405 AQUATIC DR - ROOF r1..,,,,
''
„ CITY OF ATLANTIC BEACH
;'~, 800 SEMINOLE ROAD
,� v~ ATLANTIC BEACH, FL 32233
\''''---:-04-12- INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0094
Description: RE ROOF SHINGLE
Estimated Value: 6178
Issue Date: 9/18/2017
Expiration Date: 3/17/2018
PROPERTY ADDRESS:
Address: 405 AQUATIC DR
RE Number: 171818 5280
PROPERTY OWNER:
Name: DOMINGO HENRY
Address: 405 AQUATIC DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: BIG FISH ROOFING INC
Address: 6821 N SOUTHPOINT DR APT 114 STEVEN SCOATES
JACKSONVILLE, FL 32216
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$7,500.
y
rt'(---- �� Building Permit Application
I-) City
of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
r`.f.ntiVe Phone: (904) 247-58266Fax: (904) 247-5845 Q
Job Address:106 i a i D r i}}Ictn l-1c, P each I ._ �J22 ermit Number: 1. U:: 17— O 0 /1
Legal Description 33-71 11-2S-29Eu�:1
A2 � -Ic- ear-dens- Lct 2.2.- ID RE# I7(bI - 52-Y0rr
Valuation of Work(Replacement Cost)$ (Q1 11 6• 00 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one) , l'O Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial i Residenti.1
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes NoL 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: FL , 7 7 7 ._ Rs U !r d e f- to - c 7*-
SiYyyl, Fai'Yl1It5 t--on' . Tak, off old rock, 1 nSfaJJ rl tlk.) r o-or
Florida Product Approval# F 1- tOL.e741• t for multiple products use product approval form
Property Owner Information
Name: kA e lA(\J barn,No Address: 4f()5 (---cworur ICJ Dr
City-NcA'rHC 0fcacti State F.L Zip , 27 , Phone (109 -, colt, -44y4
E-Mail (ye e12'«rt CQ Y\ °YV)Gt i I CUM
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor InformAtion
Name of Company: j'10� \S� (� \vn cthd 1uaktr¢a-�'rd� alifying Agent: \i c,v1 ( OCA
t&%
Address Zk Soin�Vipb t .1),,- N*1\A City,.J C O iV( t., State 1, Zip 2 1(0
Office Phone c-1Q' - (..Q3 8339 Job Site/Contact Numberge�C Craw-Pc-A-a_ Qozi -?p 2-Fe/-.75
State Certification/Registration# C,C,3 4 y 1 E-Mail 31-0 C'S L i cj t^ISh roc.> i vl(3 c G✓V)
Architect Name&Phone# iJ//(>
Engineer's Name& Phone# k.% _
Workers Compensation eS'7 0 _- Ci 4 OGv l [ L O t
Exempt/Insurer/Lease Employees/Ex i ati n 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
RECORDIG YOUR N• E OF COMMENCEMENT. ,'/)
Al--aAWi - ,....m,
.. - A
(Signature of owner or Agent includin ontractor) z,z,
(Signature of Contractor)
Signed and sworn to(or affirmed)before a this (.Q day of Signed and sworn to(or affirmed)before me t is LO day of
tiOtIVIOer2011 by Nt1'\I )o YVl i oc)o ap+emae*, ZOI Eby St(V CAI Gl '
. ,L! . . A %i ,k4.AY) (/I (12
Si nature otary) (�of Notary)
( g D
r"'Y_+ I�SiEY M HOOK
:'� r Commiealon 1 FF 981395
[ ]P rsonally Known OR :• fi' ASHLEY AI HOOK [ rsonally Known OR =i• •'• , s•;
,•, Com+nlubn/FF 081395 • • F�In•A014 2020
[ P duced Identification ,�`'P
roduced ldentificatio�• ;=..r1" ie' F�{� (2,2020 I ] Fo;,o,,. PonawnwTroy Fain rw.ar,c•eooaestoto
Type of Identification: t� L LXFc c;.0P• Baxiscl Ttru Tory Far Irwin,eoo-3la /e f Identification:
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of f-'/d I,/d County of _/I,,;/4/
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 belpg improved: _7/ /7 '—iN5 —e-7
/P#/7 AIV Sidi /V0 TjGA.1M41
tOre•' -D
Address of property being improved: 7 0 7 n f 04k tO
4//.gnli c /3 P4c h /l )ox 3
General description of improvements: REROOF
Owner lie i2,py h C/?iny p �} n /� /
Address 4/ac 4fU1/,c 4r A7l4�ifle /9�ic,4 A/ 3a.7-?
Owner's Interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor BIG FISH ROOFING
iiiir Address 6821 SOUTHPOINT DR N,SUITE 114,JACKSONVILLE,FL 32216
Phone No. (804)685-8334 Fax No. (904)853-5676
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 ' 0
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone 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
Signed: l' .4,4 air*„,(00„ DATE 0/�9/�/ K: S
Before -th- ue•-y of iu. o. r ! I the M'=sS
Doc If 2017210711,OR BK 18117 Page 114, C�o�rn of D/yr,St:a of Fiorlda,has•_ _.9;11y appeared
msefh rself le aGiL� herein by i it
Number Pages:1 h mselU herse and a rms that el tatements and declarations herein e¢�
Recorded 09/18/2017 at 09:44 AM, are true and accurate
Ronnie Fussell CLERK CIRCUIT COURT DUVAL ,;,,,,,
COUNTY ' I i ;ll'''��';';
RECORDING$10.00 �;�1:0.
No ry Pu. c of large,Ste•!.f County , �Q% ,'2�`°
•
My commission expires:
Personally Known I'' 1 111 or