174 15th St 2013 roof CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
C
Application Number . . . . . 13-00003370 Date 9/06/13
Property Address . . . . . . 174 15TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7200 ------
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Application desc
FL 2533 . 1
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Owner Contractor
------------------------
------------------------
MORGAN STANLEY MORTGAGE LOAN AFFORDABLE ROOFING
749S NEW HORIZON WAY 3859 PADDLEWHEEL DR FL 322S7
JACKSONVILLE FL 32257 JACKSONVILLE
(904) 251-4326
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Permit . . . . . . ROOF PERMIT
Additional desc . - . 00
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 7200
Expiration Date . . 3/05/14 ---------------
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 * 00 . 00 . 00
Other Fee Total 4 . 00 4 ' 00 . 00 . 00
Grand Total 94 . 00 94 . 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: 174 15'h Street, Atlantic Beach, FL 32233 Permit Number:
Legal Description 10-11 16-2S-29E MANDALAY Parcel# 171866-0000
Floor Area of Sq. Ft. Sq.Ft
Valuation of Work$7,200.00 Proposed Work heated/cooled 1159 non-heated/cooled 288
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 #; Certainteed Flintlastic FL2533.1
For multiple products use product approval form
Describe in detail the type of work to be performed: remove existing roof down to deck install new torch down roof.
Property owner information:
Name: MORGAN STANLEY MORTGAGE LOAN TRUST C/O AMERICAS SERVICING COMPANY
Address: 1495 New Horizon Way zip 21703 Phone
City: Frederick State MD
E-Mail or Fax#(optional)
Contractor Information:
Company Name: Affordable Roofing Qualifying Agent: Vincent Marino
Address: 3859 Paddlewheel Drive City Jacksonville State FL Zip 32257
Office Phone 260-7663 Job Site/Contact Number 449-6339 Fax#260-7663
State Certification/Registration# CCC057697 (Roofing), CGC059465 (GC)
Architect Name&Phone# N/A
Engineer's Name& Phone# N/A
Fee Simple Title Holder Name and Address N/A
Bonding Company Name and Address N/A
Mortgage Lender Name and Address N/A d prior to the
4pplicatio, is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commence
17 ermit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
issuance o a p work is suspended or abandonedfor aWeriod of.six(6)months at any time after
and void ff work is not commenced within six(6)months, or if construction or Fstrnaces, Boilers, Heaters,
work is commenced I understand that separate permits must be secured for Electrical Work, Numbing, Sikns, efls, P601s,
Tanks and Air Conifitioners,dc.
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.
amined this application and know the same to be true and correct. All ions of laws and ordinances governing this
I hereb certify that I have,r The granting of a permit does nqt PZT-vny to give authority violate or cancel the
typ e o7work will be comph ith hether qpecift-ed herein or not. on or ihe perjormance of construction.
fany otherfede stat , r loca hiw gulating constructi
provisions o Signature of
Signature of 0 r Print Name Vincent Marino
Print Name 7 v-et,,A
Sworn to and subscribed be ore me this
Sworn to and subscribed before me this
W�1) 2013
Day 92013 Day
D
ay
KIMBER ATTER3014 Public
L #Mpt�
N tary Public My COMMSSION#EE122U3
:S 1 111,M
EXPIRES August 16,2015
4;1'Iftals"
Sep 25 13 01:44p Affordable Roofing 904-260-7663 P.1
NOTICE OF COMMENCEMENT 13 -3
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 171 W64Y=
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 NOTJCE OF
COMMENCEMENT.
Legal description of property being improved: 10-11 16-2S-29E
MANDALAY
Address of prop"being Improved: 1/ 174 1 5TH ST
Atlantic Beach FIL 32233
General description of improvements:
Owner AELLS FARGO FINANCIAL SYSTEM FLORIDA
ONE HUMI:UAM ruz� DES MOINES,IA50328
Address
Ownees interest in site of the improvement 1C0%
Fee Simple Titleholder Cif other than owner)
I
Name .41A
Address
Contractor I E9,-N 7) 1)
Address
Phone No, KIA Fax No-
Surety Cif any) Amount of bond
Address
Phone No. Fax No.
Name and address of any person mal(wg 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
docurnents may be served:
Name NIA
Address
Phone No. Fax No.
I n additon 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.(FBI in at Owner's option).
Name NIA
Address
Phone No. F No.
Expiration date of N otice of Commen cement(the expiratio date is one(1)year from the date of recording unless a
different date is specified):: expires ninety(90)da Ir recordi date.
CORDER'S USE ONLY OWNER DATE
Befor rne of
Count of stale or pwfift,has personally appeared herein by
himse"I I- affirms that aTsiaternents end�4dedaratims herein All--I
..'rue nd rate KELLI HARRYMAJN
M: .25
OR BK J 6539 page 2406, b �55
8; Go,
e mmission Number 755525
Doc#201324-1329. on Ives
J,urnber Pages* 9 ;x7plfes
My C0111,11"I'liss'On ExP
OW25f2l]lil 3 at 12----r2 P M or
Recorded C;-ERK CIRCUIT COURT DUVAL tober 29,2014
Ronnie Fus—It Nctary ublic at Large,Ste of County
COUNTY My commission wores:
REGO RIDING$10 00 Persorially Known
Produced IdentificatiOn