395 GARDEN LN RERF22-0098 REROOF SHINGLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RERF22-0098
800 SEMINOLE ROAD
ISSUED: 4/28/2022
ATLANTIC BEACH. FL 32233 EXPIRES: 10/25/2022
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:
395 GARDEN LN REROOF SHINGLE SHINGLE ROOF $12300.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 5204 SELVA MARINA GARDEN
02
COMPANY: ADDRESS: CITY: STATE: ZIP:
SUNRISE ROOFING 762 7TH AVE S JACKSONVILLE FL 32250
COMPANY
OWNER: ADDRESS: CITY: STATE: ZIP:
SATTERLEE G BENJAMIN 395 GARDEN LN ATLANTIC BEACH FL 32233-4535
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $115.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$119.00
Issued Date:4/28/2022 1 of 2
Building Permit Application
Updated 10/9/18
City of Atlantic Beach Building Department **ALL INFORMATION
j HIGHLIGHTED IN GRAY
800 Seminole Road, Atlantic Beach, FL 32233
� ��
Phone: IS REQUIRED.
(904) 247-5826 Email: Building-Dept@coab.us j� n
Job Address: 355J eickic(P.i�'\ Lin• 1Aktrt(�fit( (5( . 7.-,-- ermitNumber: 1 \E`tF ZZ- do
Legal Description SR-3") O 7 S-2c E 5 t,(v4 N1te.Ctl~G, (rd e in )TA/Q LA'- 2 RE# 1/20 20 --52044
Valuation of Work(Replacement Cost)$ 1'2�1�3U ,C�7 Heated/Cooled SF 199 Non-Heated/Cooled 41 3 2-
• Class of Work: ❑New ❑Addition ,Iteration ❑Repair OMove ❑Demo OPool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial . ftesidential
• If an existing structure,is a fire sprinkler system installed?: OK Ii<P1
• Will tree(s)be removed in association with proposed project?❑Yes(must submit separate Tree Removal Permit) Uo
Describe in detail the type of work to be performed: jI\e_Rs:), W `4,1`1 , tit "�
Florida Product Approval# E( 1'Dk,,---- +4 -‘2...ET for multipl products use product approval form
Property Owner Information Vhdr by t 'F I-q 777- 12—
Name 1t'likoA.t rl SCIA-1-- C t &g.._ Address -f L"'�t.(CL-C i'> ( et V`\Q
City A7 la i 1'VAC:. 11)e�l.c!— State FC. Zip ''232....226 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company 7i)in ei5 Z'- b \\ c CY) • Qualifying Agent T Yck�S (fit l' 1Q&k
Address '7(p 2- 11\A 0-v 2 _S, City (�120�)�tate F i . Zip 322�•O
Office Phone IO N- 3 7._3_ ) 2 9 Job Site Contact Number 10t(-3"x-2,-)41 2.`)
State Certification/Registration#CC:C) '-).)) .7(�-; E-Mail )Cc\ C2,_1 -"-- v-A v ) S . I' CI C'S. C 1-V1
Architect Name&Phone# JJ
Engineer's Name&Phone# :)\} 1 II--
C��}�
Workers Compensation Insurer OR Exempt Expiration Date 6 /-z 2_/ 2 44
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 entitles 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. A
(Signature of Owner or Agent) (Signature of Contractor) -7
Signed and sworn to(or affirmed)before me this 0!, day of ( ed and sworn to(or a •• before me thi C_ •.y of
•
2.01-2 ,by r� f-I-er�(e i p rc ,ZO2. , . •' 6-1r.-I(-�
AP�,, _ �iy
• (-1! . ure•471h.
