350 Skate Rd RERF24-0019 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
DUVAL DINGHY LLC 350 SKATE RD ATLANTIC BEACH FL 32233-3820
COMPANY:ADDRESS:CITY:STATE:ZIP:
Maxx Construction &
Gutters 11990 Beach Blvd. Suite 350 Jacksonville FL 32246
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171662 0000 ROYAL PALMS UNIT
02A3.00
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
350 SKATE RD REROOF SHINGLE SHINGLE ROOF $15450.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $130.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $134.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 2/1/2024
PERMIT NUMBER
RERF24-0019
ISSUED: 2/1/2024
EXPIRES: 7/30/2024
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 2/1/2024
PERMIT NUMBER
RERF24-0019
ISSUED: 2/1/2024
EXPIRES: 7/30/2024
REROOF SHINGLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
l-LANBUILDING PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
q.rs
City of Atlantic Beach Building Department PERMIT# RERFZ4 ' oO‘ `
800 Seminole Road, Atlantic Beach, FL 32233 ALL information required to process
LQu'P ne:+(904) 247-5826 Em ii: Building-Dept@COab/..US- ,
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Job Address 35-0 S j/-0'' Ai-t„,.\- L r, C RE# /7/66—(W
Legal Description 0 3 il:3 RoyG,.k. `c,\ -
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Valuation of Work(Replacement Cost) g,") 5 v Heated/Cooled SF 4'1c2.9' j('Non-Heated/Cooled SF
Class of Work: New ['Addition ['Alteration C5Repair EMove ['Demo Pool Window/Door
Use of existing/proposed structure(s): D Commercial liResidential •If 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 Removal Permit) El No
Describe in detail the type of work to be performed:
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Florida Product Approval# 0 r.—For multiple products use Product Approval Information Sheet)
Property Owner Information Name Do A• .y LLL Phone q(O 6/°I lo'-/ I
Address 1/7-7% r-,..66,1 AH-„,, j4-i.'c 2'State FA. Zip giv\3?
Email Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
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Contractor Information Name of Company (1,, Cop Ug VC -iii, g 1e CI 0_I —'-i`t 2 -1-0-?,
Address 1\ 0 V')e.cc3 t\ V? 1 u A City -a_C .Spti v1p
State ''( Zip '2 2 4 c
Qualifying Agent IA S,•
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State Certification/Registration# C CC_ \ '3 3 S ` L,`[
Email [t,i vt,,,,p,••„ c A A `lam-1 1 0v . Co`-/Job Site Contact Number •o 11 -Li L.4 2.,--1---( Q( 2
Worker's Compensation Insurer OR Exempt ElExpiration Date
Architect's Name I
f Email I 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
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
ol/— ----------
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Signature of Owner or Agent) 14 J- Signature of Contractor)
15
Signed and sworn to(or affirmed)before me this day of Si ned and sworn to(or affirmed)before me this day of
hrk w y by 64 11 4 0_6•4 f-(4,
4r,1 , •7,L,tt by ft— 5-b,, 17:r
Signature of Notary L Signature of Notary i ' '< 7
J Personally Known OR Produced Is entificattion Pe • a Known OR [ ] Produced Identification
Type of Identific. • ..
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774\ o,bl , a Florida Ate.. Notary public S;t:e o`EiNotary•s c•State o.
orida
Commission 5 HH 151031 orAd? ' Commission.;HH 15037
oo `: Comm Expires.%ui S.C'=` My Comm.Expires h!S.2025 2025
NOTICE OF COMMENCEMENT
PREPARE IN DUPLICATE)
Permit No.Qs DiF2k1 -0 d 1 "1 Tax Folio No.
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State of L County of P,1..) al 1,1 t c (pJ'r_.4 c
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and inaccordancewithSection713oftheFloridaStatutes,the following Information is stated in this NOTICE OF
COMMENCEMENT. L
Legal descriptio of property bein improved: 3 I—14 1 _2
t,4 t g 61 14_ 23
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Address of property being improved:
General descriptionof improvements:IQ — (Lock /a4 P-42-;
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Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
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Contractor s'c Cr`4'r CJLtl3h,
Address 1 1' 0 V'7t 'Ii lh1
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Phone No. 0 1-1 —1---1 y 2 -H9 12 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 1(l--
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
OWNER
1/?Ip,
Signed: hAllt<f r•
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Before m:/.is 1 day of
ir •
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in the
County•1 gyv 1, 4,,- •
f Flo'•' :, • •nal ty appeared •
in by
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Dec#2024021799,OR BK 20939 Page 904, ail state tb nd dQ arati s herehimself/herself, d afll p$_ Mn RAIr V1 N;0'„KA
Number Pages: 1 are true and acc e. . ..k %
Recorded 02/01/2024 02:27 PM.
Notary ou5 is State of=:orica
A C. fission NH 15'C37
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL i. .cp...:
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COUNTYRECORDING $10.00 i , WIZ w
N. . • • c, -arge.State of Cour
My commission expires: maw
or
Personally Known_
Produced Identification _