487 Royal Palms Dr RERF21-0269 Shingle :- REROOF SHINGLE PERMIT PERMIT NUMBER
- FF \i, "
r -+ RERF21-0269
\I a. CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 11/15/2021
4-`'111, ATLANTIC BEACH. FL 32233 EXPIRES: 5/14/2022
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: i DESCRIPTION: VALUE OF WORK:
487 ROYAL PALMS DR REROOF SHINGLE Shingle: FL10124.1, $4000.00
Underlayment: FL10626-R12
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171484 0000 ROYAL PALMS UNIT
02A3.00
COMPANY: ADDRESS: CITY: STATE: ZIP:
MONAHAN ROOFING 2050 S KING CIR NEPTUNE BEACH FL 32266
OWNER: ADDRESS: I CITY: STATE: ZIP:
LAMAR MAUREEN 487 Royal Palms Drive 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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $75.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$79.00
Issued Date: 11/15/2021 1 of 2
ri' Ll1I�' REROOF SHINGLE PERMIT PERMIT NUMBER
RERF21-0269
CITY OF ATLANTIC BEACH ISSUED: 11/15/2021
800 SEMINOLE ROAD
,.,
`mss» ATLANTIC BEACH. FL 32233 EXPIRES: 5/14/2022
Issued Date: 11/15/2021 2 of 2
Building Permit Application Updated 10/9/18
` - City of Atlantic Beach Building Department **ALL INFORMATION
7-41111r
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone:J (904) 247-5826 Email: Building-Dept@coab.us I/S REDp
Job Address: / d 2 �yca ( Pg /,Yt 0 r, Permit Number: Rt F- 2 r -V/EJQUIR2& -/
Legal Description ./ -- /6—/-7 - 2 c - 21�' i('/f CF PT 0 F RE#
cya.( P4/n,: 614'r-2/? Lc.. r /5 eels 13
Valuation of Work(Replacement Cost)$ 11,060 , Heated/Cooled SFS Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door fermi '
• Use of existing/proposed structure(s): ❑Commercial Edential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes
• 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:
12e, � , F .Sh+ n5ie . rcv F Lrs �nS G(� a^ l+ bz� , n -�
Florida Product Approval# /rG G7L/G/ 2`1 / GA F for multiple products use product approval form
coperty Owner Information Gr(✓�.f� c� f=/ /uG Z ('�
Name ?YlCiurecr Lc/.f-1G r^ Address 1 <-.,
City torn fry State FL Zip 32233 Phone 6/6S' — 7. S— 7-7
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company MOr‘c.hai^ t .C. °Ct." G"(Nt Qualifying Agent TbrV fYlo✓\ahok
Address ,7 c2S O (C k n 5 S G c r c t e 5 v F ' City State Zip
Office Phone 2_2 f_ c' S Job Site Contact Number T o ( ,, 8 -`1 9 2
State Certification/Registration# IZ c 0 C' y -7.3‘e") E-Mail / 4-- M (4 c U r""%
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt o Expiration Date / S / 2 Z.
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
RESU .T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO •!: AIN FINANCI , CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RE •; P/� • R ICE F COMMENCEMENT.
1-
•
(Sign. ure of Owner or gent) (Signature of C ntractor)
`� • .�
Signed and sworn to(or affirmed)before me this %\ day of Signed and sworn to(or affirmed)before me this IJP day of
Nd,r, ZQZ , �o..�-�� '(mit r , 2o1—t , b mhorvo- •rw A i
FifirAMAIOrf
•igt of Notary (Signature tr.tary)
Qf:il
¢ HERON GIBSONNotar Public-State of Florida I "p y ^'qy•• ALICIAM-GABRIEL
- ( �n•�; Commission N GG 298676 j.• • s•
'ersonall Known OR Commission#GG 34j16U
[ ]Personally Known OR My Comm.Expires Mar 15,Z(<Z y {� �°
roduced Identification produced Identification ti rN. Expos Juno 13,2023
„a:
•`.••'' Bondat TMu Uoy rii6i lu�wruu:n 81%0111';AIN
Type of Identification: Type of Identification:
•
NOTICE OF COMMENCEMENT
Permit No. Parcel ID/Tax Folio No.