�:e ` •
JANMAURICIOWALKERROBERTSON ,‘' ` MY COMMISSION#HH 009325
[ )Personally Known OR' .c
_ , EXPIRES:June II,2024 [ )Personally Known OR
roduced Identificatio► "•'fo'iF�°o Produced Identificati 1�.m. me
Bond Thru Notary s��bfic Underwriters [ ) Q11 � TONT GINDLE.iPERGER
Type of Identification: Type of Identification:
;it Y COMMISSIC:',i#CC 363178
`•+ '`.,,- EXPIRES:Cr!;her 6,2023
';pP,?Y`' Bonded Th Notar . c Underwriters
Doc # 2022099729, OR BK 20232 Page 1502, Number Pages: 1 ,
Recorded 04/20/2022 11 :52 AM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
State of FLORIDA
Tax Folio No. 172020-5204
County of DUVAL
To Whom it May Concern:
The undersigned hereby informs you that improvements will be made to certain realproperty,and in accordance with Section 713
of the Florida Statures,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 38-39 09-2S-29E SELVA MARINA GARDEN TWO LOT 2
Address of property being improved: 395 GARDEN LANE,ATLANTIC BEACH,FL 32233
General description of improvements: RE-ROOF
Owner. BENJAMIN SATTERLEE
395 GARDEN LANE,ATLANTIC BEACH,FL 32233
Address:
Owner's interest in site of the improvement: OWNER
Fee Simple Titleholder(if other than owner): N/A
Name:
Contractor: SUNRISE ROOFING COMPANY
Address: 762 7TH AVE S.,JACKSONVILLE BEACH,FL 32250
Telephone No.: (H95-1835 Fax No:
Surety(if any) WA
Address:. _ Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the Improvements
Name: WA
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: WA
Address:
Telephone 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 Statues. (Fill in at Owner's option)
Name: N/A
Address:
Telephone 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: ✓�='r t:` %tai '✓`'` Date: 41/6 /crZ,.z
Before me this De;` day of 4pr'1 161-4 in the County of Duval,State
Of Florida,has personally appeared G:ant -utf-e-r(s
J•11,11.4 r .r "r Sy Notary Public at Large,State of FI rids,County of Duval.
M commission expires: 06 71 �-o�
:�`:�'`•�::,iaa�aw�rcrowwc�aoeESTsoN y p� / q
••• • MY COMMISSION 0 HH 009325 Personally Known: or
EXPIRES:Juae 11,2024 Produced Identification: De; rtf L Ge nsc _
-4:5W" hu• Bonded TNewry Pubfc Daderwtbr: rbe (py t15 vS p1►��{s:w`t fir /lc& or
/ _ C\or%l;\r-e- k s. o .
I Ilf INSPECTIONS REQUIRED FOR BUILDING PERMITS
i To verify compliance with building codes,inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
`J13 OT Date: Initial: Date: Initial:
Power Pole Final Plumbing
Silt Fence Final Electrical
Piers/Stem Walls Final HVAC
Underground Plumbing CC Final
Underground Electric Final Building*
Foundation/Footing *For new living space:When all construction work including electrical,plumbing,
mechanical,exterior finish,grading,required paving and landscaping is complete
Slab** and the building is ready for occupancy,but before being occupied
•0FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION Swimming Pool Steel
Retaining Wall Footing Swimming Pool Safety
Driveway Electrical Grounding&Bonding
Sewer(Building Dept) Swimming Pool Final (Bldg)
Sewer Tap(Utilities Dept) Swimming Pool Final (PW)
Additional inspections may apply to your project if your project
Rough Electric*
contains these elements:
Rough Plumbing/Top Out* Formed Columns/Beams*
Rough Mechanical* Masonry Cell Fill
*When all rough electric,plumbing,mechanical are complete but before any work is *When forms and reinforcing steel,anchor bolts,sleeves and inserts,and all
covered up. electrical,plumbing and mechanical work is in place,but before concrete is poured.
House Wrap Structural Steel*
Wall Sheathing *When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
Roof Sheathing
OTHER:
Tie-down Framing Connections
OTHER:
Rough Framing
OTHER:
Roofing In Progress
OTHER:
Window/Door In-Progress
OTHER:
Insulation Ceiling
Insulation Wall
Ski tL` Roo ;-•
Exterior Lath -
Permit Type
Stucco Scratch Coat
Exterior Siding In-Progress RE ik 2Z ep OO' g
Brick Flashing&Ties ^ Permit No.
Early Power C./� C
K Ptn bE
�v
Gas Rough ` Job Address
Gas Final* T(
*When all gas piping is complete and wallboard is installed but before gas isS u� •�.f{r S RcoP-'
attached to any appliance.All outlets must be capped and pipe pressurized at a
minimum of 15 lbs. Contractor
POST THIS CARD WITH PERMITS AND PERMIT
Building Department Public Works/Utilities Fire Department DOCUMENTATION IN FRONT OF BUILDING
Phone:904-247-5826 Phone:904-247-5834 Phone:904-630-4789
Fax:904-247-5845 Fax:904-247-5843 Fax:904-630-4203 INSPECTION LINE: 904-247-5814
MUST CALL BY 4PM PREVIOUS DAY FOR NEXT DAY INSPECTION
Construction Hours per City Code:lam-7pm Weekdays,9am-7pm Weekends