1958 SEVILLA BLVD - ROOF = `'
\mss t?„ CITY OF ATLANTIC BEACH
° r) 800 SEMINOLE ROAD
,,.__
yr ATLANTIC BEACH, FL 32233
r'--ri;:: �a INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0087
Description: re-roof FL10674.R10 & FL15216
Estimated Value: 28967
Issue Date: 8/30/2017
Expiration Date: 2/26/2018
PROPERTY ADDRESS:
Address: 1958 W SEVILLA BLVD
RE Number: 169462 0420
PROPERTY OWNER:
Name: BRAID ROBERT A
Address: 1958 SEVILLA BLVD W
ATLANTIC BEACH, FL 32233-4578
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: ROGERO &WILLIAMS ROOFING CONTRACTORS IN
Address: 883 Lawhon Dr ST
JACKSONVILLE, FL 32259
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$7,500.
-�' '''J'• Building Permit Application Updated 5/5/17
(° 'fr.' ,
%- ,; t ; City of Atlantic Beach
*. 800 Seminole Road,Atlantic Beach, FL 32233
Jtr
\\\\\\ Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 1`158 Se)sj 31v\ >Q F�41-�_ .,{�rw.� Permit Number: a 2.F I/ - OO f
t_il t--a3
.t Legal Description` 5 .fl- DE,• a 5. oZG '5 .►11a (. rrle. kkr,34-Z RE# i ty9 Litz,-O(tzr,
Valuation of Work(Replacement Cost)$ a o,otwi•°0 Heated/Cooled SF -3�3 Non-Heated/Cooled LAS r18
• Class of Work(Circle one): New Addition Alteration Repair Move Dem 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 CtIVAD
• 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:
S\'163 eS
���e_pci F-- r��ti ta,� �s�lC�c 5'1 5 9 . %6�i-uo �+r Mali
Yl�
Florida Product Approval# _ VQ.unt.11•- Y...113 for multiple products use product approval form
Property Owner Information
Name: 1-. obE— B rA Address: 1 9 S S Sv.711.1a (2>\'J , \AD
City tixOMC Lgf„ gyp_ State - -1. Zip -S2.....7_-"S3 Phone 911.0•Lv`i et • Ls•1 Ste_
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information rc`` >� _
Name of Company: Eo&Dc» w \lIZoLST'< ualifyingAgent: \4-Efx-f-&-QN4 '?-&:)( f--c-€=:.
Address •3t.416' 1(.4212...i ( tTc..)esc 1 I tf.._ State ASA. Zip 32Z.5'')
Office Phone cit,--1 C L% .'-t>-a 3 Job Site/Contact Number '9OL} QAcs $C.}E,3
State Certification/Registration# ( 3`7)03SM E-Mail --41.1.1 64,1/k.)0Df4Q0(140ec. CDAA
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
Exempt/Insurer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING Y UR NOTICE OF OMMEN IVIENT. -.) ,
�� moi/ i
G-
(Signature of Owner or Agent) / Si ature of Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this2$ day of Signed and sworn to(or affirmed)before me this Z8 d+�ay of
.*•)\•,-( , Zo t , by^ 644 GAS A.4.4n/^'"/ 014-4945- ,._. 411 , by rr= - -• - q
ee.,e
(A.A.kridiri..
,ei-1
fi ureofNotar ,1 /
u sr'_ t .:.::;;;n�'•., PAUL ROBE• CASSETTA
I,..EDWARD EUGENE CALLAWAY JR =r. - ,¢t. NotaryPublic-StateofFlorida
MY COMMISSION #FF136012 ••, '` Commission MGG 126370
': , ° s My Comm.Expires Jul 24.2021
.
