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499 SELVA LAKES CIR RERF23-0187 Ate. REROOF SHINGLE PERMIT PERMIT NUMBER . .`}; CITY OF ATLANTIC BEACH RERF23-0187 800 SEMINOLE ROAD ISSUED: 12/14/2023 - j s) ATLANTIC BEACH, FL 32233 EXPIRES: 6/11/2024 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: I VALUE OF WORK: 499 SELVA LAKES CIR REROOF SHINGLE SHINGLE ROOF $8170.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172027 5038 SELVA LAKES COMPANY: ADDRESS: CITY: STATE: ZIP: LO 5380 TIMBERLINE DR JACKSONVILLE FL 32277 CONSTRUCTION & OWNER: ADDRESS: CITY: STATE: ZIP: IMBODY JONATHAN 499 SELVA LAKES CIR ATLANTIC BEACH 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 CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $95.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $99.00 Issued Date: 12/14/2023 1 of 2 pfd,,,,, BUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY 'i .'0,4 1 City of Atlantic Beach Building Department � 800 Seminole Road, Atlantic Beach, FL 32233 **ALL information required to process - � J- - PERMIT# E� z ' bI87 _,fPhone: (904) 247-5826 Email: Building-Dept@coab.us Job Address 499 Selva Lakes Circle,Atlantic Beach, FL 32233 RE# 172027-5038 Legal Description 41-55 17-2S-29E Selva Lakes Lot 18 Valuation of Work(Replacement Cost) 8170 Heated/Cooled SF Non-Heated/Cooled SF • Class of Work: ❑ New ❑Addition CI Alteration (Repair ❑Move ['Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial [Residential • If existing structure, is a fire sprinkler system installed?:❑Yes X❑No •Will tree(s) be removed in association with proposed project? ❑Yes (Must submit separate Tree Removal Permit) 0 No Describe in detail the type of work to be performed: remove and replace 19 squares shingled roofing on 5:12 S k 1 nca Ie. Florida Product Approval# FL 10124.1 R33, FL10626 R26 (For multiple products use Product Approval Information Sheet) Property Owner Information Name Jonathan Imbody Phone Address 499 Selva Lakes Circle 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 Lockhart Construction and Roofing Services LLC Phone 904-994-3865 Address 5380 Timberline Drive City Jacksonville State FL Zip 32277 Qualifying Agent James Lenard Lockhart State Certification/Registration# CRC002394 Email LENLOCK12@comcast.net Job Site Contact Number 904-994-3865 Worker's Compensation Insurer OR Exempt 0 Expiration Date 3-31-25 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 city/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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE SITE OF THE IMPROVEMENT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ' A I .RNEY :EFORE RECORDING YOUR NOTICE OF COMMENC ENT. . ,Z`61 0_4Cia ---- f Oc,t.0-cam . gnature of Own: or Agent) (Signature of Contractor) u Signed and sworn to(or affirmed)before me this VD. day of Sign nd sworn to(or affirmed) before me this r 1 day of nerew,ber , 003 by50ncc}-tq0-►, .1-w•bodti, nec4,1b0c , 2 Q2-3 by _1 WA is Lae-k//iipYf Signature of Notary �' �f—+c, Signature of Notary 1v�ry X -'keantj)2 i. AMU) [V1 Personally Known OR [ ) Produced Identification Ki Personally Known OR [ I Produced Identification Type of(dentduyl.1. Type of Identific Tran , {... ; °YF . SHERRI BEND '�' ':• Commission#HH 320850 r= Commission k HH 026502 ��• Expires November 30,2026 .°••;;.- -.-4-' Expires August 2,2024 �O'.`•°'' 't,pF��";' ,°. Bonded Thru Troy Fein Insurenca 800.385.7019 NOTICE OF COMMENCEMENT Permit No. Tax Folio No. 177027-5038 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: 41-55 17-2S-29E Selva Lakes Lot 18 Address of property being improved: 499 Selva Lakes Circle Atlantic Beach, FL 32233 General description of improvements: remove and replace roofing Owner Jonathan Imbody Address 499 Selva Lakes Circle,Atlantic Beach,FL 32233 Contractor Lockhart Construction and Roofing Services LLC Address 5380 Timberline Drive.Jacksonville,FL 32277 Phone No. (904)994-3865 Fax No. Surety(if any) Address Amount of bond$ Phone 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 or herself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. 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. (Fill in at Owner's option.) Name Address Phone 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 0 ' R or LE ALLY AUT ORIZED REPRESENTATIVE Date: lZ Signed: -JZ 23 Before me this dr day of ►. _ bee �0�3 in the Coun /.f t uJ&\ State of Florida,has personally appeared Jori Ai,o-r. Zw.bad.i herein by Doc#2023253996,OR BK 20894 Page 1916, himself/herself and affirms that all Number Pages: 1 true and accurate. s:�..� Recorded 12/13/2023 10:40 AM, .• . SHERRI KENO • JODY PHILLIPS CLERK CIRCUIT COURT DUVAL • `�' Commission#Iii 320850 ��c COUNTY 'r 'o Expires November 30,2026 RECORDING $10.00 Notary Public at Large,State of o rt a.. County of 0 u.Jta i My commission expires: 1%- a03kc Personally known-}v ren e.. ✓ or Produced identification