374 2nd St 2014 roof CITY OF ATLANTIC BEACH
r J 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000539 Date 4/09/14
Property Address . . . . . . 374 2ND ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 11480
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Application desc
reroof
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Owner Contractor
_ _ ------------------------
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POTTER SR TRUST, ALAN WAYNE MULLIGAN CONTRACTING, INC
374 2ND ST 533 10TH AVE N
ATLANTIC BEACH FL 322335230 MULLIGANCONTRACTINGJAX@GMAIL.
JACKSONVILLE BEACH FL 32250
(904) 838-9868
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Permit ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 110 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 11480
Expiration Date . . 10/06/14
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Other Fees STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
----------------- ----------
---------- ---
Permit Fee Total 110 . 00 110 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 114 . 00 114 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 lux.
L'b �
Job Address: Permit Number:
Legal Description l6-,2 Parcel#
Q Q Floor Area o q. t. q. t
Valuation of Work$ �p Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repa' Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial esidential �--
If an existing structure,is a fire sprinkler system installed? (Circle one): s o i`lL
Florida Product Approval# ,, /Z�, /=,4 5 f
For multiple products use product approval form
Describe in detail the type of work to be performed:
Property Owner Information:
Name: /a Address: 7 IL S�rg..9-ZrT
City�4TY.4N?iG 1XLs/JG1-( State,*Zip_f2jZ� -Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: IJ,�L/G,O �'�ir✓7>7i1� / lJ /AL Qualifying Agent:��)�/C.L
Address: �' Ci E! State Zi
1� p ,?12 O
Office Phon Ot Job Site/Contact Numbe P1 do Fax
State Certification/Registration# c--/fe r9Slr-!l�'P` vt' cG / 32�9'l3
Architect Name&Phone# /
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address i
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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, urnaces,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 YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined thisapto plication and know the same to be true and correct. All provisionsWy
ws and ordinances governing this
type o1 work will be complied with whether specified herein or not. The granting of a permit does not presume ve authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Own Signature of Contracto ov
'/
Print Name ............(.. ( . .. Print Name fix/..��......��....��L.��.�.�,t!�......................
....
Before me Before me
this Day of this Day of^ 24
7 �;.,, SUSAN D.LUDLAM
aON
o ary Public
My Comm.Expires Apr 2,2014 tary ubli .�• t :E
y X'7P
N FF 071480
oP, Commission#DD 962038 =;r EXPIfiES.April 24,2017
"OFF„• --€�€ tended fhru No �g�ee e 10
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No, Tax Folio No.
State of /= 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: S'f' rl 6" . Ll Z
�lv STIP . T
Address of property being improved:
A41rx.0:1716 Z?i-16,A) x,22 3
General description of improvements:
Owner /,1�'�-� � L`077fg
Address 7 ;�L AP �TTC'G'L� /�C/�/�� /G � �c r✓ X12-��
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
j Address
Y Contractor A'114,—, -
r Address �3T lr��/gYl���p�✓ �� A�,Xei�.,&
Phone No. Fax No.�G3 ?CJ 0/0
Surety(if any)
Address Amount of bond$
Phone No. 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.
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. 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):
W E
THIS SPACE FOR RECORDER'S USE ONLY
Signed: DATE /
Befog this day of 0 in th
Co
yn f puval,State 94Flori a, s personalty appeared
Doc#201407-1334,OR BK'16743 Page 1554, hi self/herself and affirms that all statements a d dec[Wp"Qgs herein
are true and accurate ,`�rR�"�a'a, SUSAN D.LUDLAM
Number Pages:1 ;i,
Recorded 04/09/2014 at 09:06 AM, - Notary Public-State of Florida
Ronnie 014
Fussell CLERK CIRCUIT COURT DUVAL ' 01
` My Comm.Expires Apr 2,218
Commission#DD 962038
=�.' o.
COUNTY
RECORDING$10-00 Notary Puhlic at Large,State of Coun o
My commission expires: _
Personally Known . 1 or
Produced Identifica n