900 Plaza #9 17-ROOF-3563 re-roof permit CITY OF ATLANTIC BEACH
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-3563
Job Type: ROOF PERMIT
Description: re-roof FL15487.1 & FLA 0124-R19 - building 9
Estimated Value: $5,200.00
Issue Date: 3/23/2017
Expiration Date: 9/19/2017
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD
SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: MASTER BUILDING CONTRACTORS, LLC
Sean Callahan Johnson,CCC1327820
Address: P.O.BOX 11565
JACKSONVILLE, FL 32239
Phone: 904-463-3895
FEES:
BUILDING PERMIT FEE $76.00
STATE DBPR SURCHARGE $2.00
STATE DCA SURCHARGE $2.00
Total Payments: $80.00
PERMIT IS APPROVED ONLY Irl ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
® Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
n /� _ nPhone: (904)'2447,-58-266 Fax:(904)247-5845
Job Address: d?00 vL2-V/.�/1�e rLJcu/ aA Permit Number:
Legal Description RE#
Valuation of Work(Replacement Cost)$5, a� Heated/Cooled SF CZ 000 Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool 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
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: R,gm o(y CpF Ow F e
DLu.�LTO-1 f; 09 d'R _CE KNST'A)) PtV- FiVA-to) (�DpE-
Florida Product Approval# OAF NuJ. r z for,�upiiple prducts use roduct approv
Pro er Owner Info mat GAF S '�4w 5M It
fL-/a ay-R/t
Name: 6 YI Addre [�
City stau Zip Phon
E-Mail 1i O n QQ a /l OA 1211.
Owner or Agent(if Agent, ewere orney or Agency Le Required)
Contractor Information
Name of Company: MN!312 114lLL1JJ1LVL CsrMTr MC46SQualifying Agent: dc
t�l`Q SNNSo)J
AddressoNCityStatelipSay01
Office Phone Y63- YL 37- Job Site/Contact Number l7i 'LFL 7Q4S
State Certification/Registration# •1 10 E-Mail S�tT�—✓�qT 6(ISLaJJWS CoN/7//RCTO(LS LOIN
Architect Name&Phone# �c
Engineer's Name&Phone#
Workers Compensation
Exempt/Insurer/Lease Employees/Expiration Oa[e
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 regulationg
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.
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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER R N ATTO FEL1 EE
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signa a Owner rAge lulling Contractor) (Signature of Contractor)
Signed and savor o(or affirmed)before me this�_day of Signed and sworn to(or affirm N before me this ag ylay of
#Lee h _a17 • mf u aVI
/77 by �et�(
(7nature ofN ary)
T Ci -1" r 4`•J /jgy'.—*yy JENNIFERJOHNSTON
MY
Vt��� F • I COMw5SI0N NGG 0110/
�a .I' EXPIREs:octxwV,1010 American Management
g:.:4✓ �i0i^7"vND1n'""NMM^`^Yi [,�l yport Road Suite5
ersonally Known OR Known OR 645 Ma
rodeted Idem ca[ioA p i , ,ys V, [�Produced IdentiOcatlon
Lbnfir,Reach ri q224
ypeof Identification: U N� Tpe of Identification:
CINDYOUNGA#
WcOMMISSIONlN0r0701
EXPIRES:DED 01,21117
NOTICE OF COMMENCEMENT'//
State of iu"/Q. County of Tax Folio No. �a�'4�
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: ���- O l4 T A-0 41ZL'Z^ q
and 2 d�?-a
Address of property being improved:
General desctri ti nOf improvements:
Owner: - I_ 0 6 !'��Y7 R � -=g C- Address:
Owner's interest in site of the improvement: pQ,�
Fee Simple Titleholder(if other than Owner):
Name:
Contractor: C- ,.O G
i� v\ Address: 3 iy Cn 5l PCKScry ' )T / (iefftre✓ A
f J
Telephone No.: 10'1- l&?-]05 Fax No:
Surety(if any) N 1W
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any pT sFakmj;a loan for the construction of the improvements
Name: �n�// II
Address:
Phone No: Fax No:
Name of person withinr�the State of Florida,other bran himself,designated by owner upon whom notices or other documents may be
served: Name; OM[�J fid✓\. •-� _
Address: L� Q ���� �ll�� �" r rr➢�➢O & 1 ANe l41 IR"n 11� �+ Fi 21a 3 3
Telephone No:qU--1-42-77 5 Fax No:
In addition to himself, owner designates the following pamon to receive a copy of the-Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone 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):
TAFS SPACE FOR RECORDER'S USE ONLY OWNER w' ,r,
Signed.n ` Dale:
-- - - — -- Before 7a ws a.0 day of r h in the County of Duval,State
Doc A 2017067142,OR BK 17920 Page 8811, Of Florida,has personally appeared
Number Pages:1 Personally Known: or
Recorded 031230017 at 12:24 PM, Produced Identi cation:
Ronnie Fussell CLERK CIRCUIT COURT DUVALfYl s
Notary Public:
COUNTY
RECORDING$10,00 My commissionexpires:
C0MM( ? h
CINI SIDON AN
MY YpRFS SpN NR0TJ7%
`�'PRFS:0EC 01,2017