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535 Royal Palms Dr RERF21-0270 Shingle rte REROOF SHINGLE PERMIT PERMIT NUMBER ) CITY OF ATLANTIC BEACH RERF21-0270 800 SEMINOLE ROAD ISSUED: 11/15/2021 EXPIRES: 5/14/2022 ATLANTIC BEACH, FL 32233 MUST CALL INSPECTION PHONE LINE(904) 247-5814 BY 4 PM F a EXT 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: 535 ROYAL PALMS DR REROOF SHINGLE Shingle: FL10124 R1, $10000.00 Underlayment: FL10626-R12 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171307 0000 ROYAL PALMS UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: MONAHAN ROOFING 2050 S KING CIR NEPTUNE BEACH FL 32266 OWNER: ADDRESS: CITY: STATE: ZIP: SCHWAB DAVE 535 ROYAL PALMS DR 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. Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. L- DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $105.00 STATE DBPR SURCHARGE 455-0000-208 0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$109.00 Issued Date: 11/15/2021 1 of 2 REROOF SHINGLE PERMIT PERMIT NUMBER c's ,\ RERF21-0270 CITY OF ATLANTIC BEACH q r 800 SEMINOLE ROAD ISSUED: 11/15/2021 ATLANTIC BEACH, FL 32233 EXPIRES: 5/14/2022 Issued Date: 11/15/2021 2 of 2 Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY ``is w' IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: S R - I Po I m5 C Permit Number: �'r t-g -Z/ - OZ 70 Legal Description 30- ("04 I'7- 2 S _�q L ROYAL PALMS 4 ,2 RE# LUT I a•- d�K q Valuation of Work(Replacement Cost)$ )Di 600, ` m Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair❑Move ❑Demo ❑Pool ❑Window/Door �` ` • Use of existing/proposed structure(s): ❑Commercial 17Residential • If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No • Will tree(s) be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) EINo Describe in detail the type of work to be performed: Compiei uhr L— rerc � � rch. G/1P rviNr-Iin Florida Product Approval# rL_ _/, // Z`7 22 4 61-At F for multiple products use product approval form Property Owner Information FL /06, z-c- 'eiz. t,ue„l ,„ u'Gr`r Name pc,v.c ial) Address 535 Rail/) P4,1# 1S D2. City f3 f- 4 , QState r<--, Zip X22 "5 Phone 372. - cf9) C E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company 1`Y)o"-,c,4he t2cr,F,, Co,,frq fc.QualifyingAgent 'Tb( \ mora n vm Address 2 0 S K, s C r c I e o t h City A epi-u --� 13cr-, State FL Zip 7e Z G (o Office Phone 2 2 t - voS•S Job Site Contact Number Tom SC,a - State Certification/Registration# E-Mail `TL Mona he., Q c o meds H , n e (- Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt❑ Expiration Date y /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 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 OTICE OF COMMENCEMENT.r/ 00 ,(Sign; ur)of O er or Agent) (Signature of Contractor) Gh/ Signed and sworn to(or affirmed)before me this day of Signed and sworn to(or affirmed) before me this l iay of , Zo2U , by 'lf(,c,✓j / :SCA 7-1907Y1 v2mI1(, �D'LI , Y��n�q5 (�AVw�.►tea--~�.4� SUSAN E SOLOMON "� n cY v� • 46 • - MY COMMISSION#GG 283750 (Signature of Ndtary) (Si ature ary) f-.2L•A EXPIRES:December 12,2022 - ,8r rN, Thru Pubric Underwriters '"',c' .. ALICIAM.GABRIEL ■r [ ]Personally Known OR *" 1 r • * Commission#GG 345160 [ roduced Identification roduced Identification ��^ ,-, r� � 7,i::' Explros Juno 17,2023 Type of Identification:1"- /Od �: !3-S -0149—J 'Type of Identification: `F( t� `�? �:.i t. n, nm,,,r„ryrild„tnuu:,ucnnon701 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): 3o--liq 1.7 25 -- J414 Qorl Pa,IMS �4-3;.c L.oT 12 Si-W. 9 2. General Description of improvements: Com eicf e . ero'F ,Shins_leS 3,! Owner Information: a)Name and Address: 0M)io SeHw S35aDIA, omi-is DR. ,,t,A.,,, v1-. oc'ke4 -4'I 32233 b)Interest in property: c'c Nc.c c)Name and address of simple titleholder(if other than owner): 4. Contractor Information: a)Name and Address: fY16. tc ha� P.43.1. Fa .,S C_,cn f rcaclo I-J. IN c 20S'a r.,S a Cr,,,,,t, b)Phone Number: 22/ -00 SS' aver /14,-).< 46" ....c., �, r,4 5. Surety Information: zG a)Name and'Address: b) Phone Number: N j 15. c)Amount of Bond: $ 6. Lender Information: a)Name and Address: NI 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 I i 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: 6J//II- b) /pb) 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 penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. (737) ACLJbL x DfV Q 50.KwAO Ow+�Ch Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office The foregoing instrument was acknowledged before me this /� day of , L ,20 24 , by Dac,✓Lel SCh as o it/ for •L,. . (Name of Person) (Type of Authority,i.e. 0 fficer/Attorney) (Nam;ofd. Instrument was Executed for) I SUSAN E SOLOMON ,XN 66 TARY PUBL C STA E OF O IDA 4 ' ;g IiIY COMMISSION I GG 283750 i1 (!�J EXPIRES:December 12,2022 Pont Name: ... AS-C1.-/) - fin "A. 1 __ A. Banded flru Notary Pubic Underwriters ❑ Personally Knownp ,—, pIdentification'Tye: !Di - - Ti-0 Doc#2021303996,OR BK 20015 Page 896, Number Pages: 1 Recorded 11/15/2021 01:47 PM, • Revised 1/18/18 JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 GENERAL INSTRU IONS FOR FILING A NOTICE OF COMMENCEMENT In accordance with Sectio 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 e than $2500.00, or $7500.00 for a direct contract to repair or replace an existing heating or air co itioning system, and a certified copy of the Notice of Commencemel.t, must be posted at the jobsi e. This notice contains deiled information about the project such as property owner, fmanci: 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 is ents - Effective June 1, 2004 • First Page of Docum-nt - $10.00 • Each'additional page - $8.50 NON �E©p10) .i NAV U pa; Revised 1/ /18