850 Seminole Rd re-roof maintenance bldg permit CITY OF ATLANTIC BEACH
800 SENHNOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ROOF-1905
Job Type: ROOF PERMIT
DeIH:ription: RE - ROOF , BATHROOM MAINTENCE BLDG
Estimated Value: $3,500.00
Issue Date: 8/22/2016
Expiration Date: 2/18/2017
PROPERTY ADDRESS:
Address: 850 SEMINOLE RD
RE Number; None
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN ROOFING OF JACKSONVILLE
Address: 1720 Wildwood Creek LN
Phone: 904-385-4375
FEES:
BUILDING PERMIT FEE $67.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $71.50
PERAHT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILINNG CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FI,32233
Office(904)247-5826 Fax(90�;247-5845 (0-ROO F J 9
Job Address:.gofftefflingle Road, AtlanticA� Permit Number:
Legal Description Etcl.
`�Rssrcel#
FloorpArea or Sq.Ft. SqFth
Valuation of Work Too Pro osed Work heated/cooled eated/cooled
__t__ —
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s) circle one)- Commercial Residential
If an existing strueflure,is a fire sp=er system installed?(Circle one): Yes No N/A
Florida Product A
oSproval# Atlas Shl
_Atlw� F[_16503 Atlas Underlayment, FL16226
For multiple pro nets use prodact-ap-p-ro-vaTro-rui
Describe in detail the type of work to be performed: Complete tear off and Re-Roof
Property Owner Information:
Name: City of Atlantic Beach Address:- 800 Seminole Road
City Atlantic Beach —State EVip 32233 hone 904 247-5880
E-Mail or Fu#(Optional) pdrake@ooab.us (Eaft DaikeiChris Huffman)
Contractor Information:
Company Name:American Roofing of Jacksonville Qualifling Agent: Daniel P. Kinkel
Address: 1015 Atlantic Blvd, #352 - city Atlantic BeacTF— state FL zip32233
Office Phone 904-385-4375 Job Site/Contact Number 904.226.1205 Fax# 904.853.5318
State Cerfification/Registration 4 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 herel, ads to obtain.�mil to do the work and installations ashadioned. Icenify,hano�rkoriweallationk�commencedpriortolhe
issmance of operant andthal all work will bepe)armed to meet the standacit of all laws regulating,construction in thisjurinficlion. Thispermil becomes null
%d wudL� 6doomahs,or ifconstraction orwark is sulpendedorabandonedforaW�idafsxx any, e.Zer
'k" s fl "to a' Ve
.1'ed l�derstandthals�aratep�itsmstbes�mdforE&ctrica lWork,Plumbing,Signs, elh,,PaehPmhg`,`eV8oj s,
Tmiksam1Ai,CmzWshm,,,e&,
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.
lhece�curfify thatIham readandexamintedbospplication analknow,the same,to betrueandeowert. Allprovistowsoflacrandurdriam" 0 �amg this
work will he complied with whether sp me
ecifirdherriournol. The granting of a pecon,does not presume to gier authority to viulare'towatmorl the
'a cam"nor
Pmv-,-�f--y.th�,f�Ef�r.l.,tat,,.rlwat �r�tatingc��clionorthepeFfomameof�imclion.
as'
Signature of Owner Signature of Contracto
PrintName Print Name
Swomto dsubsc bedbefirreme S o toandsubscn dbeffor
t 2--mayof T,C� %e oi� 1 20/Z
his .20 IV Day,� /me
Notar,n CH A .0�_ , F , _? 11 —
POW rutia-,
N=1GW
IS
71gp MYCOMM F b61 TOM GINI)tES'ERGER
kffC0ANM*N#FF92R5I
s".. EXPIRES:cousins.M19
EXPIRES:Onalso 6�2019
Baden.
