1332 MAIN ST - ROOF 0 CITY OF ATLANTIC BEACH
A'` ,. 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'r1.J;ilt�
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-2126
Job Type: ROOF PERMIT
Description: reroof fl 10124 fl 15487
Estimated Value: $2,800.00
Issue Date: 9/9/2015
Expiration Date: 3/7/2016
PROPERTY ADDRESS:
Address: 1332 MAIN ST
RE Number: 171052-0030
PROPERTY OWNER:
Name: Titus, Charles Mark
Address: 1332 Main ST
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $64.00
Total Payments: $68.00
1
PERMIT IS APPROVED ONLY IN ACCORDANCE WEI71 ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
JACKSONVILLE
BEACH H BUILDING PERMIT APPLICATION
*Pursuant to F.S.553.721&F.S.468.631,a surcharge fee will be collected on any permit regulated under the FBC.*
Job Address:1332 MAIN STAtlantic Beach FL 32233 Permit Number:
Legal Description 18-34 38-2S-29ESEC H ATLANTIC BEACHLOT 3 BLK 226
Project Valuation S 2800.00
Class of Work ❑New ❑Addition ❑Alteration ❑Repair ❑Move lilReplacement
Use of existing/proposed structure(s): ❑Commercial IN Residential
If an existing structure,is a fire sprinkler system installed? ❑Yes ®No ❑N/A l i
Roofing Materials:Main Material FL Approval# F L10124 Underlayment FL Approval# Fl-
Describe in detail the type of work to be performed:RE ROOFING
Property Owner Information:
Name:Charles Mark Titus Registered Agent(If Applicable):
Address 13998 Canopy Overlook Court City Jacksonville
State A County Duval Zip 32224 Phone (904)547 E-Mail acce^tobCtellsoum•net
Contractor Information:
Company Name:SOUTH E RN COAST ROOFING Name of License Holder:MEHMET ORS
Address:3616 GALLION RD City)ACKSONVILLE State FL Zip 32207
Office Phone 904-305-88870ffic a E-Mail or Fax#SOUTH E RNCOASTROOF INGOF F IC E(a)GMAI L.COM
State Certification/Registration#CCC1328796 Job Site ContactName/Number7AY ORS 904-305-8887
Architect Name&Phone#
Engineer's Name&Phone#
Application is hereby made to obtain a permit to do the work and installations us indicated. I certify that no work or Installation has commenced prior to the
issuance of permit and that all work will be performed to meet the standards Wall lows re luting construction in thisfansdiaien. 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 securedfor Electrical Work,Plumbing,Sigas,Wens,Fools,Frrwaces,Boilers,Heaters,Tanks and Air
Conditioners,etc.
Owner's Affidavit:I hereby certify that!have read and examined this application and know the same to be true and correct.Al/provisions of laws and ordinances
governing this type ofwork will be complied with whetherspecifiedherein or not. The grmNmg oja permit does notpresume to give muhorrry ro violate or cancel
the provisions of any otherfedernl,state,or local law regulating construction or the performance ojmnstrucnon.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.
IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE JEC G UR NOTICE OF COMME
Signature of Owner (`• (�,"�� Signature of Contractor
Print Name Charles Mark TduS Print Name r\1 wt.9- (- b t' S
STATE OF FLORIDA,COUNTY OF OW STATE OF FLORIDA,COUNTY OF by V AL-
Swn I to(nr af�i+'mnAl¢nA nh.•�,•: A before me this . . . .. • . - ore me this
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Cffergs-onally •. C' nonallyKnown/OR
Identification Type Idaxifcationaype
DO NOT WRITE BELOW THIS LINE:OFFICE USE ONLY
Applicable Codes:2010 Florida Building Code
Review Result(circle one):
Approved Disapproved Approved w/Conditions Review Initials/Date:
Development Size DCA/DBPR SurchargeS
Habitable Space Non-Habitable Impervious Area Total Area
1st Floor 2nd Floor Garage Lanai Porches/Patios/Balcony
Miscellaneous Information Flood Zone
Occupancy Group Conditions/Comments:
Type of Construction
Number of Stories
Zoning District
#Parking Spaces
• Max.Occupancy Load •
Fire Sprinklers Required
11 North 3rd Street Phone(904)247-6235 Fax(904)247-6107 FBC 2010 Revised 3/15/12
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
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.
Legal description of property being improved:RE# 171052-0030
18-34 38-2S-29E SEC H ATLANTIC BEAO-ILOT 3 BLK 226
Address of property being improved:1332 MAIN ST Atlantic Beach FL 32233
RE
General description of improvements: ROOFING
Owner Charles Mark Titus
Address 13998 Canopy Overlook Court,Jacksonville,Floridas 32224
Owner's interest in site of the improvement NONE
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor SOUTHERN COAST ROOFING AND CONSTRUCTION INC.
Address 3616 Galion Road Jacksonville FL 32207
Phone No.904 305 8887 Fax No.
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. o,
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a c LL a
different date is specified): 1
THIS SPACE FOR RECORDER'S USE ONLY QQ 2 a
Signed: ATEv g e
goed:
Before me this S'C day of . _ _o — in the
County of Duval State of Florid-,has• rsonally appeared S £
►�,f'S r-f herein by W U W
Doc#2015206039,OR BK 17294 Page 2016, himself/herself and affirms that all statements and declarations herein
Number Pages: 1 are true and accurate a >-
Recorded 09/08/2015 at 01:32 PM, ., r
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00 tary Public at Large.Stale of F L County of I.v.4. •1y:' ,
My commission expires: 04^let^19
Personally Known t/ of
Produced Identification