Permit Roof 851 Plaza Dr 2011 CITY OF ATLANTIC BEACH
%' 800 SEMINOLE ROAD
J tot ° ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001689 Date 2/16/11
Property Address 851 PLAZA
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 4840
Application desc
reroof
Owner Contractor
SPRWILL, DONALD MANN'S ROOFING AND WATERPROOFI
851 PLAZA NG LLC
ATLANTIC BEACH FL 32233 2114 UNIVERSITY BLVD W
JACKSONVILLE FL 32217
(904) 419 -1010
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 75.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 4840
Expiration Date . 8/15/11
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 79.00 79.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
;PREPARE IN DUPLICATE,
Permit No. Tax Folio No.
State of Florida County Of Duval
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: 30 -60 38- 2S -29E ROYAL PALMS UNIT 1
Address of property being improved: 851 PLAZA Atlantic Beach FL 32233
General description of improvements: Re- roofing
Owner SPRUILL DONALD A & JOANNE CARROLL
Address 851 PLAZA Atlantic Beach FL 32233
Owner's Interest in site of the improvement
Fee Simple Titleholder (if other than owner) n/a
Name n/a
Address
Contractor
e Roofing and Waterproofing, LLC
Address 5023 Bowden Road, Jacksonville, Florida 32207
� Phone No.
904 -419-1010 Fax No. 904 -419 -1006
Surety (if any) n/a
Address Amount of bond $
Phone No. Fax No
Name and address of any person making a loan for the construction of the improvements.
Name n/a
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 n/a
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 n/a
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): y
THIS SPACE FOR RECORDER'S USE ONLY / OW
Signed: A DATE /1 t/�
Before me i' day of I n the
County of Duval. State of Florida. has personally a rr v/y
NN F , ni by
himself hers. f and affirms that ail statement rattam � 1 �
LCC a :... 103, 606. C tax. • 6 r•age : 3: are true and accurate ..::..z. . �pMMISS /pN .
Numoer Pages , ' day 2( F ... 9 � ' r_
Recoraed a 15 at 03.5 PM. / ' ' :- • �x. 9 :� = Vlib
JIM P R CLPF2k, CIRCUIT CCUR v,a . b / l �• cn,
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Personally Kno..n y • �Q , or
Produced Identification .iT�.!�lIW.fu4.1t4 MIAL ,.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 851 Plaza , Atlantic Beach, Florida 32233 Permit Number:
Legal Description 30 -60 38- 2S -29E ROYAL PALMS UNIT 1 Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $4840 Proposed Work heated /cooled 1 y (o non - heated /cooled / (--/ 5
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval # p L. 3(0
For multiple products use product approval form
Describe in detail the type of work to be performed: Re Roofing 3 'S (/ // D._
Property Owner Information:
Name: Mr. and Mrs. Donald Spruill Address: 851 Plaza
City Atlantic Beach State FL Zip 32233 Phone 904 - 241 -7469
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: Mann's Roofing and Waterproofing, LLC Qualifying Agent: Amanda M. Mann
Address:5023 Bowden Road City Jacksonville State FL Zip 32216
Office Phone 904 - 419 -1010 Job Site/ Contact Number _Eddie Capps 904 - 887- 6747 # 904 - 419 -1006
State Certification/Registration # CCC1328126
Architect Name & Phone # N /1
Engineer's Name & Phone # ili /9-
Fee Simple Title Holder Name and Address N ) Yf
Bonding Company Name and Address /V / /1-
Mortgage Lender Name and Address A, i a
Application 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
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 a_ p
for eriod of six 16) months at any time after
work is commenced. 1 understand that separate permits must be secured for ElectricalWork, Plumbing, Signs, Wells, Pools, Furnaces, Bo 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.
1 hereby certify that 1 have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, e, or local law regula ng con ction or the performance of construction.
( " , ,� 4. PAW
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Signature of Owner Signature of Contractor �/
Print Name Zo IA 6 ,p,,-.,,,,:, .... ...�.........���11tttl3+otal Print Nam &"I M )26 o,i,
6 � P3tf' 1,,,
Sworn to and subscri r ed •efore me \ ��� � \C HELL E 4 1;;�� Sworn to and subscribed b fore me ��`' M\CHELI r '
this i� I) a y 1 01 2 � ,.�o��+� rss�o•.5������ this Day of .``,� '.1cc^ 9 S ti'
2 >� tt' s pa- zq 'y • 0 ea-10-0- ' jffia :. •• ' - cr - 4- .. S'
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Notary Public =---: ; >pa '` c , ::- Notary Pu blic ° -. ; " 'et 4 Co • 8 5i «44),, • . P .z Revis 9.. 40 f : .
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