CITY OF ATLANTIC BEACH
PURCHASING PURCHASE ORDER
PHONE (904) 247-5880
FAX (904) 247-5819 (P.O. NUM13ER I DATE
( 161825 1 08/19/163
THIS PC,NUMBER MUST APPEAR ON ALL INNOICES
PACKING SLIPS LNBELS,BILLS OF LIDDING AND
CONNESPOFDE��E
VENDOR: SHIPTD:
AMERICAN ROOFING OF JACKSONVIL CITY OF ATLANTIC BEACH
222 RIVER HILLS DR. ATTN: PUBLIC WORKS DEPT
JACKSONVILLE, FL 32216 1200 SANDPIPER LANE
ATLANTIC BEACH, FL 32233
VENDOR# DATE NEEDED TERMS REQUISITIONED BY
5379 08/30/16 NET HUFFMAN
F.O.B CONTRACT NO. I ACCOUNT NO. PROJECT RED.NO. REQDATE
100160205723400 97515 08/05/16
LINE QUANTITY UOMI ITEM NO.AND DESCRIPTION UNIT COST EXTENDED COST
1 3597.00 CIL REPLACA ROOF AT 800 SEMINOLE ROA)I 1.00 3597.00
GARAGE/BATH
WITH ARCHITECTURAL SHINGLE OVER
PEEL AND STICK
WITH NEW EAVE DRIP, FLASHING AND
BOOTS AND UP TO
5 SHEET� OF PLYWOOD, PER QUOTE
DAT 01/16 FOR
RUSSELL PARK MAINTENANCE BUILDING,
SEMINOLE RD.
SUB-TOTAL 3597.00
TOTAL 3597.00
REMARKS:
ATTN: DAN KINKEL dan@�ericanro fin .a COED
CITY CONTACT: CHkIS HUFFMAN, 904 339Z]3x0g
NOTICE I CERTIFY THAT THE ABOVE PUPCHASE 15 NECESS)NAY FOR THE
PHOPER OPENATION OF THE CIW OF ATLANTIL aEACH AND
PLEASE SEND INVOICE TO: THE FUNDS FINE APPROMIXTED IN THE CURRENT BUDOET
CITY OF ATLANTIC BEACH
ATTN:ACCOUNTS PAYABLE CLERK
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233 PURCHASINGAGENT
THE LAWS OF THE STATE OF FLOPICA,U SA SHAUL GOVERN IN
C ONNECTION WITH THE FORMATION,PERFINWANCE,AND THE
FEDERAL TAX ID#5�6000267 LEW ENFORC EMENT OF THIS PURC HASF ORDER
STATE TAX EXEMPT#85-W12740083C-8
OTICE OF COMMENCEMENT
PermitNo, 0 Tax Echo No/24�
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance
with Chapter 713,Florida Statues,the following information is provided in this Notice of Commencement.
I. Description of property(legal description of property and address if available):
ZQ - /-5 Z'< -.Z S - z 9y-�- la 9x2 0 sw"X&F se��-e- -'-7
7�56 *Seminole Rd, Atlantic Beach, FL 32233
2. General Description of improvements:
Omplete Tear-Off and Be-&af
3. Owner Information,
a)NameanclAddrass: City of Atlantic Beach, 800 Seming)le Rd. Atlantic Beach, FL
b)Interest in 100%
c)Name and address of simple titleholder(if other than owner):
NA
4. Contractor Information:
a)Name and Address: American Roofing of Jacksonville
1015 Atlantic Blvd, Suite 352, Atlantic Beach, FL 322,q3
b)Phone Number (904) 385-4375
5. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)yew from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS LINDER CHAPTER 713,PART I.
SECTION 713.13 FLORIDA STATUTES, AND CAN 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 LNITND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of conamencement and that the facts stated
therein are true to the best of my knowledge and belief
2Eh�L— g- -
fOwk-�rr-IL(t�i.4��/D,.ctor/P�—�/Manager Signatory�xPu.tod NL�&T,11�10f!ic
The foregoing instrument was acknowledged before me this7-2—day of
by ift as for
(T,e. Au hon .. fficer Aft me ame of arty Instnusent�Exmu
(Naroe ofPerson) ::t W I
NO ARYPUBLI STATEO R
M51
2019 Print Name: e-VI
Personally Known
Iden6ficatiortrype:
Doc#201619�,ORBK17� Page87,
NumW Pages:1 Revised 2/01/16
Raceded0�2016sAMIOPM,
Rennie Fus"ell CLERK C[RCUIT COURT DUVAL
COUNTY
RECORONG$10.00