1665 BEACH AVE - ROOF , ', s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
K If A TLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
'401319f.'
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 15-ROOF-1636
Job Type: ROOF PERMIT
Description: ROOF
Estimated Value: $6,525.00
Issue Date: 7/9/2015
Expiration Date: 1/5/2016
PROPERTY ADDRESS:
Address: 1665 BEACH AVE
RE Number: 169657-0000
PROPERTY OWNER:
Name: OCEAN GROVE PARTNERS LLP
Address: 2263 RIVER BLVD
GENERAL CONTRACTOR INFORMATION:
Name: B. SMITH ROOFING. INC.
Address: 13525 SAWPIT RD QA SMITH. BRIAN EUGENE
Phone: - -
FEES:
BUILDING PERMIT FEE $82.63
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $86.63
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 1665 Beach Avenue Permit Number:
Legal Description 15-10 09-2S-29E.230 North Atlantic Beach Unit 1 LOT 14
Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 6525.00 Proposed Work heated/cooled 560 non-heated/cooled
1360
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
i
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval# FL 1956.3
For multiple products use product approval form
Describe in detail the type of work to be performed : Re-Roofed 17 squares of Shingles, Garage Roof
Property Owner Information:
iSob) �CX✓rcQ.)
Name: Ocean Grove Partners LLP Address:1665 Beach Avenue(X63 L,9-614d Sian Ft- 3 oN
City Atlantic Beach State Fl Zip32233 Phone 904-383-8615
E-Mail or Fax#(Optional)904-378-8606
Contractor Information:
Company Name:B. Smith Roofing, Inc. Qualifying Agent: Brian Smith
Address:13525 Sawpit Road City Jacksonville State Florida Zip 32226
Office Phone 904-378-8605 Job Site/Contact Number 904-445-8378_Fax#904-378-8606
State Certification/Registration# 1326912
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 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;York, 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 A---------
Print Name 01✓ R00 t Print Name �sr�ANi 5 �ti
ern e;and • cr •,• before me Swo • o . • subscribed •• ore me
a D. of / I of ui■ A►.RVPi/ !
•
* MY COMMISSION MY COMMISSION t FF 108944
' �`•' COMMISSION FF 108944
s :� * —
fT," tC y�' Bonded `i vy T" IC 44,npf) Bonded TArmBdptNobfyServita
torn
Revised 01.26.10
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: 15-10 09-2S-29E. 230 North Atlantic Beach Unit
1 LOT 14
Address of property being improved: 1665 Beach Avenue Atlantic beach, Florida 32233
General description of improvements: Re-Roof 17 Squares, Garage Roof
Owner Ocean Grove Partners LLP
Address 2263 River Blvd. Jacksonville, Florida 32204
Owner's interest in site of the improvement Simple
Fee Simple Titleholder (if other than owner)
Name
Address
Contractor B. Smith Roofing, Inc.
I rill Address 13525 Sawpit Road Jacksonville, Florida 32226
Phone No. 904-378-8605 Fax No. 904-378-8606
Surety (if any)
Address Amount of bond $
Phone No. Fax No.
Name and address of any person making 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 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
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 OWNER
Signed: ///,--,--/ --- DATE 7/I/IS
Before me this "7 day of •,,ly in the
County of Duval.St;te of Florida.has personally appeared
....,n•v ••• herein by
imse�;'' and -ffirms that all statements and declarations herein
Doc#2015156579,OR BK 17227 Page 1341, are true ai. _r'.1/,,c ANGELA J.NEWMAN
Number Pages: 1
Recorded 07;09f2015 at 08:10 AM, , * MY COMMISSION#FF108944
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
4A ,1%gl q EXPIRES:April 25,2018
COUNTY
RECORDING$10.00 / / ` 0„, r BondtdThruBdgNNotrySlrvkes
Notary Public-r arge. t-_- of % ](4//F'C¢y my of kt J/d1
Mycommiss'•jexpires" a d', / OrANI* /J
Personally own or
Produced Identification