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Permit Roof 2219 W Oceanforest 2011 ' 5 !.j - f Ire CITY OF ATLANTIC BEACH '' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 11- 00001954 Date 4/19/11 Property Address 2219 W OCEANFOREST DR Application type description ROOF PERMIT Property Zoning RES SF DISTRICT Application valuation . . . 10995 Application desc reroof Owner Contractor SIMS, ROBERT L & RACHAEL A MANN'S ROOFING AND WATERPROOFI 2219 OCEANFOREST DR W NG LLC ATLANTIC BEACH FL 32233 2114 UNIVERSITY BLVD W (410) 300 -3617 JACKSONVILLE FL 32217 (904) 419 -1010 Permit ROOF PERMIT Additional desc . Permit Fee . . . 105.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 10995 Expiration Date . 10/16/11 Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 105.00 105.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 109.00 109.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT (PREPARE ill CUPLiCATEi 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: 42 -13 08- 2S -29E 09 -2S -29E Address of property being improved: 2219 W OCEANFOREST DR Atlantic Beach FL 32233 General description of improvements: Re-roofing Owner SIMS RACHAEL A Address 2219 W OCEANFOREST DR Atlantic Beach FL 32233 Owner's interest in site of the improvement Fee Simple Titleholder (if other than owner) n/a Name nra Address Contractor Mann's Roofing and Waterproofing, LLC (A Address 5023 Bowden Road, Jacksonville, Florida 32216 Phone No. 904. 419 - 1010 Fax No, 904 - 419 - 1006 t Surety (if any) Na J ci Address Amount of bond $ Phone No. Fax No. N ::>• rn m o.. cr Name and address of any person making a loan for the construction of the improvements. D Name n/a r') a o ca r0 rr , ' - Address I) 0 cr Phone No. Fax No. , ;n i.3 . _- 0 Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other ! o 9 cp Ili documents may be served: p '' 6 C7 Name nfa m -- a Address =i rr tE Phone No, Fax No. o a .e O w 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 a/a Address Phone No, Fax No Expireiticr6 date of Notice of Commencement the expiration date is one (1) year from the date of repording unless a different date is specified) ' `'T'Itt8 aPAici..FoR RECORDER'S USE ONLY . -, NER 1 ., s �.d: i r�� — DATE (�12c h y3, 2 c i 1 Before ou "'r ±t(. me t r 4 ey o .,_. 1 .t//1' -f •! -- -- .._ - in the t. Duvpl,.St a Ftor'Ca. nos personally appeared w , _ ., : 1'. ix ....... herein by „S. ; hornsel ° her,ed and affirms that all statements and declarations herein 7 are true and accurate ' p LORES PERKINS __, Notary Public, State of Maryland ,- ' , ." :,..." , My Commission Expires Aug. 15, 2011 ; rf, , , - at Larg. State of [% rifisRA''f T' Cot of ii,ya4r „ : /ham Mty comnession expires: Personally Known P.,Lt a ,_fy, .. ._....._. or Produced identification f5 t 3 S i C.2 &V (..„,://' . BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 2219 Oceanforest Drive West, Atlantic Beach, Florida 32233 Permit Number: Legal Description 42 -13 08- 2s -29E Parcel # Floor Area of Sq.Ft. S .Ft Valuation of Work $ 10, 995 Proposed Work heated /cooled non - hea /cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) circle one): Commercial Residential If an existing structure, is a fire sprin , er system installed? (Circle one): Yes No N /A Florida Product Approval # F (- L/ - For multiple products use product approval form Describe in detail the type of work to be performed: Re roofing Property Owner Information: Name: Rachel Sims Address:2219 Oceanforest Drive West City Atlantic Beach State FL Zip 32233 Phone: 904 - 302 -1158 E -Mail or Fax # (Optional) Contractor Information: Company Name: Mann's Roofing and Waterproofing, LLC Qualifying Agent: Amanda Mann Address: 5023 Bowden Road City Jacksonville State Florida Zip 32216 Office Phone 904 - 419 -1010 Job Site/ Contact Number Travis Mann 904 - 652- 8487_Fax # 904 - 419 -1006 State Certification/Registration # CCC 1328126 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. 1 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, W ells, Pools, Furnaces, Bo 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. 1 hereby certify that I have read and examined this a placation 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 provisions of any other federal, state, or local law regulating construction or the performance of construction. Signature of Owner r, r,-..( A Q, ,,,.„ -- Signature of Contract oOtt „ � A' Print Name A I . . it A S , N A . ..S Print Name O c t /7(/(( f )C nI Savor I to and subsczibed before me Sworn o and subs 4 'bed be ore me th' , _ II- of JV1, � , 20 t I this 1 Da of tv 7 i 20 ■ i 7----_,.. i No : Pit.' -lac” ' otary ' u • - G�■ i55 t% '•: c� �ES PERKINS 44 0 49 ' y� *evised 01.26.10 DEL state M aryland * • °• a * Notary Public, *� _ C � motes Atf.15, 2x 11 ' y, :::?;:z.