201 Magnolia St metal 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 NE)[T DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-2605
Job Type: ROOF PERMIT
Description: install new metal roof
Estimated Value: $9,000.00
Issue Date: 11/2912016
Expiration Date: 5/28/2017
PROPERTY ADDRESS:
Address: 201 MAGNOLIA ST
RE Number: None
PROPERTYOWNER:
Name: WEEKS, RYAN
Address:
GENERAL CONTRACTOR INFORMATION:
Name: HOUSE DOCTORS CONSTRUCTION INC
James Hosldns,Jr.,CCC1328920
Address: 5782 SAWYER AVE JAMES HOSKINS JR
Phone:
FEES:
PLAN CHECK FEES $47.50
BUILDING PERMIT FEE $95.00
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $146.50
PERAUT IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACE ORDINANCES AND ME FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (Fo be assigned by the Building Department,)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 1 10—R-oo P—
Phone(904)247-5826 Fax(9G4)247-5845
E-mail: building-dept@mab.us Date muted
City web-site: hftp:/�www.coab.us
APPLICATION REVIEW AND TRACKING FORM
t review reauired
Property Address: asab�'A �)l Dewlanon,; No
tulding ')
Applicant: tb,,L,%JL Poc�('s aor's� . anning&Zoning
Tree Administrator
Project: MLACL� 4 D(��_ Public Works
Public Utilities
Public Safety
rFireSemims
RevLew fee �_ Dept Signatu e .
Other Agency Review or Permit Required Review=Pty
of Permit B Date
Florida Dept.of Environmental Protection
Florida Dept.of Transpo on
St.Johns River Water Management District
y Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: Ncpprovecl. E]Denied.
(Circle one.) Comments:
(E�R
PLANNING&ZONING Reviewed by: ry Dr� Date:
TREEADMIN. Second Review: DApproved as revised. F]DenieY
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. DDemed.
Comments:
Reviewed by: Date*—
Revised OW14109
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax (904)247-5845
JobAddress: ;7,01 1ff^?AJ01JA, —PermitNumber:
Legal Description /0 -tc, SaL4,Lic- 5C6PaSrcel#
Floor Area or StiXt. Nq.Pt
Valuation of Work$ Z_t±c>. Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Useofexisting/pro osedstructure(s) cireleone): Commercial Residential
If an existing strucfare,is afire sprMer system installed? (Circle one): Yes No N/A
Florida Pmduct Approval# 5
For multiple products use 'rIJ-4-p—M—M,
Describe in detail the type of work to be performed: fz� nN wet,_j RjodF
J�Z_ Ae_7t-,f, je5 I
Property Owner Information:
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: t mii7bo C,
&,S:� uali- Agent: 0�
� F�O�Ft.�
1.5r- C, State rLAv Zip
4cWr ct`14--�Sza ax#
Address: a JreV
Office Ph!—e t Job Site/Contact Nurnber'
State Certificatio gistration# C C.C-
Architect Name&Phone#
Engineer's Name&Phone
I" Simple Title Holder Name and Address
Bonding Company Name and Address.—
Mortgage Lender Name and Address_
! 0 1.
on
it
Application is hereby made to obtain a pot a do d, 0 oil 011.11ons as,n catc -tify that no work or hundiatimhas commencedprior to the
e
issuance ofatiewmit and that all work will epe arme, r t the standards ofall laws r igconseactioninthisjurisdiction. This permit becomes null
'6; mond ea,=
x
work v;not commenced within six 14 mond Y, a I In led'xr alemdonedfor aAerhod ofsixiii),monfits at any time after
ea far Ehe, Week,
work is commenced. I understand that separate pern its t be secured Plumbing,Signs, ells,pack, artiness,Boilers,Heaten,
Tanks and Air�Adlfianeos,et.
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.
lhere cantlythal Ihave read and examined this gplication and know the same to be true and carruct. Allprovishms,aflaws and ordinances governing this
pe a work w I m
be c.mpliedwith whether ereciied herein or not. The granting ofa permit does not presume,to gAe authority to uterine or cancel the
p a , I
�0"Za,afii�other
,(eiieyl,state a,local aw rogu aring construction or theperformence ofcamtruclion.
WS,Pat. to
wrier Signatureof`ContraetoZ�
f,jw -T.
Print Name Print Nall
x
Bef, B fore
is'jm;%t' y of Kjw4.,3eA,- �20 If- W \N
is ,je
Lth s Day of mm�NST01
JONIFER JOH
Wo#Go
S_XA_� r2r,xv
t
Iraq Public NotaVJFUDIIC v UME&
OFFICE COPY /6 -5Fg
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. 16-)2-00r ,-26o Tax Folio No.
State of County of W-A
To whom it May concern:
The undersigned hereby informs you that improvements will be made to ce
accordance with Section 713 of the Florida Statutes,the following information I rtain real property,and in
Comply Eijrcaax.pj� a stated In this NOTICE OF
Legal t /Ijoc,—Z5 _Z%5 S A L-17A i se4 z
NOV 1 8 2016
AddreE 0 A &IV V L,4A �'�7— m,0111�ft
General description of improvements: Ajetej jeocio
-*Addreds, VA L4.
Owner's interest in site of the improvement /QT--L -j P-4(qF-
Fee Simple Titleholder(if other than owner) A-f�c
Name I
Address
Contractor A6,S r--
Address
Phone No. 9f+ --3 Fax No.
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 A-FLAM C Co A rl' �ANk
Address Eli &O)c 1z.5-r. W" C"s G A 31 �b 2-
Phone No. Fax No.
Name of pension 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 RECORIDER'S USE ONLY OWNER
signed.
Before. a DATE 101z1h(o
d yof
M&�a in the
C nty-f, al,Stat. f Florida,has personally appeared
msd�
ams pat
Dw#2010255172,ORBK17761 Pagem7o. :hlmselfl herself and affints that all a OULY
Narrow Pagans:I a.true and accurate, d�.dllrsiENNNtMrP0N
i;j Notify patt-Some a,Roffla
Reowded II/laWl"09:12 AM.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Copmenion#IF 990515
COUNTY my comm.Expire.Sep 2.2020
dho. r.�
RECORDING$10.00
1;YV1 or
C
olary Publi?at aMe,Some V
M,�� _ __ County of
P y rommission expir !j24 212
of