Loading...
570 ORCHID ST RERF23-0120 ��''''' REROOF SHINGLE PERMIT PERMIT NUMBER JS , :� r CITY OF ATLANTIC BEACH RERF23-0120 800 SEMINOLE ROAD ISSUED: 8/3/2023 --on .� ATLANTIC BEACH. FL 32233 EXPIRES: 1/30/2024 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: 570 ORCHID ST REROOF SHINGLE SHINGLE ROOF $9100.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170906 0100 ATLANTIC BEACH SEC H COMPANY: ADDRESS: CITY: STATE: ZIP: H & H HOMES INC 12218 LYONS ST JACKSONVILLE FL 32224 OWNER: ADDRESS: CITY: STATE: ZIP: ENGRAV THOMAS A 5281 EAGLE CLAW DR BULVERDE TX 78163 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 $100.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$104.00 Issued Date:8/3/2023 1 of 1 BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY f' ` City of Atlantic Beach Building Department PERMIT# F P -OIZQ rr I,; 1i 12 800 Seminole Road, Atlantic Beach, FL 32233 **ALL information required to process ==1" Phone: (904) 247-5826 Email:Building-Dept@coab.us Job Address 570 Orchid St RE# 170906-0100 Legal Description 18-34 17-2S-29E SEC H ATLANTIC BEACH 5 10FT LOT 1, LOT 2 BLK 127 Valuation of Work(Replacement Cost) $9,100.00 Heated/Cooled SF Non-Heated/Cooled SF - Class of Work: ❑ New ❑Addition ❑Alteration ❑Repair Move ❑Demo ❑Pool ❑Window/Door - Use of existing/proposed structure(s): ❑Commercial 0Residential - If an existing structure, is a fire sprinkler system installed?: [Yes JNo - Will tree(s)be removed in association with proposed project? ❑Yes(Must submit separate Tree Removal Permit) Z No Describe in detail the type of work to be performed: RE-ROOF f l J '\ 'iN \.Q_ roo-c\- Florida Product Approval# ii (l (:y I Z . , (For multiple products use Product Approval Information Sh:; ) Property Owner Information Name Thomas A Engrav Phone'* z I O, ?6,3—, 33 6 6 Address 5281 Eagle Claw Dr City Bulverde State TX Zip 78163 Email r40M, t, t� ,4v e ap'r Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company H&H Homes, Inc. Phone (904)838-6318 Address 12218 Lyons St City Jacksonville State FL Zip 32224 Qualifying Agent Timothy Hawarah State Certification/Registration# CCC#1330854 Email timhawarah@reagan.com Job Site Contact Number (904)838-6318 Worker's Compensation Insurer OR Exempt k„ Expiration Date 01/24/2025 Architect's Name N/A Email N/A Phone N/A Engineer's Name N/A Email N/A Phone N/a 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. 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 YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE REC DING YOUR NOTICE OF COMMENCEME ' L _� _ /L4,c26?-tt2c.-/ )C.ZA eq (Signature of Owner or Agent) / (Signature of Contractor) Signed and sworn to(ornnaffirmed)before me thisn3(--1 day of Signeand sworn to(or affirmed)before me this day of T L)i' , •x00.3 by ill A)ilut) C✓1�)rat/ �_\t.c. ty , - . - by bb �'���Ma /J / Signature of Notary (i. � ���. Signature of Notary111P f rtJ C J .,�%G/.1/'i / [ ]Personally Known OR [x!j Produced Identification [1ersonally Known OR [ I Produced Identification Type of Identification:-re_X'\5 )v;v.ev S L,i'.w1 .Q Type of Identification: — f 4---- 444444 e4�_e--------4. I iiii.i►ue-. GLENDACCOLLINS SARAH E VALLE , ;�. Notary Public•State cf=:orida Q: Commission a HH 235015 ''� Notary Public,State of Teats :: � '• 'o ` My Comm.Expires Apr 26.2026 I .. ' hty Comm.Exp.10-10-2026 ;: I Bonded through Nationai Notary Assn. ID No.13400770-5 Doc # 2023159245 , OR BK 20765 Page 981 , Number Pages : 1 , Recorded 08/02/2023 11 : 03 AM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 . 