500 N NAUTICAL BLVD RERF21-0260 . Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
j=� IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us p /'
Job Address: 500 NAUTICAL BLVD N ATLANTIC BEACH, FL 32233 Permit Number: R ER Fa I - C> (470
Legal Description 35-64 17-2S-29E SEASPRAY LOT11 BLK3 OR 04346-01177 RE#70703-0366
Valuation of Work(Replacement Cost)$ 18402.63 Heated/Cooled SF 2614 Non-Heated/Cooled 887
• Class of Work: ❑New ❑Addition DAlteration XRepair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): DCommercial EXResidential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ENo
• 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 GAF TIMBERLINE HDZ ARCHITECTURAL SHINGLES 40 SQS
JAX MID STATE QUICK FELT UNDERLAYMENT
Florida Product Approval# 10124 SHINGLES UNDERLAYMENT FL17188 for multiple products use product approval form
Property Owner Information
Name WILLIAM F HARPSTER Address 500 NAUTICAL BLVD N
City ATLANTIC BEACH State FL Zip 32233 Phone 904-699-2443
E-Mail williamfosterharpster@yahoo.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company ROOFCRAFTERS ROOFING,LLC Qualifying Agent NICOLE CORSON
Address 1526 LAKE POLO DR City ODESSA State FL Zip 33556
Office Phone 904-813-9534 Job Site Contact Number
State Certification/Registration# CCC1331026 E-Mail tracy@roof-crafters.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer FRSA OR Exempt D Expiration Date JAN 1,2022
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 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.
}•• of Owner or Agent) vV
(Signature g 1 I (Signature of Contractor)
Si ned and sworn to(or affirmed)before me this 23 day of Signed and sworn to(or affirmed)before me this P$ day of
Si
2ti2 t by VJ�►l i F. I.64-ps 2(91C Dbie , 2� , by I -Lars
ature of Notary) i nature of Notary)
iSt 104t, Notary Public State of Florida I f Notary Public State of Florida I
Tracy J Cain I I Tracy J Cain
/ersonally Known OR �c My Commission [✓jPersonally Known ON ff My Commission
[ ]Produced Identification I an� HH 959 HH 959
Exp.8/29/2025 1 [ ] Produced Identificatif n osw EXp.8/29/2025
Type of Identification: - - - -� - - - - --- 41 Type of Identification:
NOTICE OF COMMENCEMENT
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#70703-0366 35-64 17-2S-29E
SEASPRAY LOT 11 BLK 3 OR 04346-01177
Address of property being improved: 500 N NAUTICAL BLVD Atlantic Beach,FL 32233
General description of improvements: RE-ROOF
Owner WILLIAM FOSTER HARPSTER
Address 500 N NAUTICAL BLVD Atlantic Beach, FL 32233
Owner's interest in site of the improvement Homeowner
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Roofcrafters Roofing LLC
Address 1526 Lake Polo Dr. Odessa,FL 33556
Phone No. 877-676-6373 Fax No.
Surety(if any)
Address Amount of bond$
Phone No. Fax Nc.
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: �j DATE 10/27/2021
Doc#2021284612,OR BK 19981 Page 1846, Before me this 27 day of OCTOBER In the
County of Duval,State of Florida,has personally appeared
Number Pages:1 WILLIAM HARPSTER herein by
Recorded 10/28/2021 03:50 PM, himself/herself and af6rm�.
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL are true and accurate t AO:4W Public State of Florida
COUNTY / Tracy J Cain
RECORDING $10.00 / ' or My
170959
o'a Exp,8/29/2025
-.7-t.^1Fr c at Large,State Qf FL County of 6UVAL
My commission exptr *21w
Personally Known 0c or
Prorlurerl irianNarafinn v