Permit Roof 338 2nd St 2013 ,CN `S CITY OF ATLANTIC BEACH
1 j 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Foil
Application Number . . . . . 13-00001962 Date 1/08/13
Property Address . . . . . . 338 2ND ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 2667
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Application desc
Corrugated metal roof over existing roof FL1111 . 75
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Owner Contractor
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JAMES JESSUP RON RUSSELL ROOFING INC
4419 HUDNALL RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 636-9909
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Permit . . . . . . W/W/O BUILDING PERMIT
Additional desc . . FL1111 . 75 UNDERLAY FL5325
Permit Fee . . . . 130 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2667
Expiration Date . . 7/07/13
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 130 . 00 130 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 134 . 00 134 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
t-ursuanttoP.S.553.711dEP'S.46&631,a surchargefeewillbecollected on any permit regulated under the FBC.*
Job Address: 33��9 2&)j S t 2 Permit Number::
Legal Description akl&L ��� �� J ryy��e,lr^ y!/117W ldlaprt11y;
Project Valuation$ Z61� ?45V 4e,
p(a _f �C. I
El
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Class of Work: New Addition ❑Alteration ❑Repair ❑Move Replacement K `�
beo
Use of existing/proposed structure(s)mCommercial 0 Residential
If an existing structure,is a fire sprinkler system mstalle ❑ Yes ®No ❑N/A
Roofing Materials:Main Material FL Approval# L .721T Underlayment FL A proval# G
Describe in detail the type of work to be performed: e
r
Property Owner Information:
Name: _Registered Agent(If Applicable):
Addres City AC, G
State tle County.INVAL Zip=V Phone — E-Mail T
Contractor Information: ,�,,,,,�� // //
Company Name: V ' ame of ((��,icense Holder: 1`—:m AU-,vS'e—U,
Address:- 11 ciState L ZinO'Z-? 7
Office Phone ` 4 1W
— 7 Office E-Mail or # ", M
State Certification/Registration#6:G6 3Z.7�1 Job Site Contact Name umber
Architect Name&Phone#
Engineer's Name&Phone#
Application is hereby made to obtain a permit to do the work and installations as indicated. /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 o(all laws regulating construction in thisjurisdiction. This permit becomes null and
void if work rs not commenced within six(6)months,or tf construction or work is suspended or abandoned fora riod of six(6)months at any time ajier work is
commenced. I understand that separate permits must be secured for Electrlrn!R ork,Plumbing,Signs,Wells,Pols Furnaces,Boilers Heaters,Tanks and Air
Conditioners,etc.
Owner's Affidavit:I herebyy cern�,,that 1 have read and examined this application and know the same to be true and correct.All provisions oflaws and ordinances
governing this type ofwork will be complied with whether specified herein or not. The granting ofa permit does not presume to give authority to violate or cancel
the provisions o any other federal,state,or local law regulating construction or the performance of construction.
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.
o IF YOU INTEND To QBTAJX FINANCING, CONSULT WITH YOU
�OR AN
ATTORNEY BEFQ CO ING YOUR NOTICE OF COM E
Signature of Signature of Contractor
�nPrint Name Print Name
V-0
,��, STATE OF FLORIDA,COUNTY OFU VA STATE OF FLORIDA,COUNTY OF VYA L
51��, o o(or affirm d and ed fore me thi 3 Sworn to(or affirmed and subscribed before me this
c day of 4'`` ay of N u 20 1 3
*No ?u lic Signat NotarWComm#EEM6539 Name Below)
r �r
v;q (nfl5x sear Below) BLI (Aff.sed
rn NOTARY PUBLIC
n iA _ wnARSTATE OF FLO
ersonally Known/OR
ia,rryPe
DO 120
WdIlIVAMMELOW THIS CINEAMICE
lc a es: ori Building o
Review Result(circle one):
Approved Disapproved Approved w/Conditions Review Initials/Date:
Development Size DCA/DBPR Surcharge$
Habitable Space Non-Habitable Impervious Area Total Area
1 st Floor 2nd Floor Garage Lanai Porches/Patios/Balcony
Miscellaneous Information Flood Zone
Occupancy Group Conditions/Comments:
Type of Construction
Number of Stories
Zoning District
#Parking Spaces
Max.Occupancy Load
Fire Sprinklers Required
1 I North 3rd Street Phone(904)247-6235 Fax(904)247-6107 FBC 2010 Revised 3/15/12
JAN-8-2013 15:59 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1.1
NO'rTCE OF COMMENCEMNT
Pemu't No.
t w (l'REPnRE IN bUPLICATE)
F ( '�
Sfate of Tax Folio No.
To whOrn HCounty of
may concern:
The 1111140MIOrmd
accor4nc9 with SO u0n7171S off the Flrms orida u that atu 'th'e*ab will be mads tlo ceIrtein n al props
COAAiYtENCEMENT. ss,th8 fallowing Information i9 statod in this y NOTICE rs
Lagat dese"on of property being intpmved:
OF
Address of property being approved: .1100 V1
renagdl desalptiorr of kripmvements: r '
Owner- �}
Address
Owners intarest in site of the Improvement
Fee SM00 7ltleholdOr(if other than owner,
Name
Address
Contractor X
Address I-
Phone No.
Surety(U any) Fax No.
Adafess
Phone NO. mount Of bong$
Fax No.
Nanta Wid add=s of any person maldng a loan for the cordiruelion cf the Improvements.
Name-,
Address
Phone No.
�Faxo.
Name of person Vvilhip the Stata of Florida,other than himself;deoigrlated by owner upon whom notices or other
documents may be served:
Nome-goo.- �-- L.L y,
Addim
Phone No. 2LI-1207
In addIllan to himself owner designates Iha fglluwing person to receive 3 copy of the Uenor's Notica as provlded 1
Sedton 713.06(2)(b).Florida Statutes.(Fill In at Owners option).
Name
Address
Phone No. Fax No.
Expirertion dole of Notlea of Commenctamert(the ;ra n data is one(1)year from the date of recordrtg unless a
dlt ftnt date is speemed). /
THIS SPACE FOR RF-COROER'S USE ONLY OWNER
31q DAi'
Before me thra of / M ihs
cttzaf D of Florida,has pamone srsd
herein by
bK-.otlr hm%.lFdn3;09a that ell ststamante and dealararAm herein
are tore and acouate _
Ooo#2013o()6043,OR BK 56209 Page 1255, a •. SSA� �
Number Pages: 1 iy .- MY COMMISSION#SEb610
EXPIRES:Janwy 1.2011
Ret:ordht9 01/M2013 at 03:29 PM, Q1hntNowl,Pytilk
R4nnle Furutell CLERK CIRCUIT COURT DUVAL Nomiy Pubit Large,8tateo1_
COUNTY eraonetly own
PECORC)ING$1O.War
r_du. antlfiWon