94 ARDELLA RD RERF24-0124 -1' V% REROOF SHINGLE PERMIT PERMIT NUMBER
�=driLr '� RERF24-0124
�, CITY OF ATLANTIC BEACH
/ 800 IC BEA LE ROAD ISSUED: 7/22/2024
f-'40 r EXPIRES: 1/18/2025
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
94 ARDELLA RD REROOF SHINGLE SHINGLE ROOF $13352.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172042 0010 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
JANNEY ROOFING LLC 563 JADEWOOD AVE ORLANDO FL 32825
OWNER: ADDRESS: CITY: STATE: ZIP:
ADAMS MARIA TERESA 94 ARDELLA RD ATLANTIC BEACH Fl 32233
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 RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
'Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS NOTICE OF COMMENCEMENT INFORMATIONAL
Notes:
No inspections may be scheduled until a copy a recorded Notice of Commencement has been submitted to the Building Department
2 PUBLIC WORKS ROOF IN-PROGRESS INSPECTION REQUIRED INFORMATIONAL
Notes:
a.The roof sheathing for all new construction must remain uncovered until the Roof Sheathing Inspection is approved.All roofing projects require an In-
Progress Inspection.Sheathing installation and replacement guidelines per APA.Underlayment must conform to FBC-R Table 905.1.1.Shingles must
conform to ASTM D3161 G or H,or ASTM D7158
FEES
Issued Date:7/22/2024 1 of 2
rREROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF24-0124
v~ 800 SEMINOLE ROAD ISSUED: 7/22/2024
' ,...
°i;'9r ATLANTIC BEACH. FL 32233 EXPIRES: 1/18/2025
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $120.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$124.00
Issued Date: 7/22/2024 2 of 2
rSLAN BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE QNLY
A 1 City of Atlantic Beach Building Department PERMIT# RF_ZF
800 Seminole Road, Atlantic Beach, FL 32233 **ALL information required to process
"i' Phone: (904) 247-5826 Email: Building-Dept@ coab.us
Job Address 94 Ardella Road Atlantic Beach,FL 32233 RE# 172042-0010
Legal Description 17-2S-29E.132 PT GOVT LOT 2 RECD O/R 18764-1313
Valuation of Work(Replacement Cost) $13,352 Heated/Cooled SF Non-Heated/Cooled SF
- Class of Work: ❑ New ❑Addition ❑Alteration X❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
- Use of existing/proposed structure(s): ❑Commercial El Residential
- If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑X No
- Will tree(s)be removed in association with proposed project? ❑Yes(Must submit separate Tree Removal Permit)- No
Describe in detail the type of work to be performed:
Re-roof Remove/Install Shingles
Florida Product Approval# 15216.1 R-13, 10674.1 R-19 (For multiple products use Product Approval Information Sheet)
Property Owner Information Name Maria Teresa Adams Phone 904-524-3520
Address 94 Ardella Road City Atlantic Beach State FL Zip 32233
Email teri_adams05@yahoo.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information Name of Company Janney Roofing LLC Phone 321-385-7663
Address 1211 SR 436 Suite 227 City Casselberry State FL Zip 32707
Qualifying Agent John C.Janney State Certification/Registration# CCC1334170
Email permitting@janneyroofing.com Job Site Contact Number 321-385-7663
Worker's Compensation Insurer North Pointe OR Exempt ❑ Expiration Date 3/1/2025
Architect's Name Email Phone
Engineer's Name Email Phone
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 regulating
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: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 YOU PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN
ATTORNEY FOR RECORDING YOUR NOTICE OF COMMENCEMENT
/ .
(Signature of Owner or Agent) 77 (Sign e of Contractor) r.
S' ned and sworn to(or ed)b-fore me this day of Signed and sworn to(or affirmed)before me this ( 1 day of
vk.{ z ,: .y " ; �,QJY\ j ,,,1 Z02-1-1 by John C. Janney
Signature of Notary • �� Signature of Notary
[ ] Personally Known OR [ ] Produced Identifon (X] Personally Known OR [ ] Produced Identification
Type of Identification: • Type of Identification:
Notary Public State of Florida
TONT GINDLESPERGER 1 , I
,.•r Jon-Erik Perez
f-i „; : : MY COMMISSION#HH 407122 eh: My Commission HH 388645 r
+, ��'� EXPIRES:October 6,2027 + Expires 5/2/2027
Doc # 2024156699, OR BK 21130 Page 1040, Number Pages: 1,
Recorded 07/22/2024 10:00 AM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
Notice of Commencement
State of Florida County of ou
After recording,return to: JANNEY ROOFING i•t? dt,
1211 SR 436 SUITE 227 CASSELBERRY,FL 32 7
Permit No: q
Tax Folio No. 1170112 ,OtO
The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida
Statutes,the following information is provided In this Notice of Commencement.
1.Description of th- •op- y:(I•.•1.esc i. '.n o Of pr.per ands reef•ddr `. oil..
Lpg�l scr'p lq 1. _ g t �I. . Il / I t
("01`11 QVili 11 • �► I• I �I1
2.General Description of Improvement RE-ROOF -
3.Owner's 1"srrta ion Lege i r anon if thiine lessee contracted for the improvement:
33
Name j�p.Q1y11 /u►{ �/ �jr, t
Address I IYo }�� �tai/h ft, 32
Interest In Property OWNER
Name&Address of fee simple titleholder(if different than owner)
4.Contractor Information
Name JANNEY ROOFING LLC Phone Number 321-385-7663
Address 1211 SR 436 SUITE 227 CASSELBERRY.FL 32707
5.Surety(if applicable,a copy of the payment bond must be attached):
Name N/A Phone Number
Address Amount of Bond$
6.Name and address of any person making a loan for the construction of the improvements:]/A
7. Persons within the State of Florida designated by Owner upon whom notices,or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes:
Name N/A Phone Number
Address
8. In addition to himself or herself,Owner designates N/A Of
to receive a copy of the following Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.Phone Number oil �/1
9.Expiration date of notice of commencement(the expiration date son bet year from The date of recording)unless a different date is specified) I y(�V Ur�a las/O25
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN
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
YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature or lessee,or Owner's ar Lessee's Authorized
gn of MeiU TcCeSA WA
State of Florida Officer/Director/Partner/Manager
County of ouvil Okint
Signatory's Title/Office so1'
The foregoing Instrument was acknowledged before me by means of V pk
hysel presence or online notarization,this 2s{day of
No, ,202q ,by 1\\ Q \ a Wra Is ally known or produced DL
as type of,densification.
ANGIE PAREDES n reof ry Public– eof !do(print,type or stomp commissioned name of Notary Public)
Notary Public
i;I,, _ State of Florida
s Corrunfl HH383738
•rh�e�° Expires 4/6/2027
Win OF FLORIDA
DUVAL
I.j NO€RSi1NED Clerk of the C'stnlit 8 County Courts,Duni
County,Rorida,DO HEREBY CERTIFY the
within and forept#Itg.
Ooatrisiin9 o}�peges,is a true and correct copy of the original
a R appears on record and ffile in the office o.f the Clerk of Circuit
a County Cotttts of Duval County,Rorida-
t. tWITNESS my•
hand and seal of Clerk of Circuit&CountfC4}t
o= aJacksonville,Rofida,thisthe Zdayot�+yi AD•.�Gt
Coeds 2
A�
I` C�: Clerk.Circuit and Courcy
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