Permit 550 Nautical Blvd (vault) (2) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
» ; INSPECTION EMAIL REQUEST:
oilBuilding-dept(aj),coab.us
Application Number . . . . . 07-00001313 Date 9/21/07
Property Address . . . . . . 550 N NAUTICAL BLVD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5750
--------- --- ----------- -------------------- ---- --- ----- ---------------------
Application desc
re roof
------------------------------------------------------- ---------------------
Owner Contractor
------------------------ ------------------------
GOLPHIN, SIDNEY EVERLAST ROOFING PROFESSIONALS
550 NAUTICAL BLVD. INC
ATLANTIC BEACH FL 32233 6973 HIGHWAY AV STE 108
JACKSONVILLE FL 32254
------- ------ --------------------------------------- - ---------- -- -----------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 59 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5750
Expiration Date . . 3/19/08
------------------------ ------------------------------- ---------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- -- -------- ----------
Permit Fee Total 59 . 00 59 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 59 . 00 59 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
AJ>1 BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
l 800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 • Fax: (904)247-5845
Job Address: S So �a z (-C,-. N✓cQ• ki Permit Number:
Legal Description,35- (o`f! (1- aS- a14 Sea-sp ra W �(?!� 6 &4(� 3
Valuation of Work(Replacement Cost) $
■ Class of Work(Circle one): New Addition Alterationair� ^�P
■ Use of existing/proposed structure(s) (Circle one): Commercialesidential�
■ If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A
■ Is approval of homeowner's association or other private entity required? (Circle one): Yes No
Describe in detail the type of work to be performed:
c p,V-04
Property Owner Information
Name: ort SO (o rn oCl rr'u a / address: �SO K. a,�� c a l `3 v N1
City )c, Li C Stated ip 3ja 33 Phoneo US a a 7
Contractor Information:
Name of Company: R4A&'jy10J s Qualifying Agent:lxxvj.S.te"l 4 u.n
Address: v . City ,c. State Pi.- Zip 3,)dSy
Office Phone q(31 - 33G Job Site/Contact Number 0 -o9 3)
State Certification/Registration# QU 1Office Fax#(90LI-) (o - a 10,-2—
Architect Name & Phone #
Engineer's Name &Phone#
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work o)
installation has commenced prior to the issuance of a permit and that all work will be erformed to meet the standards of al
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 a;
commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools
Furnaces,Boilers,Heaters, 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 YOL
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
r hereby certify that I have read and examined this application and know the same to be true and correct. All provisions o
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting o�f c
permit does not presume to gave authority to violate or cancel the provisions of any other federal, state, or local ZaN
regulating construction or the performance of construction.
Signature of Property Owner:
Signature of Contractor: _
Sworn to and subscribed before me Sworn to and subsc i ed before me
this Day of ` ,r►bC,� 2pp'� this I o Day of 52 p24em&4 -
Notary Public: Notary Public:
NEIN`r�<�/L.
.411.µY PUIi YOUNG
11111 \/NNS
GLADZE��l/Av fYolry 1��6iC-�Mt d PNAdr
REVISED 03.05.07 Notary Pubpc-State Of Florida
Aq31,2008 Ga taaMOD4T8011
�Commisalon#OD 351478 8W&d N@ftW A=L
NalonalNoforYNtn
NOTICE OF COMMENCEMENT
State ofc Tax Folio No ' 0 710 3
County of��
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 being improved: 35- (dd &aVra!j BLt
Address of property being improved: 5 J�? t�ct_rdi e a.(
General description of improvements: Q-Y-o D+
Owner. f, SD ia"rYla n a 4 nlPff 3dress:
Owner's interest in site of the impr -mem: C S�
Fee Simple Titleholder(if other than owner):
Name:
Co tractor ve tC o
Address: -13
p.
toy
Telephone No��W)`�$ip- 33Q,`y Fax Nc. qkq) 60,5- a-L 0 D. _
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Doc#2007302168,OR BK 14194 Page 1927,
Name and address of any person making a loan for the construction of the it Number Pages:1
Name: Filed 8 Recorded 09/21;2007 at 09:02 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
Address: COUNTY
RECORDING$10.00
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone 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 Statues. (Fill in at Owner's option)
Name:
Address:
I
Telephone 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 RECORDER'S USE ONLY OWNER.0 .
Signed: v Date: 5 1Z a
Before me this_t—day of 5f Zoo-+ in the County of Duval,State
GLADE Of Florida,has personally appeared 'Re h .. �t a-�Y iiig S olo m e n
Notary Public at Large,State of Florida,County of Duval.
Notary Pub0c-Stine of Flmldo My commission expires: tom. 3� 2.6011_. ,ly �n6�iecIVg31,2008 Personally Known: 11 or
C,ommbsion#t DD 351478 produced Identification:
Awn'
&xKbd9VNaWWNday