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343 2nd St re-roof permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J - ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 rply ROOF PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 ]OB INFORMATION: .Job ID: 17-ROOF-3265 Job Type: ROOF PERMIT Description: roof system re-roof Estimated Value: $15,509.69 Issue Date: 2/23/2017 Expiration Date: 8/22/2017 PROPERTY ADDRESS: Address: 343 2ND ST RE Number: 169785-0000 PROPERTY OWNER: Name: PARTOW, SOROSHI MITRA Address: 345 2ND ST GENERAL CONTRACTOR INFORMATION: Name: DIMENSION CONSTRUCTION (GC) ,CGC1508799&CCC1329023 Address: 1045 N LIBERTY ST QA RAMIN PARTOW Phone: - FEES: STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 BUILDING PERMIT FEE $127.55 PLAN CHECK FEES $63.77 Total Payments: $195.32 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER d Building Department (To be assigned by the Building Department.) 800 Seminole Roadc— =� Atlantic Beach, Florida 32233-5145 Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@wab.us Date routed: Cityweb-site: hltp:#w .coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ay3 a'�-q ant review required Ye No Building Applicant: btt'�t'-ftS m /rr __ � '' --� �� ''�"_l !M Planning &Zoning Tree Administrator Project: ADO F SIBS -r'1 ��Q.--�cx) Public Works Public Utilities Public Safety Fire Services Review fee,$ t Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: aKpproved. ❑Denied. (Circle one.) Comments: If— BUIL //© DIN V PLANNING&ZONING Reviewed by: Date: TREE ADMIN. second Review: []Approved as revised. ❑Deni PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Dale: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/1M09 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH OFFICE COPY 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 343-345 Second Street Atlantic Beach,FL 32233 Permit Number: I1'e00 F-3d(eS Legal Description 03101 Atlantic Beach Parcel# 169785-0000 Floor Area ot zsq.vt. qqt Valuation of Work S 15.509.69 Proposed Work heated/cooled 2305 non hreated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pcol/spa window/door Use of existing/proCsed structure(s)(circle one):. Commercial Residential XXXX If an existing structure,is a fire sprinkler system mstaffed?(Circle one): Yes No NIA Florida Product Approval# � ! f2 f 2�{ I r 2 For multiple products use p uct approAa orm a 0 v L5 Describe in detail the type of work to be performed: Reroof existing home. ag 15 20" Prooerty Ovmer Information: Name: Mitm Partow-Soroushi Address: 5632 Saint Peter Dr. City Plano State TX_Zip 75093 Phone(214) E-Mad or Fax#(Optioml) Contractor Information: Company Name: AN Consulting&Construction, Inc. DBA Dimension Construction Qualifying Agent: Ramin Partow Address: 1045 N.Liberty Street City Jacksonville State FL_Zip 32206_ OfOce Phone 904,M*6094_Job Sitel Contact Number 904-294-6094 Ramin_Fax#904-406-8735 State Cenification/Registrafion# CCC 1329023 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Leader Name and Address Application is here,?y made to obtain a permit to do the work and installations as indicated. I rerttjy that no work or innallation has commenced prior to the issuanceofapermi(andthatallworkwil1be%f0ormedo,meet the standards ofa/l laws regulatingronstruction in rhisjurlsdiction. Thispermitberomes null and anal jwork is not commenced within six(6f months,or ifcnnsmucuon or work is suspended or abmrdonedfor a�penodofsix//6J months at any time a//tter work is commented. l understand that separatepermiu muse be secured for EkdricalWork,plumbing,Signs, Irel6,!'oars,lyurnara,Boilers, #ca(ers, Tanks and Air Conditioners,etc WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR Il14PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO"NOTICE OF COMMENCEMENT. Iherebycertify rhatlhave readandexamined thisp/trnnm andknow the same to be bue mrdrorrect AIIproNsions of lows andorAnan gaveming this rype o work will be complied with whether sped ed herein or nor. The granting oja permit does rwt presume to give mrtlror/ty ro>7 re or cancel rhe promsrons ofarry other federallI,state,or/l/o/kcal law regulating ronsnuctton or the performance ofronsnuction. Signature of Owner 'vll/lb'� I�UIr� Si tore of C Print Name .._IY<< 1' a 7. 41L......... ..__._..... Prin[Name __....._.. r' 1.......... ...._.._ ._ .. .__...._.. .. .............. Swow5q to and subscribe afore meSwom and subscribed afore me this VI Day of .201-7 this II Day f .20117 NotaryPub i rrav9 ctFm 1�.Py'Fs�saro aaY6 never s6uevised 01.26.111IeYm FF 61193 0Y1&1099 ayYM NOTICE OF COMMENCEMENT State of_Florida Tax Folio No._169785 County of Duval To Whom It May Concent: 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: 5-69 16-2S-29E ATLANTIC BEACH WI/2 LOT14,E1/2 LOT 18,LOT 16(EX S 10FT IN SECOND ST) BLK 4 Address of property being improved:_343 Second Street,Atlantic Beach,FL 32233 General description of improvements:_Reroof of existing residential Home Owner:Mita Farrow Soroushi Address: 5632 Saint Peter Drive,Plano,TX 75093 Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor:AJP Consulting&Construction,Inc.DBA Dimension Construction Address: 1045 N.Liberty Street,Jacksonville,FL 32206 Telephone No.: 904-2496094 Fax No:904406-8735 Surety(if any) Address: Telephone No: Fax No: Doc#201704ber 33 B OR BK 17887 Page 2249, Name and address of any person making a Loan for the construction of the imps Recorded 02J2=17 at 11:32 M. Ronnie Fussell CLERK CIRCUIT COURT DUVAL Name: COUNTY RECORDING$10.00 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: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Liencres Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: 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 Sigmd: ole Date: Before me thisday ofin the County of Duval,State OfFlorida,has personally appeared_NV:r2 — 270/0 Notary Pubbc at Large,State of Fl�qq�ida,County of Duval. 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