2279 Seminole Rd # 8 2008 roof permit r" It CITY OF ATLANTIC BEACH
SS f 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00001686 Date 12/08/08
Property Address . . . . . . 2279 SEMINOLE RD UNIT 008
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6994
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Application desc
reroof fl 10124 . 10
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Owner Contractor
-
------------------------
-----------------------
HENNIG, CHRISTOPHER THE FIDUS GROUP LLC
301 KINGSLEY LAKE DR
ATLANTIC BEACH FL 32233 UNIT 501
ST AUGUSTINE FL 32092
(904) 874-1010
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
-----------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6994
Expiration Date . . 6/06/09
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 65 . 00 65 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I� CITY OF ATLANTIC BEACH _
IL 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O
Y r w
OFFICE:(904)247-5826 9 FAX NO.:(904)247-5845
BUILDING-DE PT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
1.JOB A RESS: 2.VALUATION OF WORK: 3,S0,FT.UNDER ROOF
2279-8 Seminole Dr. , At antic Beac ,FL,32233 $6993.70 353
4.LEGAL DESCRIPTION: 5 CLASS OF WORK. 6 USE OF STRUCTURE:
AG-212 37-2S-29E ,DEWFES GRANT SID ❑NEWBUILDING El DEMOLITION RESIDENTIAL
LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8,FIRE SPRINKLER.
re-roof---FL-10124.10 21 SCS. 4/12 pitC[: ❑REPAIR ❑POOL/SPA 11 YES ❑NIA
❑MOVE [J OTHER ❑NO
PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER:
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:
Christopher Hennig The Fidus Group LLC.
16 AME: 24.LICENSEE NAME:
James Suplee
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.'.
CCC1327043
2279-8 Seminole Road
16.ADDRESS: 26.ADDRESS:
Atlantic Beach,Florida,32233 301 Kingsley Lake Drive
11.OFFCE PH ff 12.FAX NO. 19.OFFICE PHONE: 0.FAX N 0-5547
27.OFFICE PHONE. 26.FAX NO..
904-571-6896 904-230-5548
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER:
(IF OTHER THAN OWNER)
31.NAME 33.NAME 35.NAME:
32.ADDRESS. 34.ADDRESS 36.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 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,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
*** WARNING TO OWNER: ***
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 RECORDING YOUR NOTICE OF COMMENCEMENT.
t OWNER or AGENT CONTRACTOR
Power of Attorney qr Agency Letter Required) (9dalifier Only)
12-0 -2008 12-04-2008
Signed: Date: Signed: ate:
Before me this day of Decembe 08 200 ounty of Before me m1b 4 day of Dece r/ -200 the county of
Duval,State of Florida,has personally a ea Duval,State of Florida,has persona ppe r
Christopher Hennig James Suplee
herin by himself/herself and affirms that all statements and daffi
eclarations are herin by himself/herself an rms
all statements and declarations are
true and accurate. true and accurate.
Duval Florida
Florida
Notary Public at Large,State of ,County of Notary Public at Large,State of .County of Duval
❑Personally Known 1 Iff Personally Known 0V� R B GUMN
❑Produced Identification- soy PUg R B.GUEr1"„� ❑Produced Identification --
- MY COMMISSION# 7j -
Notary Signature: Notary Signature:
er
BondedThluBudgetNolaryServces pr4rFOFFIV BondedThm u e
COAB FORM BLDG01:REVISED:1/10/2008
12/09/2008 04: 11 FAX 9042305547 THE FIDUS GROUP loVV1/VVI
NOTICE OF COMMENCEMENT
(PREPARE m DUPLICATE
Permit No. Tax Folo No.
State Of County of eiv rx l
To whom It may Cortaro:
The undersigned hereby Informs You fluff hnPrpv*ntenls wig be made to eertafn real Propergr,and In
sccOrdenoe with Seetlon 713 of fire Florida$faunae,she following inforrgaSm N stud In this NOTICE OF
COMMENCEMENT. Q/� ^�
Legal description of property being improved: // f3 O�I .5 � ` O�¢�j - p�`7 E
Address of PMP"being improved,
General descrtplion of improvements;_ 1Y�._�a..f'
owner �.
Address -o
Owner's wrirsest in ape of the improvement
Fee Simple Ttseholdw(d other than owner)
Address
���CoM�actor
Address t1 Q S
Phone No,_ Fax No.
Surety(K pry)
Adokess Amount of bond S
Phone No. Fax No.
Name and address of any person me"a ban for the oonsbvction of the Improvements.
Name
Addrew
Phone No. Fax No.
Name of person within the StM of Florida.other than himself,designatad by owner upon whom no*ms or other
dotaxnems may be served:
Name
Address
Phone NO, Fax No.
In addition to himseM,owner designates the following person to mom a copy of the LJerrors Hoke as provided in
Section 713.06(2)(b),Florida Statutes.(Fill In at ownses 0000).
Name r�
Address
Phone No. Fax No.
Explmtion data of Notioe of Commerwmnent(the exphstlon date R one(1)year from the dale of recording unless a
different date is spectlted):
THIS$PACE FOR RECORDER'S USE ONLY 0WN t
evened' DAIt
Bobe me coy or n"
CanfY or orwaL Sfax ar Ftp hM Pxsonal D
pft�ga�ein AY
.. _ . . N MW17hWWFand ►� a{Me 1y64
Doc$2,UW306y13,GR BK'i 4716 Page 1381. of°1nie"`r te MEXPIRES:June 30,2M2
Number Pages:1
r tlOAded TM Bud(st tiolrf!SMMOBI
Recorded t 2108/2UD8 at 01:02 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTYNcoy-p—ubw-&I Of Cow"or
RECORDING$10.00 mycanmiselonarwp+es:
PwW%Wll Known o.
Produces IdwWnation