226 1st St 09-00001412 Roof CITY OF ATLANTIC BEACH
s J 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
t, INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001412 Date 10/13/09
Property Address 226 1ST ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5640
-----------------------------------------------------------
Application desc
REROOF
--------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
MCCRARY, CHARLES JRS CONSTRUCTION
P.O.BOX 51037 RICHARD WARFORD
JAX BEACH FL 32240 424 JEFFERSON AVE
ORANGE PARK FL 32065
(904) 375-1377
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 58 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 5640
Expiration Date . . 4/11/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 58 . 00 58 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 58 . 00 58 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
s�
r
09-
CITY OF ATLANTIC BEACH
i 091 ROOFING PERMIT APPLICATION
Date:
Job Address: C l 1'sJ /TT l qe) Sell Ch /— /O J'7 P-2 33
Owner of Property: P-q'-yl
Address: ';U(0 - ,— f "� 6-tr""e- Telephone: ��f Z/55
Roof Contractor: J J`S (lot, C CO -f -hC-State License 'Number: :P,(7 c( 6 5 19LI
Contractor's Address:. /-, ) (/ �/ ����/��C�► /`��� C/✓Qlxl / E'/r��- �� ��D�s
Telephone: 7S 13q"? Fax: Stern Email: 1 6121. � JP2 f���'d
Scope of Work: Z— f2 //�/ y Roofing Material
FL Product Approval# 09q, Valuation of Work: $ `J-� 70- Oy
Required Inspections: Sheathing/In Progress-Dry In /Final
If re-roof: Assessed Value of Structure: <$300,000/_>$300,000;Roof-to-wall improvements required?
(Applies to single family structure on y)
"WARNING TO OWNER: YOUR FAILURE TO RECORD 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
YSIGNATURE
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT"
OF OWNER: Date:AS TO OWNER:
Sworn to and subscribed before me this 03 day of 200 .
State of Florida,County of Duval
�otaa:P�e r PRAFUL DABHI Notary's Signature
* Y COMMISSION ti DD 520592 ❑ Personally known
EXPIRES:June 21,2010 i„0'Produced identification
�T9TFOF FIOPo~ Bonded Thru Budget Notary Services
�
// ,/ Typei_f identification produced ?
SIGNATURE OF CONTRACTOR: (ll a(/1 G l� Date:
AS TO CONTRACTOR: r�_ '
Sworn to and subscribed before me this 03 day of l �U 6t-tr ,2009
.
State of Florida,County of Duval
Notary's Signature:/
1pRY pV ( Personally k own
�� `• `B°° PRAFULDAMI ❑ Produced identification
* * MY COMMISSION#DD 520592
EXPIRES:June 21,2010 Type of identification produced
"OFFOO Bonded Thru Budget Notary Services
800 Seminole Road-Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800-Fax:(904)247-5845
F:\roof permit applicaton.door 7/28/09
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of 00 L 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. c
Legal description of property being improved: 15- 2 (0 - -5 /
�-s
Ad�
ress of property being improved: cci I r
-_3Z-13.3
General description of improvements: �� - 2 C C'f"I/y L
Owner r/'N t-)l C . i"tk y L
Address -� r/f Si {�
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address _
Contractor
Address -er 5li-7 4 L',�:i raC" jt z &;-�.
Phone No. / C%ttr .3 7`5 -1,Y72 77 Fax No. 2 o t/ 3-75 -/372
72
Suret"if ariy� ——-
Address -~---'---Ansuaxj bond S
Phone No. �r —_-- - Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name --- -----
Address - -- -- - ----
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
Phone No. �� Fax No.
r
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. -- 'r Fax No.
Expiration date of Notice.af Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified).-
THIS
pecified):THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: 10U.1? Q _DATE �O
Before me this day of th
Coyer of D., .State off ,has personally ap red
t -rl-\ Q r• (-c�e1�1 herein by
` himselrt herself and affirms t an st nts and declara tt pMFULDABHI
are true and accurate ? MY COMMISSION#DD 520592
Doc 2009246503,OR 3K 15034 rage i 119. gxpp .Jeune 21,2010
Number Pages: 1 � tSetvices
Recorded 1011 Eat UI AM.
JIM FULLER CLERK
RK CIRCCUIT COURT DUVAL
COUNTY Notary Public at Large,State
RECORDING$10.00 My commission expires- OE-A Uoumiy
no
Personally Known or
Produced identification ��