342 S OCEANWALK DR - ROOF BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904) 247-5826 Fax(904) 247-5845
Job Address:342 Oceanwalk Dr S, Atlantic Beach, FL 32233 Permit Number:
Legal Description 42-013 08-2S-29E 09-2S-29E Parcel# 169463-0520
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 9, 877.00 Proposed Work heated/cooled 3, 808 non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval# 1956 .3
For multiple products use product approval form
Describe in detail the type of work to be performed: Re-Roof
Property Owner Information:
Name: Lori Gaglione Address: 342 Oceanwalk Dr S.
City Atlantic Beach State FLZip 32233 Phone 904-993-4140
E-Mail or Fax#(Optional) lorigaq®bel lsouth.net
Contractor Information:
Company Name: American Roofing of JacksonvilleQualifying Agent: Daniel P. Kinkel
Address: 1015 Atlantic Blvd, Suite 352 City Atlantic Beach State FL Zip 32233
Office Phone 904-226-1205 Job Site/Contact Number 904-226-1205 Fax# 904-853-5318
State Certification/Registration# RC29027546
Architect Name&Phone# NA
Engineer's Name&Phone# NA
Fee Simple Title Holder Name and Address NA
Bonding Company Name and Address NA
Mortgage Lender Name and Address NA
Application is hereby made to obtain a permit to do the work and installations as indicated I ceriffr 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 laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
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.
I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel th-
provisions of any other fe• .l,state,or local law regulating cons: . lion or•the performance of construction. cancel
J �
Signature of Owner/WIJ ,_ �!�.. ' Signature of Contracto //�/ ��/
•
Print Name LORI A. GAGLION ® Print Name DANIEL P. KINKEL
Sworn to and subscribed before me Sworn to and subscribed before r�p��uurirrrt,
this h Day of J•�I y ,20 A this a; D. of'lidi t/ `.�N�o SLd1S �1� ,,���, 20 If
Ylas6Y�_��ft( ►Y� �r�4Q'1� : poPO''sro*
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Notary Public o=_
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NOTICE OF COMMENCEMENT
PREPARE IN DUPLICATE
Permit No. Tax Folio No 169463-0520
State of Florida County of uv
To whom It may concern:
The undersigned hereby informs you that improvements will he 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: '12-013 Ut1-25-29E 09-2S-29E•
Address of properly being improved: 396 UCEANWALK DR S.ATLANTIC REACH.FL 32 233
General description of improvements Reruuf
Owner LORI GAGLIUNE•
Address 342 OCEANWALK UR S. ATLANTIC REACH.Fl.32233
Owner's interest in site of the improvement XA
Fee Simple Titleholder(if other than owner)NA
Name NA
Address
Contractor.American kouling of Jacksonville
Address I 015 Ailanrir Blvd.Suite 352.Atlantic Roach.FI. 3223.3
Phone No.904-226-1205
Fax No. 904.425.94(34
Surety(if any)NA
Address
Amount of bond$
Phone No.
Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name NA
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 NA
Address
Phone 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 Statutes.(Fill in at O'.vner's option).
Name NA
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1 i year from the date of recording unless a
different date is specified)
THIS SPACE FOR RECORDER'S USE ONLY I
Sign°1�J .� / • 1I
Before a this A, day of •w Oi E ` ``
County or Duval.State of Florida.has ersonall In me
Doc#2015156037,OR BK 17226 Page 2090, y P w•eared
I.0 ri GAI•I IrINr
Number Pages:1 himself herself and affirms that ali statements and declarations hereetrteln by
Recorded 07'0812015 at 01.06 PM, are true and accurate
Ronnie Fussell CLERK CIRCUIT COURT DUVAL ,�$p�r�y•. MASON STORM BOUD
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COUNTY Commission#FF 239347
RECORDING$10.00 p1030() si_ornn
"� -'� �= Expires June 10,2019
J� ;�p ,`,:tg.. eaaad rn u rrm ar��*wow waaes7are
Notary Public at Large.State f 1 County of
M,'commission expires: y _�
Personally Kno.n
Of
Produced Identification t/
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NOTICE OF COMMENCEMENT
(PREPARE IN DUPL:CATEI
Permit No./ X2t71/4) /'/7 7 Tax Folio No. 169506-1616
State of Florida County of Duval
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information Is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 40-37 09-2S-29E SELVA NORTE UNIT TWO
Address of property being improved: 2050 Duna Vista Ct, Atlantic Beach, FL 32233
General description of improvements: Reroof
Owner Ernest Shad
Address 2050 Duna Vista Ct,Atlantic Beach,FL 32233
Owners interest in site of the improvement NA
Fee Simple Titleholder(if other than owner) NA
Name NA
Address
Contractor American Roofing of Jacksonville
Address 1015 Atlantic Blvd.Suite 352.Atlantic Beach.FL 32233
Phone No.904-226-1205
Fax No. 904-425-9464
Surety(if any)NA
Address
Amount of bond$
Phone No.
Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name NA
•
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 NA
Address
Phone 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 Statutes.(Fill in at Owner's option).
Name NA
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 / OF / WNER
Signed: DATE
Doc#2015156039, OR BK !7226 Page 2092. Before me t s _J 1- r <<• in the
Number Pages:1 County of Duva.State of Florida,has personalty appeared
ewaesr SHAD
Recorded 07;08/2015 at 01:06 PM, herein by
himself/herself and affirms : :I statements and declarations herein
Ronnie Fussell CLERK CIRCUIT COURT DUVAL are true and accurate
COUNTY }�
RECORDING$10.00 ' �►�" Notary Public State of Florida
Carlton R Brown
- M Co
No-.. ublic at Large.St, 0 �'
My commission expires: r' FxQiRi!!t
Personally Known ,{
P-oduced Identification