00 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. RE# 170906-0010 State of FLORIDA County of DUVAL To whom It may concern: The undersigned hereby informs you that Improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information Is stated in this NOTICE OF COMMENCEMENT. Legal description of property being Improved: 18"34 17-2S-29E SEC H ATLANTIC BEACH • S 10FT LOT 1, LOT2 BLK 127 Address of property being improved: 570 ORCHID ST ATLANTIC BEACH, FL 32233 General description of improvements: RE-ROOF Owner THOMAS A ENGRAV Address 5281 EAGLE CLAW DR BULVERDE,TX 78163 Owner's interest In site of the improvement 100% Fee Simple Titleholder(if other than owner) NONE Name N/A Address• N/A Contractor H&H HOMES,INC Address 12218 LYONS STREET JACKSONVILLE, FL 32224 Phone No. 904"838-6318 Fax No. N/A Surety(if any) NONE Address N/A Amount of bond$ N/A Phone No. N/A Fax No. N/A Name and address of any person making a loan for the construction of the Improvements. .. Name NONE ;r Address 'N/A 4...4 7 Phone No. N/A Fax No. N/A $ • Name of person within the State of Florida,other than himself or herself,designated by owner upon whom g " notices or other documents may be served: Name NONE Z' _O n Address N/A 41 N/A .r Phone No. N/A Fax No. ;; or: In addition to himself or herself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(FIII In at Owner's option). ;; Name -NONE Address N/A i Phone No. N/A Fax No. N/A (,) ~ Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a U different date is specified): THIS SPACE FOR RECORDER'S USE ONLY NER Signed: DATE 1401 121V.,P' Before me this_ALL day of dUYll. _ ,pInth!../ • Cou of Bevel,Slate of Halide las personally appeared lig• fig a. — l I. ea.. herein by himself,' - If and a'nns that a I sta: f-me and dedaraflcns hereln are an,accurate • � . N.• Pubic at Large.State of �l$4pp-TC't Minty of t3xar • My ccmmisslon expires: CH•Q L( Z a/ Personally Krw,vn L At - or Produced Identification TK • PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED) *Project Address: S7 D 6C' Permit#: ZS -01 Z0 *Owner/Project Name: 11'1614A0--5 E iJ q r,4 JJ /\ E `- As required by Florida Statute 553.842 and Florida Administrative Code Rule 61G20-3, please provide the information and product approval number(s) for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide product approval may be obtained at:www.floridabuilding.org. Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A. EXTERIOR DOORS 1. Swinging 2. Sliding 3. Sectional 4. Garage Roll-Up 5. Automatic 6. Other B. WINDOWS 1. Single hung 2. Horizontal slider 3. Casement 4. Double hung 5. Fixed 6. Awning 7. Pass-through 8. Projected 9. Mullion 10. Wind breaker 11. Dual action 12. Other Page 1 of 4 Updated 06/21/21 Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C. PANEL WALL 1. Siding 2. Soffits 3. EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7. Glass block 8. Membrane 9. Greenhouse 10. Synthetic stucco _ 11. Other D. ROOFING PRODUCTS ' 1.Asphalt shingles kr ��rh .�ri (,PS t 2. Underlayments s'�gRu}Ri913, =/f2 -t 4{-rte ( 47C, 19302.1 I 3. Roofing fasteners ' 4. Nonstructural metal V F roof STA ru pt 6-e) R(45 ✓•zcd5 C la f(D67-D 5. Built-up roofing 6. Modified bitumen 7. Single ply roofing 8. Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof 17. Other Page 2 of 4 Updated 06/21/21 In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation instructions along with this Product Approval Sheet. I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the ones listed in this document must be approved by the Building Official. *Contractor Name (Print Name): 11 14 d (A-ra ✓^4-,4 *Contractor Signature: lgreAkircA-- *Company Name: �. 4 t miA-es ^/L- *Mailing Address: 10- a l ILy ©N S *City: �1 Q•LAk�©SII✓ l 6le *State: *Zip Code: 3 *Telephone Number: *E-mail Address: --/-7114 tiu ktialre--A r a... .L `44 Cell Phone Number: °'ci) $3t Fax Number: A/e9A Page 4 of 4 Updated 06/21/21