Permit Roof 1258 Beach 2011 p `` CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
t)tot ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001753 Date 3/04/11
Property Address 1258 BEACH AVE
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 11694
Application desc
REROOF
Owner Contractor
DUSH MANN'S ROOFING AND WATERPROOFI
1258 BEACH AVENUE NG LLC
ATLANTIC BEACH FL 32233 2114 UNIVERSITY BLVD W
JACKSONVILLE FL 32217
(904) 419 -1010
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 110.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 11694
Expiration Date . 8/31/11
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.
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: 10 -11 16- 2S -29E MANDALAY
Address of property being improved: 1258 BEACH AVE Atlantic Beach FL 32233
General description of improvements: Re-roofing
Owner DUSH ROGER R & RITA BAUER
Address 1258 BEACH AVE Atlantic Beach FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder (if other than owner)
Name n/a
Address
•
Contractor Mann's Roofing and Waterproofing, LLC
k )
l Address 5023 Bowden Road, Jacksonville, Florida 32216
`� 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 Na
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 11 1
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY R WNER ' / p /
;oc R v i z vtub3b vt< n 553 rage ? ayts
Signed: � � DATE N �Vl
9 f 111
Number gages Before ms this day of In the
County cf Duval. ate of Florida. as personally appeared
Reccraad 03 04'001! at 03:15 PM herein by
IMFJL ER CLERK CIRCUITC.uRTDU'vAL himself herseY and afrnisthat ail statements and declarations herein
COUNTY are true a • accurate
RECORDING S ?0 CO i
•a re My IT: !"!'''' ate iw
E r etie I County of
Rf„h" .:.;::. I or
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 1258 Beach Ave Permit Number:
Legal Description 10- 1116- 2s -29E Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $11,694 Proposed Work heated /cooled non - heated /cooled
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 sprinkl r y tem installed? (Circle one): Yes No N /A
Florida Product Approval # .
For multiple products use product approva orm
Describe in detail the type of work to be performed: re7r6a , in g+ f l gyp. a ) l'e r on QGkii'140rj
Property Owner Information:
Name: Roger Dush and Rita Bauer Address:1258 Beach Ave
City Atlantic Beach State FL Zip 32233 Phone 904 - 339 -2131
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 Mr. Steven Scoates — 904 - 612 -9397 Fax # 904 - 419 -1006
State Certification/Registration # CCC 1328126 —
Architect Name & Phone # 4' IA
Engineer's Name & Phone # pr /1
Fee Simple Title Holder Name and Address 4j+
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 aperiod of six (6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, ;'ells, Pools, urnaces, 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 this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofwork 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, state, or local law regulating construction or the performance of construction. ■ �� 1 t .1 l�1
`� Signature of Contactor „ili ; .n +r erl r '
Signature of Owner • Print Name ,V I Print Name & 0 t� "` � ' •
Sworn- and subscri • . -fore me Sworn toQ and subscribes • s r u ne r 9 9 � • : • this D. ; 20 1 this k of ' F , • • * _ 0
on , ,,, . , �i, ' I I •'5030 Q
Notary . t om / ..."" / �.. .. .,�. � n .. ' ' ■ • ■ 4 -on ' " ' „ my co isslo' D•� .7760 Notary Public -% .. F
._:� EXPIR : Febru :ry , , 2014
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