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2230 BAREFOOT TR RERF23-0036 ROOF REROOF SHINGLE PERMIT PERMIT NUMBER 10E2RERF23-0036 ' CITY OF ATLANTIC BEACH ISSUED: 2/24/2023 800 SEMINOLE ROAD EXPIRES: 8/23/2023 ATLANTIC BEACH. FL 32233 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: 2230 BAREFOOT TRACE REROOF SHINGLE SHINGLE ROOF $30000.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169463 0586 OCEANWALK UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: SHORE ROOFING JACKSONVILLE 929 12TH AVE S FL 32250 COMPANY BEACH OWNER: ADDRESS: CITY: STATE: ZIP: NARKIEWICZ VINCE 2230 BAREFOOT TRCE ATLANTIC BEACH FL 32233-4564 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. t.- A. '1 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $205.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.08 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.05 TOTAL:$210.13 Issued Date: 2/24/2023 1 of 2 r1'�1P%y' Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY of IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: e AQ(-Foo' I / Permit Number: � 3 Legal Description La: 13 CAS-�S--d• ...as)6 3736C ili" RE# 1C9'i -OS Valuation of Work(Replacement Cost)$ / Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition DAlteration ❑Repair ❑Move ❑Demo ❑Pool ❑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 Remo al Permit) ❑No Describe in detail the type of work to be performed: !tc-/)--4,✓ ��L4�511%"'S<S ply Sym•`G"09 4.7tt� Florida Product Approval Jt/ $3SS I l for multiple products use product approval form Property Owner Information 4 A4:3 y2 '3j�f_ Name V /10,C, ItTh iL(,t/ 1 CZ Address �" ,x l U� / art City POtt' °`L- State /a Zip 32L.3 3 Phone 90�("�/© — ICG E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information 1 Name of pCo,mpany ,ho(c k�aD�.�I/ Qualifying Agent *�/�,�/�► 6 Ad✓6 Address 1l I— h 4vt.. City si{X-t?LGcCr` ki State 7 Zip ;Tao Office Phone 9i y `a.4 - UZ Job Site Contact Number !�. -2,1.-C ti j State Certification/Registration# ✓✓C `�lPy'( 1 E-Mail 7 L.. )c1.O/t.. P-ax •- '3� Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer _ OR Exempt o 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 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. .. 144 , k / (Signature of Ow or Agent) (Signature of Contractor) S' nd sworrntor affirmed)before me this t day of Si d a d sworn to(or affir u ed)before me this 'day of V. � ,b ' Zc2 b ))I 0+, • '..c) .gwfAJ..•.otar, S' natuQ7t ray) Notary Public•State of Florida Commission#HH 221099 I [ ]Personall ri vi>s My Comm.Expires Feb 9,2026 —rsonally Known OR ot<wvvq .,, TONI G:NDLESPERGER 11 Produced entifi448f d through National Notary Assn. ( Produced IdenYrficati9'•.�. °= MY COMMISSION#GG 353178 :.• .: `p" EXPIRES:October 6,2023 .^ o: ,F°f:F;°; Bonded Thru Notary Public Underwriters NOTICE OF COMMENCEMENT State ofI ( ii Tax Folio No. / &:.t Y63 0 S 5rG County of t •-)v'^ ` 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 QF COMMENCEMENT.1-14,.- Legal Description of property being improved: O 11 OS- - )../.5`?1513 7-.1S Ou, ,..J n I VA t-(\_c/ 131 ' 1--)`f //4 r Address of property being improved: U30SAIL(_ I'Ot)r /Rntc_. /"t'f-k `L G6 F1 3)23 General description of improvements: 1t e-A.)v1 zc� � � zo Owner: C� AIP' K t et"), CL Address: 3O /TOOf (fin+! m 0 0 0 3 0 Ozjac �* Owner's interest in site of the improvement: "Dm No O 2 d -DB Fee Simple Titleholder(if other than owner): 0 N N J Name: a w o Ni0o o rr.i Contractor: _S•µ0(c/ZOO �• Cc o N di 03 Address: 9 ] ,Z`-1N 5 J itlic <J f 7 •3�2-Sd NJ Telephone No.:1 M 62.26—c)..C75- / Fax No: 0 rJ Surety(if any) o C co Address: Amount of Bond$ —1 rJ Telephone No: Fax No: r 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): THIS SPACE FOR RECORDER'S USE ONLY OWNER / n PAMELA JEAN SHORE Signed:' Date: ry Notary Public-Sate of Florida ' Before me this day of Z in the County of Duval,State Commission#HH 227099 Of Florida,has personally appeared Vi./VCE 'VA R as ` My Comm.Expires Feb 9,2026 0 Notary Public at Large,State o Flo " a,CoN94 Qf I. ( Bonded through National Notary Assn. _ • My commission expires: • x 6"911 /"' '" � � Personally Known: or ,b j 0— 7/P7 1,