2069 vela norte cir RERF23-0160 ,t�L REROOF SHINGLE PERMIT PERMIT NUMBER
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CITY OF ATLANTIC BEACH RERF23-0160
800 SEMINOLE ROAD
ISSUED: 10/24/2023
'� ,=;w%' EXPIRES: 4/21/2024
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:
2069 VELA NORTE CIR REROOF SHINGLE SHINGLE ROOF $24000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169506 1090 SELVA NORTE UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
D & D ROOFING, LLC 4877 Raggedy Point Rd Fleming Island FL 32003
OWNER: ADDRESS: 1 CITY: STATE: ZIP:
DELEGAL SHANNON ANNE
STRONG 2069 VELA NORTE CIR JACKSONVILLE FL 32233
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 COONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
. ES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $175.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.63
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$179.63
Issued Date: 10/24/2023 1 of 2
rS'�L'.0(4 REROOF SHINGLE PERMIT PERMIT NUMBER I
r CITY OF ATLANTIC BEACH RERF23-0160
800 SEMINOLE ROAD ISSUED: 10/24/2023
- off%
ATLANTIC BEACH. FL 32233 EXPIRES: 4/21/2024
Issued Date: 10/24/2023 2 of 2
DocuSign Envelope ID:1A9A3E8F-2178-4D79-9609-81 C56F18D023
s:s1 BUILDING PERMIT APPLICATION FORINTEfRRNALOFFICEUSEONLY
r ,,4,_'f, City of Atlantic Beach Building Department PERMIT# KED 2 3- ( I(Q Ti
�� ' 800 Seminole Road,Atlantic Beach, FL 32233 *ALL information required to process
' '151''' Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address 2069 VELA NORTE CIR Atlantic Beach FL 32233 RE# 'j) 6 — )C,'31
Legal Description 39-94 08-2S-29E SELVA NORTE UNIT ONE LOT 45
Valuation of Work(Replacement Cost) %y COO Heated/Cooled SF Non-Heated/Cooled SF
- Class of Work: 0 New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
- Use of existing/proposed structure(s): 11 Commercial ®Residential
- If an existing structure,is a fire sprinkler system installed?: Eves Ohio
- Will tree(s)be removed in association with proposed project? Dyes(Must submit separate Tree Removal Permit) ❑No
Describe in detail the type of work to be performed:
re-roof-single family home-shingles to shingles-40sq-7/12 pitch
Florida Product Approval# FL10674.R4 (For multiple products use Product Approval Information Sheet)
Property Owner Information Name Hickory Delegal Phone ((I1— 333"—( (S
Address 2069 VELA NORTE CIR City Atlantic Beach State FL Zip 32233
Email Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information Name of Company D&D Roofing, LLC. Phone 904-502-5488
Address 4877 Raggedy Point Road City Fleming Island State FL Zip 32003
Qualifying Agent Devin Sallette State Certification/Registration# CCC1330202
Email ddroofingjax@yahoo.com Job Site Contact Number 904-502-5488
Worker's Compensation Insurer OR Exempt ® Expiration Date 01/02/2025
Architect's Name Email Phone
Engineer's Name Email Phone
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 OWNF,R:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE
FOR IMPI VEMENTS TO\YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN
ATTo If.AF,ORE REDO D tQ` Y J NOTICE OF COMMENCEMENT.
(Signature o 0 ner or Agent) Ignature of Contractor)
Signed and sworn to(or affirmed)before(�� me this -vay of Signed and sworn to(or affirmed)before me this VA k�day of
OC )Q 4.07 by SW-i '\ oi... j (�L1U ' C.)c_ 1�(,Q r , 2-0--L-z, by P.. ,n ` ��Q��CJ2--
ti�
Signature of tiV Signature of Notary " J ,a/{,I,J4:
[ j Personally Known OR [ P oduc [
ed Identification I I Personally K wn OR Produced Identification
Type of Identification: ��
S r� Type of Identification: (---LV)L_
`x. `hitt l'—t rK r�C C
1-(f OF t/ .•:ae+.°<4;., LEANNE DONOHUE tet'►y1, Notary Public State of Florida
C vu1N h�kv Lt ?� r'- 1, Commission#GG 943250 Jamb Pica
"^-.'^�•a: Expires April 28,2024 i My Commission HH 075373
:',Y6' °�` Expires 12/29/2024
° ",, Banded Tree Troy Fain Insurance 800.385-7019 �3cr r
Doc # 2023218316, OR BK 20847 Page 892 , Number Pages : 1 ,
Recorded 10/20/2023 04 :56 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
R ERF ZS -01G C
DacuSign Envelope ID:1A9A3E8F-2176-4079-9609.81 C56F180023
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No.
County of Duval
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713
of the Florida Statutes,the following Information is stated in this NOTICE OF COMMENCEMENT.
legal Description of property being improved:39-94 08-2S-29E SELVA NORTE UNIT ONE LOT 45
Address of property being improved:2069 VELA NORTE CIR Atlantic Beach FL 32233
General description of improvements:Re-roof
Owner:Hickory Delegal Address:2069 VELA NORTE CIR Atlantic Beach FL 32223
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner): _
Name:
Contractor:D &D Roofing, LLC.
Address:4877 Raggedy Point Road Fleming Island FL 32003
Telephone No,:904-502-5488 Fax No:
Surety(if any) _
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:None
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:None
Address:
Telephone No: Fax No: t`
In addition to himself, owner designates the following person to receive a copy of the uenor',s Notice•as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option) �C, KC)
Name:None �4. �•• `� . '
Address: ��Q�d�`
Telephone No: Fax N 1›r-• ` • •
Expiration date of Notice of Commencement(the expiration date iso (1)yelar e date of recording unless a different date r�
specified): ..xa.
THIS SPACE FOR RECORDER'S USE ONLY OWN
14, ql
�� 1. 14,1 m�
Signed: 40 . ,Date:1
Before me this L day of►��MIUMA in the County of quval,;to m
Of Florida,has personally appeared �` J .L ! IeK- _
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Notary Public at large,Stat of Florida,County of Duval. J s �,•°
My commission expires: OLIVA 6 Lek Notary Signature: 1,'l't'
Personally Known: m E
Produced Identification: ks