State of Florida, County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement.
0 Description of property(legal description of property and address if available):
3 -/ .- /7 -25- 276 AVP OF PT OF2(' Yr*I PA un,5- Un, F2l4 LcI- i5 f&Lk 12
2. General Description of improvements: ,
0a)NarneandAddress:gecoc. fn `� 7 l z(J P, c Prl�c a, >i
b)Interest in property: 19--
(
c)Name and address of simple titleholder(if other than owner):
3257;23
4. Contractor Information:
a)Name and Address: fr6'nahah k.00 F, n Cc i. !-r): cto rJ. IN C 2o.sa 0,5 a C r'af.e
b) Phone Number: 2 2/ -o o &c N e.P Au„{ .Qcu Al `4
5. Surety Information: _.?oz.
a)Name and Address:
b)Phone Number: WI A-
c)Amount of Bond: $
6. Lender Information:
a)Name and Address: N/a.
b) Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7,Florida Statutes:
a)Name and Address: N / A
b)Phone Numbers of Designated Person:
8. In addition to himself/herself, Owner designates of to receive a
copy of the Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
a)Name and Address: N A-
b) Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under pe alty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein 14e true to the best of owledge and belief.
i / 1 / i/ I I /.1. I MOLkArtt." Y�.�J� 0.�
at= e of•wner or *wile'' Authorized Cfficer/Director/Partner/Manager -Signatory's Printed Name&Title/Office
1 ‘`_ day of v 1
The foregoing instrument was acknowledged before me this l i Q d, , 20?A ,
by Mo e_.,, is NN,o.r" as DUTYVAI for
(Name of Person) (Type of Authority,i.e.Officer/Attorney (Name of Party Instrument was Executed for)
- -- - - - - - - - - - ...moi
:4 "�4.... THERON GIBSON ( X
1 ',„(kt` Notary Public.State of Florida I / `NOTARY PUBLIC, STATE OF FLORIDA
1 `:; df. Commission#GG 298676
' of F`. My Comm.Expires Mar 15,2023 Print Name: ro�
❑ Personally Known �
Doc#2021303995,OR BK 20015 Page 895, entification'Type: '
Number Pages:1
Recorded 11/15/2021 01:47 PM, •
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Revised 1/18/18
COUNTY
RECORDING $10.00
,
GENERAL INSTRU IONS.FOR FILING A NOTICE OF COMMENCEMENT
In accordance with Sectioi 713.135(d) of the Florida Statutes, a "Notice of Commencement" must
be filed with the Clerk o,' the Court:(County ,Records Division) prior to the commencement of a
construction project of mo c than $2500.00, or $7500.00 for a direct contract to repair or replace an
existing heating or air co a a 'tioning system, and a certified copy of the Notice of Commenceme a t,
must be posted at the jobsi e.
This notice contains deiled information about the project such as property owner, financial
institution,jobsite address contractor, etc., and protects the property owner's title to the property.
Duval County Clerk o Court Office Locations
Location Address Directions Hours
Downtown
Downtown 501 W. Adams St Jacksonville on West
Courthouse Adams St. between 8:00am - 5:00pm
(904) 255-2000 Pearl and Broad Streets
Located in the east
Beaches Branch 1543 Atlantic Blvd corner of Tradewinds
(904) 255-2000 Neptune Beach Plaza near the Duval 8:00am - 4:30pm
County Tax Collector's
Office
Fees for Recording Docu of ents - Effective June 1, 2004
• First Page of Doom-nt - $10.00
• Each'additional page - $8.50
Revised 1/ /18