1909 W Sevilla Blvd re-roof permit CITY OF ATLANTIC BEACH
r s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ROOF-3264
Job Type: ROOF PERMIT
Description: re-roof FL10674-R12
Estimated Value: $21,615.00
Issue Date: 2/15/2017
Expiration Date: 8/14/2017
PROPERTY ADDRESS:
Address: 1909 W SEVILLA BLVD
RE Number: 169462-0145
PROPERTY OWNER:
Name: AMODIO, LEONARD V
Address: 1909 W SEVILLA BLVD
GENERAL CONTRACTOR INFORMATION:
Name: CARLSON ENTERPRISES LLC
Adolph W.Carlson,CCC1329376
Address: 932 CANDLEBARK DR
Phone: -
FEES:
STATE DBPR SURCHARGE $2.37
STATE DCA SURCHARGE $2.37
BUILDING PERMIT FEE $158.08
Total Payments: $162.82
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CrTV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
IPREPPRE IN DUPLICATE)
Permit No. Tax Folioryp lii:jqy(�2.-(3145
State of County of SAW l
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statues,the following information Is stated In this NOTICE OF
COMMENCEMENT. tt � /�
Le al descrie o of property being improved: y,� \1s��_l]'� .1 v—
L
Address of property being improved: d ed// v
4nG
General description of improvements:
Owner
AddQS�' �Q 1 Q -I a JZ1-l7�
darter's interest in she of Ne Improvement 'C9. 0 rf\t .e.
Fee Simple Titleholder(if other than owner)NSA
\ ,j Name
I„O\1nVpXAAddress
n',rV'�ly Y
Contractor CARLSON ENTERPRISES,LLC/Adolph Carlson Address 5028 RI old Lane W.Ste B,Jacksonville,FL 32216
Phone No.19041 597'1692 Fax No. (904)527-1966
Surety if any)NSA
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the Improvements.
Name N lh
Add..
Phone No. Fax No.
Name of 1person within me State of Florida,other than himself,designated by owner upon whom notices or other
Name docum,777 be served:
Address
Phone No, Fax No.
In addition to himself,owner designates me following person to receive a copy W the Lienors Notice as provided In
Section 713.06(2)(b),Florida Statutes.(Fill In at Owners option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expirellon data is one(I year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY 0' NER
WasWpA7P1�fS-/lo
ear«a me cols aeyn In nR
mu a Wv .Stale o bale,Meta ,
Ooc N 2017037041.OR BK 17879 Page 12Ti. JEUNIFER K Y
Number Pages:i mmaen aersen en nrma con al Wean .ee p e�e��MISSION kEE66557102
Recorded 02/1512017 at 01:44 PM, nue and accureI l
Ronnie Fussell CLERK CIRCUIT COURT DUVAL \
" e( EXPIRES January 22,2017
COUNTY c^/X,\J` raurlaue.oly rwaaaruaryswn mm
RECORDING$10.00
Notary blit tLrye.Sle of d a
- -. Pa masw away -
Petaon ly deoll I or
Potl daMIautlon
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 1909 SEVILLA BLVD W.ATLANTIC BEACH, FL 322334578 Permit Number:
Legal Description 45-6 08-2S-29E� SEVILLA GARDENS UNIT Ol LOT 8 Parcel#
Area Or S
Valuation of Work$ ZI L IS 'i Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposedstructures)(circle one):. Commercial Residential
Han existing structuri
e, s a Fire sprinkler system installed? (Circle one): Yes No NIA
Florida Product Approval#
For multiple products use pr uI Oaya Pork
Describe
in detail the type of work to be performed: re-roof
Property Owner Information:
Name:AMODIO,LEONARD V&NANCY AMODIO Address:1909 SEVILLA BLVD.W
City:ATLANTIC BEACH State FL Zip 32223-4578 Phone 90d- ri5'6- 9295
E-Mail or In#(Optional)
Contractor Information:
Company Name: CARLSON ENTERPRISES LLC Qualifying Agent:
Address:5028 RICHARD LANE W.STE.B City JACKSONVILLE State FL Zip 32216
Office Phone: 904-527-1662 Job Site/Contact Number Fax#
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain operant to do the work and installations as indicated. I certify that no work or installation has commencedprior to the
issuance a a permit and that all work will he performed to meet the standards ofall laws regulatingmnstruction in thislurisdiction. This pernab becomes null
and wi I ywork is not commenced within sic(6)months.or ifconvouction or work is suspended or abandoned jar a period ofsir/6)months at any time after
work u commenced. I understand that separate permits must he secured for Electrical Work,Plumbing,Signs, Wdls,Poals,Furnaces,Rouen,Heaters,
Tanks and Air Conditioners,ere.
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 YO1JR NOTICE OF
COMMENCEMENT.
I hereb cert fy that I have read and"ammed this plication and know the same to be true acrd correct. A//provisions oflaws and ordinances governing this
type o7"ok will he comp/led with whether rpeciff d herein or mi. The growing of a permit does not presume to give authority to violate or cancel the
prommans ofony other federal,st is,or local law regulating construction or the performance ofconstmctiorz.
Signmureof Ovtneer 4± J G' Signature of Contractor �n /',, � �I,,
Print Name f`1' .40...._..._....._. 4[(1 Gt..._....... .... .. .......... Print Name .... .l�Wllp/1 .......hOR .I*+Jr ' ..............
Sworn to and subscribed before me Swo to$11ed before me
this ,11W Day of 20 this 1 201-4
No[ � blic ITotary
Revised 01.26.10
CHRISTINA MARIE KIMBLE €�Al
w`. JENNIFER GONZALEZ
MY COMMISSION#FF%2pae MY COMMISSION#FF0a5972
JJ`
E%P1RES Fa lA^� JJ EXPIRES August 15,2017
pOr >osal4 a Y1L2021 9GB-0IN FIONEallots,SsNinsmn