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1044-1046 Hibiscus Roof permits Cash Register Receipt Receipt Number n ;t JI' City of Atlantic Beach R6185 DESCRIPTION ACCOUNTQTY PAI PermitTRAK $148.00 RERF18-0216 Address: 1044 HIBISCUS ST APN: 171002 0065 $74.00 BUILDING $70.00 BUILDING PERMIT 455-0000-322-1000 0 $70.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 RERF18-0217 Address: 1046 HIBISCUS ST APN: 171002 0050 $74.00 BUILDING $70.00 BUILDING PERMIT 455-0000-322-1000 0 $70.00 STATE SURCHARGES $4.00 SLATE DBPR SURCHARGE 455-0000-2080700 0 $2.00 STATE OCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL • $148.00 Date Paid: Wednesday,August 29, 2018 Paid By: BIGFOOT ROOFING &CONSTRUCTION Cashier: CB Pay Method: CREDIT CARD 07267g Printed:Wednesday,August 29,2018 2:40 PM 1 of 1 '++ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 41PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RERF18-0217 Description: Estimated Value: 3578 Issue Date: 8/29/2018 Expiration Date: 2/25/2019 PROPERTY ADDRESS: Address: 1046 HIBISCUS ST RE Number: 171002 0050 PROPERTY OWNER: Name: MANDARIN MANAGEMENT SYSTEMS INC Address: 13690 LONGS LANDING RD W JACKSONVILLE, FL 32225 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: BIGFOOT ROOFING &CONSTRUCTION Address: 615720 RIVER RD KYLE S MAXWELL CALLAHAN, FL 32011 Phone: PERMIT INFORMATION: Please see attached conditions of approval WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU 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 RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: h1 addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other govemmental entities such as water management districts state agencies or federal agencies. * A notice of Commencement is only required for work exceeding an estimated value of $2,500.For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. Building Permit Application Updated 12/8/17 city of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: 1046 HIBISCUS Street,Atalntic Beach, FL 32233 permit Number: ERF-19 -021718-34 -29 .088 17-2 A LANTI SrA F H H 25FT LOT REM 171002-0050 Legal Description — ValuatlonofWork(Replacement Cost)$ 3578.00 Heated/Cooled SF 1050 Non-Heated/Cooled 129 • Class of Work(Circle one): New Addition Alteration epal Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial esi e • If an existing structure,is a Ore sprinkler system installed?(Circle one): Yes No<23> • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe In detail the type of work to be performed: Tear off& Ple-Roof/10 Squares/Shingles 15:12 Florida Product Approval# L � 7 for multiple products use product approval form Property Owner Information Name: Mandarin Management Systems Inc. Address: 1046 Hibiscus St. City Atlantic Beach State FL Zip 32233 Phone (302)540-1275 E-Mail Randesworld(Paol.com Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: B191WI Ronan &C*oxmexflx .I® Qualifying Agent: Kxk m. .e0 Address 10377 Klee Rd.But.IN City +••�•XRu State m Zip 33216 Office Phone(M)7514112 Job Site/Contact Number +m,•Co•ky(•06Ws1iet State Certification/Registration# CCCU2976p E-Mail 1 r,641,1ammmoan m Architect Name&Phone# Engineer's Name&Phone# AFO Workers Compensation - Exempt/mwrer/lease Employees/Expiration Date 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 the laws regulationg construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS, FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of thls