Permit Roof 2277 Seminole G 2011 ` '. �� � CITY OF ATLANTIC BEACH
` . c) 800 SEMINOLE ROAD
J V f ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001983 Date 4/27/11
Property Address 2277 SEMINOLE RD UNIT G
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 3500
Application desc
reroof
Owner Contractor
PITTS JUST ROOFS INC
7890 MONTEREY BAY DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 70.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 3500
Expiration Date . 10/24/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 70.00 70.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 74.00 74.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION P e c �/
1' CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
fob Address: ? 2 7 7`G S2A.A.A,0 /� /Gl
Permit Number: /`/ -1913
,egal Description Parcel #
Taluation of Work $ 3 sb 0 - ° � Prop ed Work he ted/cooled S 1-it
non - heated /cooled
:lass of Work (circle one): Ne Addition Alteration Repair Move Demolition pool/spa window /door
Tse of existing /proposed structure(s) (circle one): Commercial Residen '
f an existing structure, is a fire sprinkler system installed? (Circle one): es No N /A
lorida Product Approval #
'or multiple products use product apps orm
)escribe in detail the type of work to be performed: 2 (P-0 t3G it-9C\
roperty Owner Information: r
ame: &Gt t e- P' Address: 7.7 7
ity ____/ —
'r C- [ 34 Z G State RiZip Z 2 *Phone 3 T
(/ c . 7
-Mail. or Fax # (Optional) 3
ontractor Information: J ithr Roo L S Ina •
ompany Name: ✓ -- S e r /2.. vo Q yin2 Agent:
ddress:. - ; b p . City A State - ( Zip a',l
ffice Phone 2 0 4 73 ? 3 Job ite/ .ntact Number Fax #
:ate Certification/Registration. #
rchitect Name & Phone #
agineer's Name & Phone #
3e Simple Title Holder Name and Address
ending Company Name and Address
_ortgage Lender Name and Address
plication is hereby made to obtain a permit to do the work and installations as indicated. I certify' that no work or installation has commenced prior to the
uance 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
d void ifwork 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
)rk is commenced I understand that separate permits must be secured or Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters,
:nks 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
COMIVIENCEMENT.
ereby certify that I have read and examined this a.plication and know the same to be true and correct. All provisions of laws and ordinances governing this
e of will be complied with whether s.eci ed herein or not. The granting of a permit does not presume to give authority to vio a or cancel the
?visions ofany otherfederal, state, or loc. construct or the performance of construction.
1 I/
"�����— � / '
Art Si a e of Contracto _i `��
piature of Owner
nt Name �ll � 1 , 3 0 / 40 2 D � G C' - -Q ��
Print Name L I erne n_
iorn to �d s bscrije ' d before me Sworn to and subscri * ed before me
this if Day of 0 ,► e , — - - _ __ -
CHa Is cuLPEPPER
� -. c �'y ., _ + `ter
_
Mary , �a.
. � My Comm. Expins Apr 28, 2011 No aiy ' ublic
M Comm. Expires Apr 28, 2011 0
• f Commission • DD 660969 ' •used Bo 0 DO 680969
r
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Number Pages
/ Reco cad C4; 726 ' 201' at « 2 I 1 ? M
J
NOTICE OF COMMENCEMENT
JIM F vLL=R =RK C!R�U!T COURT Ci Vd,
NU N T'r
R_CORD NG SIC, CO
State of F IA Tax Folio l',
County of " D lk, U ,Qt
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:
Address of property being improved: 2 2 7 — i- ETh (-e__ l2 t ..•.) D t C
General description of improvements: p2g-(2.. 04 T
Owner: £GI c (le-- 7 c 4 +5 Address: 2 277' & 5 , e / e1 -
Owner's interest in site of the improvement:
Fee Simple Titleholder (if other than owner):
Name: r
Contractor: -� t•`-- l 2 c„, - S , / '`'1 c__ b I Address: 7 ? i7 0 �'.'G- e- "'
Telephone No.: 7 0' a Cf Q 93 j,,,3 Fax lio: r ,
uret (if any)
Address: Amount of Bond $
Telephone 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:
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: S
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):
AI
THIS SPACE FOR RECORDER'S USE ONLY OWNER
11/1
Signed: � / �' Date: 4 [1 //
Before me this ' / day o /97..) i / in the County of Duval, State
N : �a CHRIS CULPEPPER Of Florida, has personally appeared 1 'e- r ' 6
i . ` . Notary Public • State of Florida Notary Public at Large, State o F1or a, County of Duval.
i My Comm. Expires Apr 28, 2011 My commission expires: ' (J Z " , 1
f •.,, �.
„���. s,..% Commission # 00 660969 Personally Known: X or
Produced Identification: