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90 OCEAN BREEZE DR - ROOF PERMIT \s, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 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-2088 Job Type: ROOF PERMIT Description: ROOF Estimated Value: $14.010.00 Issue Date: 9/2/2015 Expiration Date: 2/29/2016 PROPERTY ADDRESS: Address: 90 OCEAN BREEZE DR RE Number: 168908-8255 PROPERTY OWNER: Name: WALSHAW. LARRY E * MICHELLE. * Address: 90 OCEAN BREEZE DR GENERAL CONTRACTOR INFORMATION: Name: FORD ROOFING SYSTEMS INC Address: 1216 N Burgandy Trail ST Phone: - - FEES: BUILDING PERMIT FEE $120.05 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: 8124.05 • PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT ;PREPARE IN DUPLICATE• Permit No. Tax Folio No. State of County of To whom it may concern: The undersigned hereby informs you that Improvements will be made to certain real property.and in accordance with Section 713 of the Florida Statutes,the following Information is stated In this NOTICE OF COMMENCEMENT. Legal description of property tieing improved: 46-51 37-2S-29E OCEAN BREEZE REVISED PLAT LOT 11 Address of property being improved: 90 OCEAN BREEZE DR Atlantic Beach FL 32233 General description of improvements: RE-ROOF Owner WALSHAW, LARRY, MICHELLE Address 90 OCEAN BREEZE DR Atlantic Beach FL 32233 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owners Name Address Contractor FORD ROOFING SYSTEMS INC Address 1216 N BURGANDY TRAIL,ST JOHNS FL 32259 Phone No. 904-471-2819 Fax No. 904-461-8453 Surety(if arty Address Amount of bond$ 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. i 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 •WN 9/3/�f ewe me• is—f A y o .r:'i 7'1i O in tle ..Coon y• • .State of !or .n s erso. appeared hereon by him = • erset and affirms that an staternerts and dec'.aratiols herein Doc#2015202616,OR BK 17289 Page 2390. are true and accurate Number Pages:1 Recorded 09!02'2015 at 12:47 PM, °AIN,,Po: • • Ronnie Fussell CLERK CIRCUIT COURT DUVAL e , I. COUNTY ::,•RECORDING$10 00 MyCOOMMISSlonex*e OFfL°" g •'�.•ary .....�I Personally Known ProducedIdenhlcar • BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 90 OCEAN BREEZE DR Atlantic Beach FL 32233 Permit `umber: Legal Description 46-51 37-2S-29E OCEAN BREEZE REVISED PLAT LOT 11 Parcel # 168908-8255 Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 14,010.00 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structures)(circle one): Commercial Residential installed?an existing structure,is a fire sprinkler system nstalled?(Circle one): Yes No N/A Florida Product Approval# see attached For multiple products use product approval form Describe in detail the type of work to be performed: metal over shingle re-roof Property Owner Information: Name:LARRY&MICHELLE WALSHAW Address:90 OCEAN BREEZE DR City ATLANTIC BEACH State FL Zip 32233 Phone 904-247-0021 E-Mail or Fax#(Optional) Contractor Information: Company Name: Ford Roofing systems Inc Qualifying Agent: Robert Maust Address: 1216 N Buraandv Trail City St Johns State FL Z i p 32259 Office Phone 904-471-2819 Job Site/Contact Number 904-699-8688 Fax# 904-461-8453 State Certification/Registration# CCC1 327698 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. I 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. I understand that separate permits must be 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 ertify that I have read and examined this.,%piicat'.n an• know the same to be true and correct. All provisions of laws aid ordinances governing th' type of work will be complied with ether s.- i red ern /not. The granting of a permit does not presume to give a . only to violate or cancel 'e provisions of any other federal,st• /or loca aw re: ating,pnstruction or the performance of construction. �� Signature of 0 OW Signature of Contractor i _� Print Name 170f47/17 Print Name teatri T J , Sworn w and subscribed before me Swornt nd subscri ed before me this 2.4- Day of serirv*' .20 1 r this .4 Day of v 491--Y? .20 / • 'o c , MY COMMISSION t EE 160606 1 T MY COMMISSION 1t EE 160606 - * EXPIRES:February 6,2016 !, EXPIRES:February 1 gold lhru Budget No Berke` '�' ,too d Nu Bud ed 01.26.10 / _ - - - - | . . - . - - ,- \ 70 = � / 7 / 4 a o .§ « o = MS r k \ / 0 2 c 4 \ o .§ -a % - § [ © • / - : \ - � - 7 4 ) \ E ¥ P- - y_, V) ƒ 0 I) y a _ > _ 1- k § Q ' 2 \ ¥ a \ . . 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