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Permit Roof 530 Sherry Dr 2011 f ,c - CITY OF ATLANTIC BEACH ;-.) 800 SEMINOLE ROAD J °` X ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002169 Date 6/03/11 Property Address 530 SHERRY DR Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 8150 Application desc reroof Owner Contractor COX MANN'S ROOFING AND WATERPROOFI 530 SHERRY DRIVE NG LLC ATLANTIC BEACH FL 32233 2114 UNIVERSITY BLVD W JACKSONVILLE FL 32217 (904) 419 -1010 Permit ROOF PERMIT Additional desc . Permit Fee . . . 95.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 8150 Expiration Date . 11/30/11 Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 95.00 95.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 99.00 99.00 .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: S3>l heir Permit Number: Legal Description 16 f Lp / " c .E �s eC3 Parcel # f D(/ r /)-- 00(X) 7f7 Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ S").5S").5 ) Proposed Work heated/cooled 1 '3 a non- heated/cooled ` -11 Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door Use of existing/proposed structure(s) (circle one): Commercial esid enti If installed? existing structure, is a fire sprinkler system nstalled? (Circle one): No N /A Florida Product Approval # f 1, b 42. 1 QC wrsTk A Uct S (Air 9111 - For multiple products use product approval form ��-- Describe in detail the type of work to be performed: ! 2 r,o/ it? Au ( e-s lock USA - Co(' n (A( F rt L66 t ► <21_ o C -a1 ai. Property Owner Information: & Name: at © Address: ,� z-k--) ry / /p 6/, 1 I City 477 State rt_.Zip .3 ?- Phone ()L/ - (Dag- es — 9 E -Mail or Fax # (Optional) Contractor Informa � / Company Name: Q/� i7 K L�� l�� G� ' a ' ing Agent: / _ ,E a / / l a Address: S l � J Cit)( a( k Z i 1; / f f State )-L- Zip_331h Office Phone 9 - µ/ C - l t71P. Job Site/ Contact Number Fax # 9/74 99 .) g7 State Certification/Registration # Q- Cr 1 -2 -61 -2 6 Architect Name & Phone # N A Engineer's Name & Phone # N Fee Simple Title Holder Name and Address IV Bonding Company Name and Address N1 Mortgage Lender Name and Address P A* Application is hereby made to obtain a permit to do the work and installations as indicated. I certinl that no work or installation has commenced prior to the issuance of a permit and that all work will be performed w meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void f 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, F 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 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, state, or local law regulating construction or the performance of construction. Signature of Own f 3 /1 I Signature of Contracto Print Name Print Name 29.A6t,ev(. Swo , o • d subscribed before me Sworn o - - : bscribed before thi • D. y of /I . 20 thi G Day co„ /I 20 /( i• , , • . — ter r.: ot a ry ;,41; ,„ Commissia DD 729829 N '' ' � r' Expires December p ben 25, GO i i -A: of Expire - : ::mber25, 2011 %gat: Bonded Nu Troy , Bonded fits Troy Fdn Insurance 800.385.7019 V' • i 111 10 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. 170472 -0000 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: 10-16 16-2S -29E Saltair sec 3 Address of property being improved: 530 Sherry Drive Atlantic Beach, Florida 32233 General description of improvements: Reroofing Owner Jeremy Cox Address 530 Sherry Drive Atlantic Beach, FL 32233 Owner's interest in site of the improvement n/a Fee Simple Titleholder (if other than owner) u/n Name n/a Address Contractor Mann's Roofing and Waterproofing, LLC Address 5023 Bowden Road Jacksonville, FL 32216 Phone No. ana- 4ia -in 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): THIS SPACE FOR RECORDER'S USE ONLY �,. QWNER Signed: r � i DATE 511 5I I Bore me day of in the County of Duval, State of Florida, has personally appeared herein by himself/ herself and affirms that all statements and declarations herein are nd = +• ae Doc # 201 OR BK 15614 Page 1870, R Number Pages ? Recorded 05; 31 201 1 at 03:08 PM JIM F;;I > R CLcRK C'RCUlT COURT DUl /AL ,' //.!�,' MA LIAR� � - COUNTY « '� ► .F II!.11'' RECORDING $10.00 Personally Known 731 1. � or Produced Identi «: ■;