county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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. (SlgnaNre of Owner or Agent) (Sign [Contract (including contractor) Signed and sworn to(or affirmee befo e e this day of Signed an sworn to(or affirmed)before me this 2day of HM4t1Q[t�—•by Jkw�u k� Aiy(1 . Z.Qi6 �b�y ,/ 1' _ v lL-CL(rt / f oto :"J'iy�, MF11SBa PlRJ 91300 - NELLA44 ANN SLSDO Personally Known O h DOID.1156gN p GG 166140 11P sonally Known OR WCOIaw"ONaGO100240 d< F%PIRE9:lte aniba6,2021 duced ldentifil '5 a/ EXPIRES:DeamEar 0,2021 Produced ld mircati k.a g; � ,�ixmws,s ryq�, @ ..f,....^.. Type of Identification: YL. 1�-r..^.."t' Eora pl,of identification: Doa 0 2018203454, OR SK 18507 Page 2201, Number Pages: 1, Recorded 08/28/2018 02:22 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT (N1EpME w DunlurR Nt002-0O50 pomINe Teiot Ib SNIvoIFbr�B CantYM Mme. To w4mm It dory oanevm: TM unWngme NeNy lnbrmv you IMI Mprowman0 Wit M maM to cenaln rool poepM l aM b acWMnp wNN EaCllm]1]W IM Floed.S..,IM WitoM1p IMarmMNn N feNe In NW NOTICE M COMYETICEMENT. Lean dmuNDMtl aOxlypell0 eryroveD: 1E-N 17-2S-2SE OBE ATLANTIC BEACH SEC H S 25FT LOT 5,N 13FT LOT 6 ELK 188 AONeaatldx M Mlooimplow0: lOB0 Hi0'ncw Sveel,A8e1XN BescE,FL 32233 GamlM�WntlSnDloy m: Tear 011 ER Reel owmr MalMario BMn".."ot Syallo W. Add1en t0e8 NElecun$bNl.AtlenUCBeuE.FL 3223] orlere Nbrcn in>ib a um 11rprovemenl Fw SmpN TileMldN M aPN Man wm0 Name Adew O�,y Blgleot ReellriES CemDuetiary lm. Add. to)3]IMdo IUnge RQ Wlle IMfa[bomlle.iL13319 FebOe Ne. 9 7514112 fa ND. S66'35b5115 Suety Bl Soy) Aedrer AmandOaME pNyy ND _F..No. Name eM NDrmFol eMprw mNinp a Irn b,tlb MFNuclioo tlnw impwMnnN. NaM Addrd. PMne No. Faa No. Wma of Petwn w"too BIM o1 FW M,Dnw NM t'dog'e ..too,It, 1pptwpan IKINm dMpr OOCIIIIIeMmW COeNVFD: Name AmreM plum No. Fea Nw NW]iMn N NIAoU was JWpINeF tln MD^Yq MFDo b opM .coy ofW Lnru'a Ndia aspmMeDn Sec4an 71]08121 WI.FNrMS INSUI(RTI Ne WINYF roDDnb Nemo Add. PM1b No. FU No. E+piel'on deb 0 Nelre n Cmmn 'MIMevNMbn DM Nan111 Yer Oom IM tlMWroranDOMw nMnm dM N v WdflaJY. TNM EIACE WORK USE ONLY `��y�'^ P„� qTF �y„�2 /,Ce BW,M WdrlVneM •UMrmrNMwe U/v /f MGm Im�mamnr.n.rMmrmran ,M�I,w.eMr - E MA ELL va,u,ee R MY COMYiSSION v FF}$S EXPIRES dodo 13 2015 r:��a D'fa IrxM vMn.+.r r1�a,4 , wn1X N/mmlbMrIIYb'. a pelumY WbYMn 1L . CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ''�urt19� INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RERF18-0216 Description: Estimated Value: 3578 Issue Date: 8/29/2018 Expiration Date: 2/25/2019 PROPERTY ADDRESS: Address: 1044 HIBISCUS ST RE Number. 171002 OD65 PROPERTYONINER: Name: PISCHLY SANDRA ESTATE Address: 1044 HIBISCUS ST ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: BIGFOOT ROOFING & CONSTRUCTION Address: 615720 RIVER RD KYLE S MAXWELL CALLAHAN, FL 32011 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU 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 RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may he additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. " A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(9041247-5845 Job Address: 1044 Hibiscus Street, Atalntic Beach, FL 32233 Permit Number: ��-o u Legal Description'18-3417-2S-29E .087 ATLANTIC BEACH SEC H S 37FT LOT REM 171002-0050 188 Valuation of Wok Replacement Cost)$ 3578.00 Heated/Cooled SF 1050 Non-Hearted/Cooled 129 • Class of Work(Circle one): New Addition Alteration