365 AHERN ST RERF22-0166 REROOF SHINGLE PERMIT PERMIT NUMBER
Ai ' CITY OF ATLANTIC BEACH RERF22-0166
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ISSUED: 7/18/2022 800 SEMINOLE ROAD
''i► z��pp��%%�� ATLANTIC BEACH. FL 32233 EXPIRES: 1/14/2023
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:
365 AHERN ST REROOF SHINGLE SHINGLE ROOF $12000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169751 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
ORTWELL CONSULTING, JACKSONVILLE
LLC 3016 S 3rd ST#102 BEACH FL 32250
OWNER: ADDRESS: CITY: STATE: ZIP:
NELSON MELISSA J 352 7TH ST ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II`
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.
INV 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:7/18/2022 1 of 2
1.153"444 Building Permit Application Updated 10/9/18
4- ALfrra?
City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
4:.k IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us (� t`
Job Address: 04TI.ANTIC H,FL 32233 Permit Number: RE D��" Z a "0 Co
u
Legal Description �2'.&� Tl-ANTIC BEACH LOT 22,E1/2 LOT 24 BLK 2 RE# 16004000'
_
Valuation of Work(Replacement Cost)$12. . Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration 1Z1Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial IA Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ENo
• Will tree(s)be removed in association with proposed proiect? ❑Yes(must submit separate Tree Removal Permit) VINo
Describe in detail the type of work to be performed:
REROOF USING ARCHITECHTURAL SHINGLES
Florida Product Approval #SHINGLE-FL10674-R16 UNDERLAYMENT-FL15216-R10 for multiple products use product approval form
Property Owner Information
Name MELISSA NELSON Address 352 7TH ST
City ATLANTIC BEACH State FL Zip 32233 Phone 904-352-3016
E-Mail CHRISCODDYAB@GMAIL.COM
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company ORTWELL CONSULTING LLC dba TAURUS ROOFINOualifying Agent MITCHELL TIDWELL
Address 1664 ROBERTS DRIVE City JACKSONVILLE BEACH State FL Zip 32250
Office Phone 904-885-3263 Job Site Contact Number 904-885-3263
State Certification/Registration#;CCC1332124 E-Mail MITCH@TAURUSRECOVERY.COM
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer OR Exempt in Expiration Date f 'y �
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
REC' ; 'ING YQURplOTIdi 0 COMMENCEMENT.
(Si:•.ture df owner or Agent) (Signature of Contractor)
Signed and sworn to(or affirmed)before me this�b day of Signed,and sworn to(or affirmed)before me this l day of
v l 2e ,by frie i ss a v4-is oar Ja , 751-2 ,by "'l. e !rTelo e l/
/ of ) d / (Signa., e of Now* GIOdwald
r Notary Public - Notary Public
' _ State ofFlorlda �.
[ ]Personally Known OR �.,.:,- . Comm#HH151804 [ ]Personally Known OR - 4, -
�_ State Florida
Commis HH151804
4.....i-Froduced Identification V Expires 7/11/2025 -J'Produced Identification 1 Expires 7/11/2025
Type of Identification: OL_ Type of Identification: O`
Doc # 2022188234 , OR BK 20364 Page 1372 , Number Pages: 1 ,
Recorded 07/18/2022 03: 03 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
NOTICE OF COMMENCEMENT
State of FLORIDA Tax Folio No. 169751-0000
County of DUVAL
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 5-69 21-2S-29E ATLANTIC BEACH LOT 22,E1/2 LOT 24 BLK 2
Address of property being improved: 365 AHERN STREET,ATLANTIC BEACH,FL 32233
General description of improvements: REROOF
Owner: MELISSA NELSON Address: 352 7TH STREET,ATLANTIC BEACH,FL 32233
Owner's interest in site of the improvement: OWNER
Fee Simple Titleholder(if other than owner):
Name:
Contractor: ORTWELL CONSULTING LLC dba TAURUS ROOFING
Address: 1664 ROBERTS DRIVE,JACKSONVILLE BEACH,FL 32250
Telephone No.: (904)885.3263 Fax No:
Surety(if any)
Address: Amount of Bond$
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:
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:
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): 10/01/2022
THIS SPACE FOR RECORDER'S USE ONLY 46,1",*'�%WNER
• . •- igned: / i �� Date: ��• __�:
Before me this . .ay ov in the Co ty of P val,State
NN has personally:.pea ed e r fit Arg 7S0
ie !Florida,tary Public at Large,State• 'lorida/Courp of Duval.
2 commission expires: 2 07.S
N = p y sonally Known: or
duced Identification: /