:i
,., EXPIRES)unci 24, 2018 '?Oi,"••` Bmdedthrought,ahrra!hotaryAir
( j Personally Known QR :
��ugl3+ants7 FlondallotaryService.com
Produced Identific�tlen [ ]Produced Identification
Type of Identification: O6 ock,. C). la.• Type of Identification:
Doc # 2017201806, OR BK 19104 Page 1265, Number Pages: 1, Recorded
08/28/2017 at 04:24 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
not roltu No.-1.%&-q--416---1-' 7P
MaltsNo. County of--t/16-12"-------------
Slalr.of�y�,,�,....•-----
To whets It may concurs: and Ir.
The undersigned hereby Intorms you that Improvements Will bo made to certain root property,
accordance with Section 713 of the Flotidn Statutes,the tollowlrt information is stated In:ills NOTICE OF
COMMENCEMENT. $_201 cy��� _ .4S
tel description of property beteg tm;lroved: .1 Q .2'
/953
Audiess Of oropruty rye OO Impfov tC. vim �=-y- --� `...
Gennrol dAsaltNtsm of 1mlxrn'1i1^ntr' r ------
.NllA nn.f -___._-
enters t W_.".I ------
e?,mers Internet In ax.of the:mDrov r•----' _ ..�
ler areple Tilleholder(It other than _.__.-.. _ _---
Nese Rucrt' m W14'4148011?Mord*Cnnvacuas . - �- .....
Address 3415 Kilo Roan,I:Kk'•m•.,11r.FlorMa V-,:;.__________-________... _._
•�__.—
Contractor lJeeell!rin ..,
JA15 Kmtreats!acksatvd,•f Writk172?S7 -
Address yW.fit•1•:'atpJ -______
,Io4.51e-:ri63 Fax Nn.'
11tlnely(if any) ___Mint int of bond 1.--__. _- ---. ___
Phone No._,-__- - -
Name ane addresS of any Fdrsnn rtaKktg a Ioty,for the mnttntchnn or Inn low oyornenr. --_..- .^_
them -- - _—.-. --_--.--.. ...
Add^e/ess esy - -- -. _..__.._.....
rax No. _
Phone No._
None of person within the Slate of Sol kin,other than 1•imaa:f,Ueslgnnted by rrwner upon wlerin r laces 111 ot•lry
documents may he selvrdl _^�- --•----...
Nalrtr J.umeg•..n,tt elm Address
3415 Kotl Itoad,J acksomIlle Florida.12257
Phone NO.
400
eal.ttn•taG] -•-
_.Fee Nn.._._-.------- ._.__
—
In addition to himself,owner detilignoem the fnik,wIISJ person to receive it copy at the Le O0t a Noire te,IlaWarit to
31tctlon 713.06(21(b),Fioddn Stetutea.(ill In nt Ovmrrs uprenl. _..-�-Y -
Nano-
Aektress --E•epIrntfrNl _Fnx Nn. - ...._._-_. -_...
tim
lOri Na.ofUdate of Notice of l'OrttIlMnCettWr•`ld,e expiration lair IS Mir.CO year from the doter of teCArutile.),n
� •Utile
dllferrntdate ixspedted): __ ••---_�.-.
0115:STAGE 1'OR RECORDER'S USE ONLY ,f LIi��71-17)'-77�' .r s4.��..
iares nM mitr.y or .t.,._
couotsul M hMM. 1 *own.. (<er'rrI In
NE C,ALLAWAY JR I Ixnlvs. wd,Ji?m.11N1 oxµ1..„M1,.r,w,te.l..0m.a IINOY
:a• a F.EDWARD Wag r we row int.rrtrMk,
• MYCOMMIS4.ON sFFt�f'tit2
;. �'•�yl June 24.2018 '
- eXPIRES
t -r--
Y1..4/-1; fb(ttMNont'rMpc.e. m
;an7t3'ttrct57 l IhuWy w.4II.,I....a..,trww .ea.._^ 4.1/Ilv,...V LIt _-
l/Ay oa m`rfno awl-tic. .. . . _
I panonaNK"cm ._.._._..-