Permit Roof 403 Stewart 2011 t jay
..,\I � � CITY OF ATLANTIC BEACH
"! 800 SEMINOLE ROAD
O ATLANTIC BEACH, FL 32233
{c�` INSPECTION PHONE LINE 247 -5814
-on
Application Number 11- 00002683 Date 9/26/11
Property Address 403 STEWART ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 4800
Application desc
REROOF
Owner Contractor
MANN SOUTHERN COAST ROOFING & CONS
403 STEWART STREET 4557 EAST SENECA DR
ATLANTIC BEACH FL 32233 904 333 -5915
ST JOHNS FL 32259
(904) 305 -8887
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 75.00 Plan Check Fee .00
Issue Date . . Valuation . . . . 4800
Expiration Date . . 3/24/12
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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 403 ewoc't S-j-. gcenc.u. Cu. 3223 3 Permit Number:
Legal Description 43-Sc.. -Z S 1 C S{ r t Sob11 Qep c -f Parcel # ) }2 3 so-
Floor Area of Sq.Ft. .Ft
Valuation of Work $ Lt $oO Proposed Work heated /cooled 2100 n 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 Residentia
If an existing structure, is a fire sprinkler system installed? (Circle one): es o N /A
Florida Product Approval # \ n ► 2 y . 1 to
For multiple products use product approval form
Describe in detail the type of work to be performed: gnnp
Property Owner Information:
Name: i1- . YY1a,nr1 Address: 16
City jtactsc4.. tip State 1=t.-Zip 32.211 Phone c i 2 -1 15 to
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: Sc..ihnrn Cr n g1 Q.cr4 r nc4 Com*v0 - Qualifying Agent: /1/10en .- C*-S
Address:141Si- C. Se,„ City St-. State 1%L Zip 32.2
Office Phone .=)(314 305 Job Site/ Contact Number , ny 365 $e . -9 Fax #
State Certification/Registration # C CC. 13 2 2s1-9 ( ,
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. 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 f work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six f6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, 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.
1 hereby certify that 1 have read and examined this a placation 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 Owner ( Signature of Contractor C g it>•�
Print Name ,4.. eF.:.t) f r.3 rn J411I1 Print Name -,
Sworn to and subscribed Wore me Sworn to and subs4oii. bed before one
this alp Day of oc frre.4, , , 20 // this Pm Day of z #i e., _ , 20 /(
Nck
y "nary ITN D. CALIFANp * "% JUDITH
* ` � • } * MY COMMISSION 4 EE 044247 * `t .) * MY COMMISSION # E ]✓ised 01.26.10
111 EXPIRES: December 22, 2014 EXPIRES: December 22 2014
'F Ft ° Bonded Nu Budget Notary Services Jj N ov Ft,o�` Bonded Thru Budget Notary & •
NOTICE OF COMMENCEMENT Doc # ig080, OR 8K 15721 Page , 1515
Number r 1 80, Pages: 1
Recorded 09/26:2011 at 11:13 AM.
JIM FULLER CLERK CIRCUIT COURT DUVAL
Permit No. COUNTY
RECORDING $10 00
Tax Folio No.
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1.Descriptian of property (legal description): 1 ; - S 6 1 - .2 s - 29 E Ste wof j- S,,.6:ko1; ,,; s:cn r.• p lo•
a) Street (job) Address: 4 OS 5} or-N- <...t. ftt \, r,. g, y F . .- _3
2.General description of improvements: V 0 ,41 c s
3.Owner Information
a) Name and address: Gym 1as L . YVbn,n Ito 5 AO: 'Rd .1J U..c.L.... a :Ili. 1-t r 12,7- 11
b) Name and address of fee simple titleholder (if other than owner}
c) Interest in property Nom_
4.Contractor Information 4 s s 1 S aT dt e
a) Name and address: 5A,�ivw -r. Cco s - Q0 4. c. Go., +e �4 la." s t- - �,v„Y,� f.. 324 S6
b) Telephone No.: 305 9'5 e Fax No. (Opt.)
5 . ety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6.Lender
a) Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. j
J ft6-
Signatire
STATE OF FLORIDA 10. � 2� OLAS "/� of Orr Own tho /Director/Partner /Manager
14 • 14 Z kc"�nze� �PfiPp\ AA r"
Print Name /// \\
The foregoing instrument was acknowledged before me this ,2• day of 1S /7 i €k, , 20 // , by
J. • elan s M641,t'as (type of authority, e.g. officer, trustee,
attorney in fact) for (name of party on behalf of whom instrument was executed).
Personally Known ✓ OR Produced Identification Notary Signature i, _,,, 1. / ,
Type of Identification Produced Name (print) o_fll f j 1 f f h b . 661 / 1 r 4 1 / d
OR
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
FORMSMOC,rv.axole ( �Cf—
vp L!` L
a , JUDITH D. CAIJFANO Signature of Natural Person Signing (in line # 10.) Above
* * MY COMMISSION # EE 044247
,.,
1" 4 EXPIRES: December 22, 2014
1 OFF , 0 e. Bonded Thu Budget Nom Services