709 CAMELIA ST - ROOF -,5,,,....,..,,,
`�� ; , _„ CITY OF ATLANTIC BEACH
;`- s) 800 SEMINOLE ROAD
v ATLANTIC BEACH, FL 32233
13 !P INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0066
Description: RE ROOF SHINGLE
Estimated Value: 6995
Issue Date: 8/1/2017
Expiration Date: 1/28/2018
PROPERTY ADDRESS:
Address: 709 CAMELIA ST
RE Number: 170917 0020
PROPERTY OWNER:
Name: DIAMOND LIFE REAL ESTATE INC
Address: 554 JACKSONVILLE DR
JACKSONVILLE BEACH, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: TOP GUN ROOFING, INC.
Address: 5570 FLORIDA MINING BLVD QA MATTHEW PATRICK
MCLEOD
JACKSONVILLE, FL 32257
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, FL 32233
Office (904) 247-5826 Fax(904)247-5845 REF 17 _ 06 (q
Job Address: 709 CAMELIA STREET ATLANTIC BEACH. FL 32233 Permit Number:
Legal Description 18-34 17-2S-29E .094 ATLANTIC BEACH SEC H N 30FT LOT 2,S 1 OFT LOT 1 BLK 133
Parcel# 170917-0020
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$6.995 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/proposed structure(s)(circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Aroval# FL Q6774.1 For multiple products use product approval form
ti,0 O 644440"-FL IS X 14-- R.2-
Describe
Describe in detail the type of work to be performed: SHINGLE RE-ROOF-20 SO. 5:12 PITCH
Property Owner Information:
Name:DIAMOND LIFE REAL ESTATE INC.
Address: 554 JACKSONVILLE DRIVE
City JACKSONVILLE BEACH State FL Zip 3.2.250 Phone 904-477-5983
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: TOP GUN ROOFING, INC. Qualifying Agent: MATT P. MCLEOD
5570 FLORIDA MINING BLVD. S. # 501
JACKSONVILLE State FL Zip 32257 Office Phone(904)342-0211 Job Site/Contact Number(904)509-2595
State Certification/Registration#CCC058178
1
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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 laws regulating construction in this jurisdiction . . This permit
becomes null and void if work is not commenced within six(6)months,or rconstruction or work is suspended or abandoned for a period of six(6)months
at any time after work rs commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,
Boilers,Heaters,Tanks and Air Conditioners,etc.
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.
I hereby certify that I have read andamin d this ap lication and know the same to be true and correct. All provisions of laws and ordinances governing
this type of work will be complied with whether specified herein or not. The granting ofa permit does not presume to give authority to violate or cancel the
provisions of any other federal,state,or local law regulating construction or the performance of construction.
i
Signature of Owne Signat re of actor y
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L V. Print Name kA Y:� C '..._..._.._.____...._
Print Name ! �rt� ..,,,�\).,;c},)�M) lL'.____.__
Sworn to and subscribed before me Sworn to and subscribed before me
this.- t ay of J..1t _20,--}- is �i + Day of,. ,1,.,�1k1 ,20 ��
Q/-N,
Notary P — °;':.� t`u �I)`� STONE IRWIN
TERESA STONE IRWIN . _ '
o :`;a- Commission # FF 896991 Revised 01.26.10
'�%��= Commission # FF 8969. 1 ' ii,''E-
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July 08. 201 9
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NOTICE OF COMMENCEMENT
.PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 170917-0020
State of FLORIDA 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: 18-34 17-25-29E.094 ATLANTIC BEACH SEC H N 30FT LOT 2,
S10FTLOT 1BLK133
Address of property being improved: 709 CAMELIA STREET ATLANTIC BEACH,FL 32233
General description of improvements: RE-ROOF
Owner DIAMOMND LIFE REAL ESTATE INC.
Address 554 JACKSONVILLE BEACH,FL 32250
Owner's interest in site of the improvement fee simple
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor TOP GUN ROOFING,INC.
,g. „t Address 5570 FLORIDA MINING BLVD.S.#501,JACKSONVILLE,FL 32257
J1`N"�0 Phone No.904-342-0211 Fax No. 904-379-7059
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 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 addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option).
' Name
Address a
o
Phone No. Fax No.
in
a) H
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a a
different date is specified): U0
THIS SPACE FOR RECORDER'S USE ONLY O ER
2• 21--
THIS
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Signed: l•1 y �‘ DATE 7.‘3117 Y N�_
Before me this ' lsf day of U LN� a O 1 in them o U
— Cgpgty of DuVei.State of Floridp.has personally appeared CL 1O rt
1'"',,Ot1 VO1 tA)G+Sh1cl[>,-}O Y\ hereinby O
'".''"' T E R E S A STONE I R W I N himself+herself and affirms that all st cots and declarations herein m N o
��":"\^� Commission # FF 896991 are true and accurate U
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iso
�liltrd•8 My Commission Expires !� o—
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Notary Public at Large.State of �—`L-. . County of�>U V'8 .L xp o C
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Pr••uce• •-nt !cation