u5,e C-1 rc„S5,c.,eA' ,o Id! Qualifying Agent:
Address: City -SnEYc�n .'�Iy State Ft Zip_ ;Z?(Rp
OfficePhone -1773 Job Site/Contact Number (7�r(� 3G(- l I UU Fax#—a4) 93G-4747
State Certification/Registration# Cr r• I321999n
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 a hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance o a permit and that all work will be pe ormed to meet the standards ofalllaws regulating construction in rhisjurisdictum. This permit becomes null
and void work is not commenced within six(6�months,or if construction or work is suspended or ubandonedfor a period ofstx/6)months at any date ager
work is commenc¢d. !understaM that separate permits mwi be secured for Electrical Work,Plumbing,Slim, Wells, Pools,PLrnacm,I7oflers,Hea en,
Tanks andAlr Condalonus,e(c
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
T OUR LENDER OR AN ATPROPERTY. IF TORNEY EY BEFINTEND OORE
AIN F
YOUR RECO I IQ � TH
COMMENCEMENT. + MvcoMMissioNUFFlsesar
iga.arl
F,. EXPIRES July 2, 2018
l hereby certify that f have read and examined hit plication and know th¢same to be true and torr yly(Ilons 'nonce s go erning this
type o work will be complied with whether syeci red herein or not. The granting of a permit dce cancel the
provisions ofany other federal,state,or local sr
regulating construction or the performance ofcomtrwaum
Signature of Owner �m / C--p Signature of C for
Print Name .._....... .._. ^.J!' A.(1.!�G7..................._-.__...__. Print Name .. .............
Before me Before me
this Day of this (.Day of/Vo✓eN 6e
'Notary Public •'' ''•I MV COMMISSION OFFl"7 PublicNotary
''e „✓„l EXPIRES July
2, 2018 - Revised 01.26.10
(ean=4n53 Fbm2notarysemimeom
A
Doc N 2016261629, OR BE 17776 Page 2146, Number Pages: 1, Recorded
11/15/2016 at 11:31 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Count of
To whom It may Concern:
The undersigned hereby inthemsyeu that Improvements will be made to Donald real property,and In
ccordance with Section 713 of the Florida SUWIQ$.the following Information is stated in this NOTICE OF
COMMENCEMENT. ( �•
Legal descriptionof Pro1perty beingimproved: I� -� �� -n 1 ' �Qr f3_4 \n SP! j-
.,a.1
Addressorpropeltybeinli mpmead: %7C //fonl7d> S4/L
r
General desodpdon of impmvemenls.
owner Tca C I 1
Address r ' C in
FL
D«ner's interest m site d11w improvement —n n
Fea Simple TNeholdm(il Nhm than owne0
Name
Address
Coneecla 1 ^ - C G-1 �'
Address -SI t'glacics d 'l
Phone No. ^ Fax No.
Surey(kany)
Adtlress Amount of bond b
Phone No. Fax No.
Name and addreas of any person making a loan brthe oonsUuction of the vnpmvemema.
Name
Adtlress
Phone No. Fax No.
Name d person withh fie Slate of Florida.other then himself,designated by owner upon whom notices or other
dpcumenm may be served:
Name
Address
Phone No Fax No. �
In addition to himself,owner deatgnates the bYowng person b receive a DPPY of the Lienors Notice as provided In
Section 713,08(2)to).Florida Statutes.(Fill in at Owner s option).
Name
Address
Phone No. Fax No
Expirationdale d Notiw d Canmencenwnt(the expiration date is one(1)year from the data of rewrdmg unless a
different date is specifed): 1
THIS SPACE FOR RECORDER'S USE ONLY Jp L. ^ Ow
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