106 SEMINOLE ROOF 2017 �f Ll
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0038
Description: SHINGLE ROOF
Estimated Value: 4886
Issue Date: 7/6/2017
Expiration Date: 1/2/2018
PROPERTY ADDRESS:
Address: 106 SEMINOLE RD
RE Number: 170590 0130
PROPERTY OW NER:
Name: MURPHYJAY
Address: 106 SEMINOLE RD
ATLANTIC BEACH, FL 32233-4141
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: PRIME ROOF CONTRACTING LLC
Address: 13792 HERONS LANDING WAY APT 9 QA MARK ANDREW
YOUNG
JACKSONVILLE, FL 32224
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.
* 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$7,500.
Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL32233
Phone:(904)247-5826 Fax:(904)247-5845 �,p
Job Address: 106 Seminole Rd Permit Number: RERFI7—DO3!-1
Legal Description 10-817-2S.29E.14 SALTAIR SEC 1 SlY LOT 608 Et12 ST CLOSED REN
BY UAR BCH ORD A65-66-13 S AND W THEREOF 232
Valuation of Work(Replacement Cost)$ 4 1600 666.50 Heated/Cooled SF fill Heated/Cooled
• Class of Work(Circle ane): New Addition Iteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial 11esidentia
• If an existing structure, is afire 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: Replace asp a t s ing a root
Florida Product Approval N FL10674-R12 (shingles) FL17420-R2 (felt) for multiple products use product approval form
Property Owner Information
Name: Jay Murphy Address: 106 Seminole Rd
City Atlantic Beach State FL Zip 32233 Phone
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Prime Roof Contracting, LLC qualifying Agent: Mark Young
Address 13725 Beach Blvd Suite 13 City Jacksonville State FL Zip 32224
Office Phone (904) 530-1446 Job Site/Contact Number (904)860-0230
State Certification/Registration N CCC1329505 E-Mail office@primeroofingflcom
Architect Name&Phone N
Engineers Name&Phone N
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 partormed to meet the standards of all the laws regulat long
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
REC4sw
R NOTICE OF COMMENCEMENT.
qweer or Agent including Contra r) (Signa e o tor) [y�
Sig r a by med)befQfVme this dayof Si dand swo2tl}or Ir d) for met is JI'vday of/ure ofi natore of to 1
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fl tew . ams , , fig, ` ifivil D. Davis
P= COMMISSION Y FF160849
sx x_ 17 �6 '_c �, COMMISSION A FF160849
IXRRES: W. EXPIRES Sept. 17, 2016
% p' MWW.AMONNOTARY.COM rKersonally Known OR " WyTW.AARONNOTPRy.COM
I I Personally Known OR n I`TI' xyr��lrrs`°
I?Froducad Identification I I Produced Identification
Type of Identification: Type of Identification:
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No.
State of Honda Tax Folio No.
County of Dwal
To whom It may concern;
The undersigned hereby Informs you thatlmprovements 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 properly being Improved: 10.8 19-2S 29E.14 SALTAIR SEC 1 SI/2 LOT 608,21/2 ST CLOSED
BY U/R BCH ORD P65-86-13 S AND W THEREOF
Address of property being improved: I«'Seminole Rd Atlantic Beall,FL 32233
General description Of improvements: Raroof
Owner Jay Murphy
Address IW Seminole Rd Atlantic Beach,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(f other than owner)
Name
Address
�1 Contractor Prime Roof Commcling LLC
Address 13925 Beach Blvd Salle 13,lackarcrille,FL 32224
Phone No. 19°41625-14^6 Fax No.
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address Of any person making a loan for the construction of the hnprovemenls.
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 addition to himself Owner assigns.the following person ro receive a copy of the U-non's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option),
Name
Address
Phone No. Fax No.
Expiration data of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a 1
different date is specified): ln�'1V
THIS SPACE FOR RECORDER'S USE ONLY OWNER
slpae: DATE ` I
Befara or In
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Number Pages:t nlmaaen.rxe rel m4 In Andrew D. Davis
Recorded 07/066IM17 at 08:41 AM, am Wesco eauraN a COMMISSION A FF160849
Ronnie Fussell CLERK Cl RCUIT COURT DUVAL a i`=
COUNTY F%PIRES: Sept. 77, 2016
RECORDING$10.00 //iJ '"%.: „x� WWW.AARONNOTARY.COM
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