Permit Folder 1913 - 1915 Main Street A
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000684 Date 5
Property Address . . . . 1913 MAIN ST /28/10
Tenant nbr, name DUPLEX 1913 AND 1915
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . 5186
Application desc
--------------------------------------------------------
REMOVE AND REPLACE SHINGLE ROOF
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Owner Contractor
------------------------ ------------------
CONNOR TRUST TIM BATES ROOFING LLC
C/O DAVID & DORIS CONNOR 55066 COOK DRIVE
1857 HORNSEY CT CALLAHAN
JACKSONVILLE FL 32246 FL 32011
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Permit . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 80 . 00 Plan Check Fee
Issue Date . 00
Expiration Date . . 11/24/10 Valuation 5186
----------------------- _______
Fee summary Charged ---------
5 Paid Credited Due
----------
----------
Permit Fee Total 80 . 00 80 . 00 . 00
Plan Check Total . 00 . 00 . 00
. 00
Grand Total 80 . 00 . 00
80 . 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
Job Address: 1913 & 1915 N. MAIN ST., ATLANTIC BEACH, 32233
Legal Description 1913 & 1915 N. MAIN ST.,ATLANTIC BEACH, 32233 Pear el ermit Number:
Valuation of Work$ 186, Floor Area of Sq.Ft.
5s 00 Proposed Work heated/cooled
Sq—Ft—
j186.00
heated/cooled
Class of Work(circle one): New Addition Alteration X Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial X Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No X N/A
Florida Product Approval# Certainteed Landmark series asphalt shingles
For multiple products use product approval form
Describe in detail the type of work to be performed: REROOF ASPHALT SHINGLES
Property Owner Information•
Name: DORIS CONNOR
CityATLANTIC BEACH State FL_Zip 32233 Phone 904-565-2763
E-Mail or Fax#(Optional) Yld3gcomcast net
Contractor Information:
Company Name: TIM BATES ROOFING,LLC
Address: 55066 COOK DR., City CALLAHAN State FL Zip 32011
Office Phone 904-707-2233 Job Site/Contact Number 904-707-2233 Fax#
State Certification/Registration#CCC1328963
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
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. I cert that no work or installation has commenced prior to the
issuance of a permit and that all work well be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void zf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six6)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 hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of ywork will be complied with whether specs ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
Provisions of any other federal,state, or local law regulating construction or the performance of construction.
Li
Signature of Owner Signature of Contractor
D...«E AT,......_
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No.
State of FI ORIDA rax Folio No.
County of_ Dt niAi
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real Prope
accordance with Section 713 of the Florida Statutes,the following information is stated rty
TICE OF
COMMENCEMENT. P P in this NOTICE
and in
Legal description of property being improved: 1915 N. MAIN ST.,ATLANTIC BEACH, FL 32233
Address of property being improved: 1915 N. MAIN ST.,ATLANTIC BEACH,FL 32233
General description of improvements: REROOF ASPHALT SHINGLES
Owner DORRIS CONNOR 904-565-2763
Address 1857 HORNSEY CT.,JACKSONVILLE, FL 32246
Owner's interest in site of the improvement 100%
Fee Simple Titleholder(if other than owner)
Name
Address
ontractor TIM BATES ROOFING LLC
Address 55066 COOK DRIVE, CALLAHAN FL 32011
Phone No. 904-707-2233
Surety(if any)
Fax No. NA mjw1962@clearwire.net
Address
Phone No. Amount of bond$
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
Section 713.06(2)(b), Florida Statutes. (Fill in at Ownees option)rson to receive a copy of the Lienor's Notice as provided in
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):
THIS SPACE FOR RECORDER'S USE ONLY _ ,......_