Permit Roof 197 Poinsettia St 2012 I VLF
/7.'-' -„,„NN\\
CITY OF ATLANTIC BEACH
0 800 SEMINOLE ROAD
J 7, ,, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
-- �JI34"
Application Number 12- 00000110 Date 1/26/12
Property Address 197 POINSETTIA ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 3750
Application desc
reroof fl 8642.1
Owner Contractor
HAMILTON MANN'S ROOFING AND WATERPROOFI
197 POINSETTIA STREET NG LLC
ATLANTIC BEACH FL 32233 2114 UNIVERSITY BLVD W
JACKSONVILLE FL 32217
(904) 419 -1010
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 70.00 Plan Check Fee .00
Issue Date Valuation . . . . 3750
Expiration Date . . 7/24/12
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 70.00 70.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 74.00 74.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Doc # 2012017481, OR BK 15833 Page 324, Number Pages: 1, Recorded 01/26/2012
at 01:45 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE) f�
Permit No. Tax Folio No. 7b&)1/- / C)L!C3J~
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. / f
Legal description of property being improved: /0 I (i? 5'Z / / a / r �( (
IJ 3J/5 S1/./t'{./,- il . 0 3
Address of property being Improved: / 6 / ' % NA
4ifil m 2 -t F'c, 3c i
General description of improvements: / ' -
Owner la j d 11 t1 "41, Address �i . J Naffardin AM iiGA7 r FL . 033
Owner's interest in site of the improvement )) A
Fee Simple Titleholder (if other than owner) r7
Name
Address
Contractor Mann's Roofing and Water Proofing
Address 5023 Bowden Rd, Jacksonville, FL. 32216
Phone No. 904 - 419 - 1010 Fax No. 904 - 419 -1006
Surety (if any)
Address Amount of bond $
Phone No. Fax No,
Name and address of any person makhg 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 person lo 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
Address
Phone No, Fax No,
Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of . ing unless a
different date is specified): __.-
THIS SPACE FOR RECORDER'S USE ONLY
sow: . s •, - -► • '
this Boras m s �lr f a. -
County of Duval,' . , -_ a minimally appaamd
hMnw V Wulf a M alarms at all ste*n• ■ by
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My Pationally Known
Produd Identification ,/ _
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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
/
Job Address: /0 /4
1 Ad • Permit_ Number:
Legal Description ID-16 5a / / l ' �± 3 d //- 5� / ��' C`-
Floor Area of S Ft Parc # 0 (� ` - �1(�6
Valuation of Work $ 375C. Proposed Work h /cooled 3 Sq.Ft 6/
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial
If an existing structure, is a fire sprinkler system installed? (Circle one): Re Yes ntia llo N /A
Florida Product Approval # FL_ $70 I
For multiple products use product a form
Describe in detail the type of work to be performed: 0).160-IL
Property Owner Information:
Name: � j � Parr) AM Address: 1 `-I 7 - P} /!�1 t/ f9 a.
City 1 ffai (' ' State f[ Zi
E -Mail or Fax # (Optional) p X33 Phone
Contractor Information:
Company Name: / 1 4 117/ 1 /7 _ / �'
Address:,
4 W £'l Qualifying Ag / f fl P Office Phone `// City �/._._ r2- Zip 30-0 //,,
� State
9 - /L on Jo b Site/ Contact Number 9 es ? --4 7,1/7 Fax # 904 - 0 /L
State Certification/Registration # Chi C /3 a i /c 9 ��,
Architect Name & Phone # /7/ A
Engineer's Name & Phone # J
Fee Simple Title Holder Name and Address n / //
Bonding Company Name and Address l4
Mortgage Lender Name and Address
/-)/ ft
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 a�period of six 6) 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.
/ hereby ertify 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 work will be complied with whether speci led here r or o The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, or local la re ul. n c�
g g ction or the performance of construction.
Signature of • 1 i ,� �
_ .....J Signature of Contracto
Print Name ' yy '
-by Ht rr2l Print Name :/' "^c c19 Agmn
Sworn to and subscribed before me Sworn to and subscribed before me
this b Day of 20 1
this 24 Day of 'TaAMgl 20 g
....�
* 'ub . ;, ,,,..i -P� / .ti ; .t
It. - = 4 , Expire �1 J 'Ot y �`• Commission
kesjOfl � '�l5
'e O Expires $Au ust 2 9 n nte8004lclo+� " eaWsa � nwi F.� ,, � ,.,„�,. sed 01 .26.10