epal Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial esldential • If an existing structure,is a fire sprinkler system installed](Circle ane): Yes No CS> • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: Tear off & Re-Root/ 10 Squares/Shingles/5:12 Florida Product Approval It GL lU/� —/{/ L/S7,/fa for multiple products use product approval form Property Owner Information Name: Lance Pischly Address: 1044 Hibiscus St. City ARanfic Beach State FL Zip 32233 Phone (302)540-1275 E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name ofCompany: ilgram Fixating A Co•ximmlxo,Inc Qualifying Agent: "Af•xw4R Address t0737Nm K1ap Rd.51x104 City J•xk,on.ee State FL Zip 32219 Office Phone(m)TS16111 Job Site/Contact Number John Cx Ixy I9wpmanx State Certification/Registration4 cccu19769 E-Mail Inrx✓mxroxnroonng.exm Architect Name&Phone 4 Engineer's Name&Phone N Workers Compensation C95Af[r/ Exempt/Insurer/tease Employees/Expiration Date 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 the laws regulationg construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found In the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. OWNER'S AFFIDAVIT:1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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. (Signature of Owner or Agent) SignatureContractor) (including contractor) ,,,,„�,,,L1 ,SSiigned and sworn to(or affirmed)before me this !S•day of Signed an to(or affirmed)before me this By of 1QIyd &Jt 9A14 .b 1 i 1(lurtty�' . S by `'J�'' � rLn ignatu r 81SC0 �i (i N' WCONMISSIONY GG 1Y6240 MELISSA ANN SISCO [ ]Personally KnownOR p; EXPIRES:Decanter a,2121 PemonalNMY Known BRA COMMMN ISS168240 110noduced ldert! IF, '• aogq TNv P,4b UtlM•M [ I Produced ldentiflc `• '•' EXPIRES:December 6,2021 Type of ldentifcation: TYM of ldentlflcation '�"'^"r 6mMa ihv iwr<1e4.•.rn• Doc 4 2018203455, OR BK 18507 Page 2202, Number Pages: 1 , Recorded 08/28/2018 02:23 PN, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT (NEaNE IN W0.IGTa) FNMA No. Tan FOFONo. 111001-0065 &Na NFlor�i ems— cpNfi.a peal TowMM k may mnwrn: The ondanlgned hereby Inlaams Maj Man knproveManla wM W Maaa 1a pial"reel aapw(y,and M wNWnw'M Sacom 713 a Me Nadd-SNIu1p,Me lollowllq laf exlon h NNad In MM NDTKE OF COMMENCEMENT. Lapel aewlMm darwrlyhWip Mykwed: 183417-2S-M 081 ATLANTIC BEACH SEC H 5 37FT LOTS RLR ISE A$MMaf poparybakpinprowp: 1OM HMMcw Slml,Ndenli Beu11,FL 31133 mnmM aepNIp1M NMIFroeemanN: TOSran6RMRoOr Owxr L..P"My MyMe 1041Ebbdue Slrae(.AIIanIk8Wtl1.FL 312J3 Oawr1 Yewealln Nle Nlln inpowlMM Fa SNryM TNNNtlr(E aha I W n wmet) NOTM AdMaeo CmlM.or S1A6Iool Som,E ConsM.Mn,he ANMM, Ip131New K&WRd.WAal04.l+k1a"IIN.FL32219 PMN No. 99'1514112 FAXNe 6663515115 Surety IN FMO Mama Annownew none] PMw No. Fax No. Name anU ahkaef a any Fannon MMI"•ban b Me xmWooM N Me WMavemenM Name Mam6 Ph.No. FM No. Nem.alperem whM Me Mede a Fbba,—Mee NmxMl,"ROM Md ay pxner INnn when IrotlmFo man em—A May W xeI . N. A Mesa Phone W. F.No M WdtW toimaaN,o ff despneasthe WaAAag Fennel b."a ropy OI Me Lim[ia Nanus as Funneled In Sedan 119.06(2)M).Floods SNNIW(FS M at O~S o0ko). Name Add. PhaN m. Fab No. E,maAm dee,a NNMta CmwWgmWl(Me e.pMMNn a ao k one(1)Mar Man IW dMe 0ramda,oneso a aMerenlaue Y epeefted) ME$PACE FOR RECORDER'S USE ONLY ORIIN MM.e.MM_aey Dore H4LIG daaeW aflpMLmxaxmrNaFFMM Ma Me.edlaeM emnee rw ey(yEp YIL70MF.L� htv CCNMIESmMeff]IINt1 E%PAESNna I]2019 u:niexu•N waMl✓aiYn+s .Lana. a_ M/mnnmlal• FraMull.xlWym.