1675 BEACH AVE RERF22-0075 - REROOF SHINGLE PERMIT PERMIT NUMBER
4S >f
A CITY OF ATLANTIC BEACH RERF22-0075
''-F s ISSUED: 4/1/2022
800 SEMINOLE ROAD
'1.0111 ATLANTIC BEACH. FL 32233 EXPIRES: 9/28/2022
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: DESCRIPTION: VALUE OF WORK:
1675 BEACH AVE REROOF SHINGLE SHINGLE ROOF $17360.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169659 0000 NORTH ATLANTIC BCH
UNIT 1
COMPANY: I ADDRESS: CITY: I STATE: ZIP:
B. SMITH ROOFING, INC. 13525 SAWPIT RD JACKSONVILLE FL 32226
OWNER: ADDRESS: CITY: STATE: ZIP:
STOCKTON GILCHRIST B III 1675 BEACH AVE ATLANTIC BEACH FL 32233-5840
ET AL
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 $140.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.10
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $144.10
Issued Date:4/1/2022 1 of 2
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
�' 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 1 t (6e,rock gyp-, cOlig'v1',6 32-)33 Permit Number: NCR Z Z,- °C57�
Legal Description Isla p-tlrri•c VirArF,i l ri,-j I LC4 (6 RE# 1691,>9 .—ono°
Valuation of Work(Replacement Cost)$ 11)366.66 Heated/Cooled SF XL-1'39 Non-Heated/Cooled 3 0-7 c9,
• Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑Move Remo DPool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Residential
• 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) [1No
Describe in detail the type of work to be performed:
o,)k' 3(> C5 of 56eiQIc.5
Florida Product Approval# I' L IOL Z 4. 1 / 40 l � for multiple products use product approval form
Property Owner Information
Name 5 AL) a-1- c,j oc,k dol l Address 1 (,--15 ' d' AVenut,
City N1p-dtc, `6eState Zip 3)-D33 Phone —104— 3t,
E-Mail •r)/A
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company (-6 5ry.4.r c•D 0frr1) Qualifying Agent 3i-4F
Address t 35 5 3 tiw prt City j.fax- State FL, Zip 31Ya4
Office Phone (l6 4• 3 7`6-`b,10,5 Job Site Contact Number
State Certification/Registration# ►3)..4D`I E-Mail b 5n, ct F034-i,-,e n
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer oN S L,y9 CcPn(+:x-/ \r4C, `71949' OR Exempt❑ Expiration Date
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
-1•BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
o N RE ORDING YOUR NOTICE OF COMMENCEMENT.
N' .�
w
a = co N (Signature of Owner or Agent) (Signature of Contractor)
I`9• . o'ESS; ed and sworn to(or affirmed)before me this VI day of Signed and sworn to(or affirmed)before me this 21 day of
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\�"P� HANNAH A. PIERCE
`\ �� - •^ ...w-may,.y �� ��Yri;i NotaryPublic-State of Florida pvr: , 1?Personal) Known OR ^w-. HANNAH A. PIERCE
' rsonally Known I• ;� yr Commiss # H t 163:':r [� y :i „Notar Public-State
orfaii% educed Identifica i.i; iii. My Corn i' " Expires [ ) Produced Identification = Commission # HH 1532. 7
lype of Identification: ""' Au. 5 Type of Identification: =� ,t.•',�� My Commission Exsire;
YP ..... ...�., .._....-r '�?,,.,,,J August 09, 21)?5
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No.
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: 15-10 9-2S-29E .220 NORTH ATLANTIC BEACH UNIT 1 LOT 16
Address of property being improved: 1675 Beach Avenue Atlantic Beach, Florida 32233
General description of improvements: re-roof 36 squares of shingles
Owner: Stuart Stockton Address: 1675 Beach Avenue Atlantic Beach,Florida 32233
Owner's interest in site of the improvement: Simple
Fee Simple Titleholder(if other than owner):
Name: _
Contractor: B.Smith Roofing,Inc.
Address: 13525 Sawpit Road Jacksonville, Florida 32226
Telephone No.: (904)378-8605 Fax No: (904)378-8606
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
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:
eI,,O�
Telephone No: Fax No:
spma c':
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in cf,+•1111?;;.•
713.06(2) (b), Florida Statues. (Fill in at Owner's option) c c=
Name: '' 3 D
Address: 0 3 y c Z
e3 '>
.._.ten =
Telephone No: Fax No: o H.* D
I . • S°; •
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a differen IV f° -0
specified):
N6 r)
In �:.m
a
THIS SPACE FOR RECORDER'S USE ONLY OWNER ,, Q
Signed: "„,t(41�' ,lJ ECNN. Date: 3/;-9/).2-
Doc#2022081606.OR BK 20204 Page 1571, 3efore me this ,;,9 day of rri I(l.-1 in the County of Duval,State
Number Pages. 1 )f Florida,has personally appeared 5-IJP. r 5 o<.K-fuNI
Recorded 04/01/2022 10:59 AM,
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Votary Public at Large,State�,o'f Florida,County of Duval.
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COUNTY vly commission expires: f [. :S\ 01, C,S
RECORDING $10.00 Personally Known: ,-------- ''--) _or
Produced Identifi ion:
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