55 SHERRY DR - ROOF PERMIT ms`s �1��`�' '�''•�
CITY OF ATLANTIC BEACH
tonic s I 800 SEMINOLE ROAD
• w:. ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-1722
Job Type: ROOF PERMIT
Description: RE ROOF - SHINGLES
Estimated Value: $8,060.00
Issue Date: 7/20/2015
Expiration Date: 1/16/2016
PROPERTY ADDRESS:
Address: 55 SHERRY DR
RE Number: 169756-0000
PROPERTY OWNER:
Name: MCMILLEN, JOHN M
Address: 55 SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: FORD ROOFING SYSTEMS INC
Address: 1216 N Burgandy Trail ST
Phone: - -
FEES:
BUILDING PERMIT FEE $90.30
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $94.30
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEAC11 ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 55 SHERRY DR ATLANTIC BEACH.FL 32233-5233 Permit Number:
Legal Description:,:2:96:O;A"-.N-12 s.ACH TS 2526 P e 5 UNNUMBERED TRACT l t6,7<.569 SLR 2 Parcel# 16174-90569
- loor Area of Sq.l•t. Sq.Fi
Valuation of Work S PCO Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): Nem Additio Repair Cyemolition pool/spa window/door
Use of existing/proposedstructure(s)(circle one): ommercial
i
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No
Florida Product Approval s 7006.1
For multiple products use product approval form
Describe in detail the type of work to be performed: shingle re-roof
Pronertv O1$ner Information:
Name: JMMC TRUST Address:55 SHERRY DR
City Atlantic Beach State FLZip 32233 Phone 904-710-4769
E-Mail or Fax 4(Optional)
Contractor Information:
Company Name: Ford Roofing Systems Inc Qualifying Agent: Robert Maust
Address: 1216 N Burgandy Trail City St Johns State FL /ip 32259
Office Phone 904.471-2819 Job Site/Contact Number 904-699-8688 Fax 4 904-461-8453
State Certification/Registration 4 CCC1327698
Architect Name&Phone 4
Engineer's Name&Phone 4
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
App!tcaion is hereby made to obtain a perm,to do the work and installations a,indicated l cern!,that no work or rnstallation has commenced prior to the
issuance of a penult and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction I hit permit becomes null
and void if work is not commenced mrthm six 10 months.or i/construction or work is suspended or abandoned fora riosi of six 16/months at one none a/ter
work is commenced I understand that separate permits must he secured for Electrical Work.Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Healers,
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 hare read and examined this apphcanon and know the same to he true and correct. All provisions of •s and ordinan s go ruing this
type of work will be complied with whether specified herein or not I he ranting of a permit does not presume t• r thorny to •Lt ('•ncel the
prorthos of any other federal.state.or local h -regulating construco n the performance of construction. / 0,
Signature of Ow1e azure of Contra, .. •
Print Name ,(�ItJM,49 4 11)L,2Ft4,. ,Th' Print Name Ro.= aust /
Sworn totg sd subscribedbefo me / "' Sworn o'' subscri i•i •fore me
this '` ay of V!,( .201 ' this v{• • ' ,, - .2U
'ubli otary 'us tc
Revised 01.26.10
461.Y P.eeH GREGORY J BARTHOLOMEW
*Al$,„ MY COMMISSION t EE 160608 �,p
EXPIRES:February 6,2018 .o"'.•••:8‘� GREGORY J BARTHOLOMEW
,,∎P Bonded flw Nod may Swims r , < * MY COMMISSION t EE 160606
-I EXPIRES:February 6,2016
�l�rEiN ll(0t Bonded 1h n Budget NQiIy Sulve ss
Doc # 2015164099, OR BK 17237 Page 778 , Number Pages: 1, Recorded 07/17/2015
at 09: 03 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 . 00
NOTICE OF COMMENCEMENT
;PREPARE N DVPLi..I+TEi
Permit No. .W.._._. Tax Folio No 1 Ei 1 7 44)0569
State of Ft. County of DUVAL ....�.
To whom It may concern:
The undersigned hereby Informs you that Improvements wilt be made to certain re&property,and In
accordance with Section 713 of the Florida Statutes,the following Information is stated In this NOTICE OF
CaMMENCEMEAIT.
tegat description of property being improved: 21-25-29R .205 ATLANTIC BEACH
PT LOTS 25,26.PT UNNUMBERED TRACT W THEREOF RECD OM i 6174-569 BLK 2
Address of property beeso improved: 55 SHERRY DR •
ATLANTIC BEACH.FL 32233-5233
General description of improvements:ro-t'Oo
c,xrter JMMMC TRUST
Address 55 SHERRY DR,Atlantic Beach EL 32233 .• •
..
Demers interest In site Jf the improvement ..
Fee Site Title oide£(if other than owner:
Name ___
+°,ontraaRx Ford Roofing Systems Inc
A^dre.s 1210 N%organdy Trail.&Johns:FL 32,259
?hope No,<'a+."7.2819 Fax No, rs04-461.8453
Surety;If atrt
A:?cress �. Amount of bond$
Phone Flo, Fax No.
Name$no address of any person making a loan fr i the construction of the improvements.
Name �._...__..... •
Address
Phone No. __._..._. Fax No.
Name of person within the State of Florida.other than t irsetf.designated by owner upon whom notices or other
documents may be served:
Name _
Address
?hone No. Fax No.
.. in addition to himself,owner designates z.ile fultc'ting person to receive a wry of the s ier o s Notice as provided in
ram motion 713.0 {2i tb};pio£ida Statutes.(Fitt in at Owner's opttom.
Name
Address, _._.._. _.._.. ..__._.
Prior*No. Fax"tea
Expiration delta of No ioe of Commencement(the expiration dale is one(4 year flora the date of recording unless a
da rer:t date is speed€rat): 9/15/2015
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