310 MAGNOLIA ST - ROOF \ss\ 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: 16-ROOF-481
Job Type: ROOF PERMIT
Description: RE- ROOF
Estimated Value: $11.165.00
Issue Date: 2/25/2016
Expiration Date: 8/23/2016
PROPERTY ADDRESS:
Address: 310 MAGNOLIA ST
RE Number: 170446-0000
PROPERTY OWNER:
Name: ROBBINS, BRUCE E & MELISSA B, *
Address: 310 MAGNOLIA ST
GENERAL CONTRACTOR INFORMATION:
Name: HANSON ROOFING INC
Address: 2714 CORTEZ RD QA JEFFREY DONALD HANSEN
Phone: - -
FEES:
BUILDING PERMIT FEE $105.83
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $109.83
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 l /
Roo c----4-8 I
Job Address: 3/0 a1 a, t; 4 5 t,
Permit Number:
Legal Description •- Ai,- . S—a•6 56C, 2. &..t-t4,2 r
bd oor Area o q t Parcel # L o f t
Valuation of Work$ //!/lo,S Work heated/cooled t
-- Proposed Wk
no.n-heated/cooled
Class of Work(circle one): New Addition Oclterati-o'D Repair Move Demolition pool/spa window/door
Use of existing/proposed structures (circle one): Commercial Residen
O ( ' a7
If an existing structure,is a fire sprinkler system install ? (Circle one): Yes No /A
Florida Product Approval # FL l0(,7 - I 1L a6-loq _R.7 <
For multiple products use product approval form
Describe in detail the type of work to be performed: _ Ex;,s-e 1 V-00-1-
Property Owner Information:
Name: Zrc Igo b b I Ks Address: 3/o Maxi IAA City F}f/o.n i c_ Berk-lam. State - j-- $f'.
E-Mail or Fax#(Optional) FlZip-32L 3 -Phone 9a k_�a - �a y
Contractor Information: CONTRACTOR EMAIL ADDRESS: hawse r.'roof;a 3 r rtt
lk11.5o4.dk.
Company Name: / �Sn� ��'j ,v`-.
Address:arj(o Leo r,..�� � Qualifying Agent: �rity b, Ua�So�
Office Phone ?bit--61.it-103L� Job Site/Contact Number City V l 14 State �[ Zip 3 y(,
State Certification/Registration# C( C. b S 17 S'/S I '33`3 0(o y Fax# �'ON- yl 4032.5-
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 certijr 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,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.
I hereby certify that I have read and examined this a plication 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
'rovisions of any other federal,state, or local law regulating construction or the performance of construction.
signature of Owner 4A----- ddc/&. /
Signature of Contractor --, , 4_4, . L
/ e—oet, ..5
'Tint Name ,ti'11 iQva/f/,yC Print Name
3efore me Befo e me
his aa. Day of r bcc,..c,.r y , 20 1 (4
this J Daylof�, -C i:- •.-_ I Co
lotary�Public r ��i1� ,1' ;Ai Commission li FF 930606
," z CARRIE L.SMITH
:. -! ` Commission#FF 185888 Notary Public x:. •a.- xpir i,
Expires December 28 s''gR.',�t ��� 3a,e.a TMU Tm,Fin Invma epo,T6Sfi19
•-emu; , 18
'',R,,. Bonded TlwTrnyFWIt. na100�6a019 'N.-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: 10-15 16-2S-29E SEC 2 Saltair Lot 293
Address of property being improved:310 Magnolia St.Atlantic Beach, Florida 32233
General description of improvements:Re-Roof
Y Owner bw5
Address 310 Magnolia St.Atlantic Beach, Florida 32233
Owner's interest in site of the improvement Residence
Fee Simple Titleholder(if other than owner)
Name
Address •
YContractor Hanson Roofing Inc.
Address 2765 Leon Rd.Jacksonville,Florida 32246
(� 1 Phone No.9°4-333'9°64 Fax No.904-641-6328
Surety(if any)N/A
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 0.0 I CD
Before me this 21 day of c..o r•. in the
Coun• of Duval.Sta=of F F. •-.has personally appbered
<< t • , ereln by
Doc#2016039262,OR BK 17467 Page 2411, himself/herself and affirm - - — - -
Number Pages: 1 Recorded 02/22/2016 at 02:49 PM, are true and accurate =;�t�'''.�tW CARRIE L.SMITH Commission#FF 185888
Ronnie Fussell CLERK CIRCUIT COURT DUVAL --''-,. •J pine December 28,2018•
COUNTY /t ,,�'� Troy Fin Insurance 806385.70t9
RECORDING$10.00
Notary&INIctt Large,State of L , County of BEAU G.
My commission expires:_ 3. [1.75
Personally Known or
Produced Identification