346 SEMINOLE RD - ROOF r*.
).J.v.t.,
st‘ CITY OF ATLANTIC BEACH
4
%.1":, s-) 800 SEMINOLE ROAD
,� V� ATLANTIC BEACH, FL 32233
�! ;3 i INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0071
Description: SHINGLES
Estimated Value: 5525
Issue Date: 8/7/2017
Expiration Date: 2/3/2018
PROPERTY ADDRESS:
Address: 346 SEMINOLE RD
RE Number: 170430 0005
PROPERTY OWNER:
Name: MILLETTE LUCIEN J
Address: 346 SEMINOLE RD
ATLANTIC BEACH, FL 32233-4145
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SHORE ROOFING COMPANY
Address: 914 7TH AVENUE S QA THOMAS LOUIS SHORE
JACKSONVILLE BEACH, FL 32250
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$7,500.
' rSI•Ati�i„ Building Permit Application
sh-
it
rh
,� 800 SeminoleCity Roadof ,AtlanticAtlantic BeacBeach, FL 32233
o-'
k Phone: (904)247-5826 Fax: (904)247-5845
Job Address: ` .SSMi ill(JIC.- Rd Permit Number: IR' RP 17- co-/
Legal Description/D'/-S /b 2,S-„{C 5....„ ,)s jr4,i-- Az t J C RE# i 704/:30— C1005
Valuation of Work(Replacement Cost)$ 55a3 Heated/Cooled SF 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: RCk�O0 t-- 45-y(C L' 3 "7, ,6 S1 ,, k
;� S1 ii r/r )0J v v)�r,'l ,L(4/1--- /
Florida Product Approval# %SSL • ( 1001e6 for multiple products use product approval form
Property Owner Information
Name: 4 vLrc 11 piIIl_ttc Address: 34/6 S.✓m,',10/C /-0
City f¢-(Fri)t'``L i3rtie. State /=/ Zip 721,31 Phone 35'3 - 7.5`/"5-463G
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information _
Name of Company: 5 C) - /?�r,'' s cUQualifying Agent: // /47zts .S1,c,% C
Address ). /2N'`' ' City )hr /3
`7 r« h State f1 Zip ,72150
Office Phone ),9(/- 1L Job Site/Contact Number 0226 - 25ci
State Certification/Registration# C.CC t(4-1 1'1( E-Mail
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 NQTICE,OF COMMENCEMENT.
; .cyt,A,
yid 7W /
(Signature of Owner or Agent including Contra tqr), (Sig :ture .f Contract.
Signed ra d Born o(o lrmed)before me this,;./ day of Ig d and sworn to or a' lrm- •)before Y- this ' day of
tJ �j ` , 4C,1 b •i ' I (1f J.e_ J' r C' : ( ,b
� MPOW i-- O�
lam, r�WJ 4 wry' �(__��
� Si •j a of Notary)
:: r•.,* __ Notary Public-State of Florida
• .y III My Comm.Expires Dec 4,2017 ,
_'"';e,-..pts-\.0 Commission # FF 074537 Q"r•:r TONIGIRDLES i',t3En
_: ,i=. MY COMMISSION It FF 924951
Personal) Known OR ,�•.
[ )Personally Known 0••,' • • _ ,[ I Y '� ;
- EXPIRES:October 6,2019
1'1 Prnrinrori Iriantifiratinn i. —� 1 1 Prnrinrorl Irlontifiratinn I•''•/r;ci:fi,14 BcndedThruNotary PublicUndervriters
E)i- m '1.30 __�3O CV— I6kt
NOTICE OF COMMENCEMENT
State of l l Tax Folio No. /7°0° 47
6(75
County of raiuM-
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 —/.S /G `(2.5 ---015e"Scc .2 .31Lt/^il^ f:71-4L
Address of property being improved: 3 4/6 ,SGMi`✓l of- A4`4"14`t i3lac 4 A 32233
General description of improvements: /?e Roc)
Owner: C 1'411 "/r / 1 e h< Address:_3yc,tr m/;vg1C/2d 4t/-4‘.4.4`c i3'4 ri32.2s3
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner): Doc#2017175233,OR BK 18066 Page 1396,
Number Pages: 1
Name: Recorded 07,27 2017 at 12:22 PM,
/ `K.� Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Co ctor: �f I(o<C Ofj T C D . COUNTY
relAr Address: 92..`� /2?‘/wt S -3-;pc/&r'1 G 1j /c( 122-fd RECORDING$10.00
Telephone No.:'/—,211/-g'y Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone 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:
Telephone 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 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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER '�'
/ 1
Sign-.. Date: �/a[�/
Before meTis ,4( day of Sr/. in the County of Duval,State
""►P',• Of Florida,has personally appeared
;gip`'" `a��, PAMELA JEAN SHORE
Notary Public at Large,State of�Florid Co �P al.
.� Notary Public-State of Florida My commission expires: /
3N���_� off,; My Comm.Expires Dec 4,2017 Personally Known: or
',,�' ;,d:•' Commission#FF 074537
Produced Identification: