98 SARATOGA CIR - ROOF , 'r Jed•
''' S f CITY OF ATLANTIC BEACH
;, 1ks) 800 SEMINOLE ROAD
jyr 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: 17-ROOF-3565
Job Type: ROOF PERMIT
Description: re-roof FL10124-R19 & FL15487-R5
Estimated Value: $7,800.00
Issue Date: 3/23/2017
Expiration Date: 9/19/2017
PROPERTY ADDRESS:
Address: 98 S SARATOGA CIR
RE Number: 171802-0000
PROPERTY OWNER:
Name: CUTHBERTSON, MARGARET DRISCOLL
Address: 98 S SARATOGA CIR
GENERAL CONTRACTOR INFORMATION:
Name: GREAT WHITE CONSTRUCTION INC
, CCC1329097
Address: 4320 DEERWOOD TRAVIS SLAUGHTER
Phone: - -
FEES:
BUILDING PERMIT FEE $89.00
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $93.00
PERMIT IS APPROVED ONLY IN ACCORDANCE wrrn ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
n Sc
./ ^.Onffice(904)24`7`-5,826 Fax(904)247-5845 n
JobAddress:"tt . A� � IMU S �1C-teJil 37263
� ermitNumber: 11 •
�`�OF-3S�'�
Legal Description f4�i\cun . �\\Gl.pI Parcel#
oor AArea of q.}t. Sq.Ft
Valuation of Work$ 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 Residential
If an existing structure,is a fire sprinkler systemnstalle ' Circle one): Yes No N/A
Florida Product Approval# tok24-9/141J 1. -31.46-/ -
For multiple products use pro uct approval rm
Describe in detail the type of work to be performed: lL t. 7(D c /i9 I 12.'
Property Owner Information: ` ( _ (J�/r
Name: �&id - `SO\k Address: qk •S 6t`14 a S Coeito
City VU C Qjt.CX1 StateS-1-Zip 3"Zj Phone l0 i.5'S. -3- 12-
E-Mail
-12-
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: ,.d . .i . iI . At . . . QualifyingAA$ent: "�& A S
Address:4 2O We;; 1.1 WO t 7' '014 4'' City ,)AR, State ip
Office Phone 1-r 711Job Site/ ontact Number k ks Z'O40� Fax# (j U
State Certification/Registration# e t /04-1
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 pe ormed 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,Wens,Pools,Furnaces,Boilers,Healers,
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 herebycertify 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 ofworkwill 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 federa te,or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
`/
J�Print Name(Jt l wc\ta ...se_e......T-. ...5.C.. `......... Print Name .._IX-AA) ..............
Swornand subscribed before me Sworn to and subs ri.•r 1 e 1'-
this 5 Day of IV\ F,XQ (1`--- ,20 t`Z this 3 Day of k�� .20(i
54:f..........--7 . . ..,- r•- -
ary Public Notary u lic
Revised 01.26.10
Dawn Ydonodp►
- NOTARY PUBLIC
- <:STATE OF FLORIDA d•.►a'''''a KRISTINE SANTOS
;
Doc # 2017064204, OR BK 17916 Page 641, Number Pages: 1, Recorded 03/20/2017
at 04 :10 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.
State of Florida.County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
I. Description of pr rty(legal description of pro •and address if available):erxx��' ux�1- - wry 1r C$6�t�� �,rG
2. General Description of improvements: / ` a"t 0 4-AC 3.L)3
3. Owner Information: n C t /f cuxO ot „ S '', N-k�
a)Name and Address:�� �'{"Y�/lJ\( ,1 �t p �lr t1t.�1 1
b)Interest in property: _ _ ._ -_32Z.3
c)Name and address of simple titleholder(if other than owner):
4. Contractor I
a)Name and Address: 1jS VW t CrTI
b)Phone Number: „ � ��], (j,14 {-k
( )ti
3 rl, '
5. Surety Information: W`e
a)Name and Address:
b)Phone Number: _ iY
c)Amount of Bond:S
6. Lender Information:
a)Name and Address:
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13(1)(a)7,Florida Statutes:
a)Name and Address:
b)Phone Numbers of Designated Person:__
8. In addition to himself/herself,Owner designates of to receive a
copy of the I.,ienor's Notice as provided in Section 713.13(1)(h).Florida Statutes.
a)Name and Address:
•
h)Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I.
SECTION 713,13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury.I declare that I have read the foregoing notice of commencement and that the facts stated
therein are a to the best of my knowledge and belief.
e
Signature of Owner or Owner's Authorized Officer/Director/Panner/Manager Signatory's Pnnted Name&Title/Office
n
The foregoing instrument was acknowledged before me this ) day of y1(,C i(-) \1 ,20 t
by .iii\\\A-t' yq ?.e t �P 1�a5i{ \ for .
(Name of PersoM (Type of Authority.i.e.OfftceriAttorncy) (Name of Parti Instrument was Executed for)
Devon Yelenosky _.
•
NOTARYPUBIC WY P ' IC,STATE OF FLORI I A
�.4. _STATE OF FLORIDA
...'_r CdntmaFF991803 Print Name:�• - • . s
• Expires 511112020
O Personally Known
IdentificationType: f_ L
�] pf i-/-eC LZCwa
(Affix Naar.Sml Above)
Revised 3/15/12