43 SARATOGA CIR N - ROOF r.J.vo,,
'' '' CITY OF ATLANTIC BEACH
;'t' 0800 SEMINOLE ROAD
'. ATLANTIC BEACH, FL 32233
\"---__'11-01t19 INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0013
Description: SHINGLE ROOF
Estimated Value: 9280
Issue Date: 5/18/2017
Expiration Date: 11/14/2017
PROPERTY ADDRESS:
Address: 43 N SARATOGA CIR
RE Number: 171786 0000
PROPERTY OWNER:
Name: ETTLINGER JUDITH C
Address: PO BOX 101
DAY, FL 32013
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: A J WELLS ROOFING
Address: 5432 WELLER PL ARTHUR J WELLS JR
JACKSONVILLE, FL 32211
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
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 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.
II * A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
I
Building Permit Application
City of Atlantic Beach
/ 800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904) 247-5845
1.9
Job Address: 43 SAfC.n.'tDC,P Cit . N• AT4.a 4. d'1'A� ft 3 Permit Number: K 1 7 —0C) 1 3
bLii-
Legal Description 31-r3 n-25-'29i /itu►..T c 1 & C,i.v (,,'((A vzfi4 ?~ Lu/ R# )1 1 73C. - (foo 0
Valuation of Work(Replacement Cost)$ 9.1. o• Heated/Cooled SF L L k Z- (
Non-Heated/Cooled i 314
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercialesidential_7
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No /2)
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describep—in_ detail the type of work to be performed:l �� 9 1•
i2►`-- f"�'-'r ASQK4t l 5ti'P R tr' r—t 1 et( NS7\cri. Urp�r Py.—{tri
Florida Product Approval# Ft.- IoLolti• 1 for multiple products use product approval form
Property Owner Information
Name: -51.4 +14 Address: '13 SPa..oT A C%,-.
City fil—LA-x7ice fS611 CH State (L Zip •5 -233 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: A .S• y.4\lc � ? �,�5 �,v.� Qualifying Agent: A6-4--)1,-4.4._
Address 5651 Cat . rck City ea 51._MJ/4 State ft Zip 32-2 II
Office Phone 553• X69 Job Site/Contact Number `J'oY• 5S3 • 6o65
State Certification/Registration# CC C 131.Hf.71 E-Mail 1 g Aker R--71
--
Architect Name& Phone#
Engineer's Name&Phone#
Workers Compensation _
Exempt/Insurer/Lease Employees/Expiration Date
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 OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signa re of Owner or Agent including Contractor) (Signature of Contractor)
Signed and sworn to(or affirmed) before me this day of Signed and sworn to(or affirmed) before me this I elaay of
r)tr l) , (3-U 47-4+l , byis-tom ‘,\;€_{ J MUS: , by Ari.-her
S'• a e •f •t- (Signature of Notary)
60.1Notary Public State•1 Florida
Heather Wells Notary Public Stated Florida
ar My Commission GG 052515 • Heather Wells
[ I Personally Known OR 'iron Expires 12/06/2020 [.personally Known OR Ay My Commission GG 052915
o,h Expires 12/06/2020
XI Produced Identification [ )Produced Identification
Type of Identification: 634'5 —''33'9' YS' r8b I`c Type of Identification:
Doc # 2017115231 , OR BK 17985 Page 982, Number Pages: 1 , Recorded 05/17/2017
at 01 :39 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARC IN DUPLICATE)
Permit No, Tax Folio No.
State of _'LORIJA 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: 31-13 38-2S-29E
ATLAN'"IC BEACH VILLA UNIT 2 LOT 20 SLK 3
Address of property being improved: 43 SARATOGA CIR. N , ATLANTIC REACH, FL 32233
General description of Improvements. NEW ROOF
Owner JUDITH ETTLINGER
Address 43 SARATOGA C=R. N. , ATLANTIC REACH, FL 32233
Owner's interest in site of the improvement FEE SIMPLE
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor AJ WELLS ROOFING AND CONSTRUCTION
5651 COLCORD AVE.,JACKSONV_LLE, FL 32211
Address
Phone No. 904.553.0069 Fax No 904.551.4283
Surety(if any)
Address Amount of bond S
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,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In additior to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 7'3.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
4 Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date Is one(1)year from the sate of recording,artless a
4 different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER Ff',,, n
Signed: u,... • E'-- auk-V4-kL\ - i—� 4.2 ik of
Before me this t day of in the (/)
Z !
Gout Duaal.State of Flo h personalty appeared 0 &
I,c y ,4(, J i+ herein by } y Q
hatnselfr herself skid afl-rrs that all statements and dedaratinns herein .J (1) U)
are true and accurate w
X
(46114
}
Notary PuMC at Large.State or County of al Vck I.
bycorrmissionewes: — Le- I . •
Personally Known a ,,,
Produood identification `� •y /.-
I