599 ATLANTIC BLVD - ROOF �� � CITY OF ATLANTIC BEACH
1:":„-;,'` �� 800 SEMINOLE ROAD
15111 zATLANTIC BEACH, FL 32233
'4 Ji3 '-). INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0103
Description: shingle reroof
Estimated Value: 20000
Issue Date: 9/22/2017
Expiration Date: 3/21/2018
PROPERTY ADDRESS:
Address: 599 ATLANTIC BLVD
RE Number: 170682 0000
PROPERTY OWNER:
Name: EAKIN PAUL M ET AL
Address: 599 ATLANTIC BLVD STE 6
JACKSONVILLE, FL 32233-4052
1 GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: PIMENTEL ROOFING INC
Address: 321 4Th AVE
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$7,500.
Building Permit Application Updated5/5/17
741„, 111 City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 'D`l -( j LYL P-11-7U&1bt j�1 Permit Number: KW
Legal
V�luatDesncription ld 8 2/2 3 6A-441, i RE#
W417(Fqpl2et77t)$ /f
COCA L57 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteratio :-• 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 Affid:v' . No Tree Removal
Describe in detail the type of work to be performed:
h ;0 4 -f e, �, ,� 1 � r e— 4# 3 d ��• ,442J-< � alk l ✓�,
s.
Florida Product Approval# Ft. I Lj S'(,e z O1,Akn Ft a$-&e(~2.10 for multiple products use product approval form
PropertyOwnerInformation
Name: i�k,AA lEA, KA /L) Address: S‘j ! 'T-1�,a +J , tli ! f
City P-TL State F1 Zip -3 7 -z ? 3 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: --P,r ,v/L72 (}O4fr5 Qualifying Agent: !7 d� ��. Jt
Z
Address 11, City min-1.1;3.40,44,4 State l Zip �7
Office Phone 541— 4 C/ Job Site/Contact Number Sy 43
State Certification/Registration# (Y./5 3Og Sc. E-Mail
Architect Name&Phone#
Engineer's Name& Phone#
Workers Compensation �-
empt surer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit to o 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 regulating
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 NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
(Including contractor)
Signed and sworn to(or affi.ccsed)before me this A/day of Signed and sworn to(or affirmed) befor this day of
5 ffr k,Kkyr, Jc1 el by\O -Q Li.. - 14,v` /7 ,by 7e✓144/ p•-;4,4-1V
•
(Signature of Notary)
+7y ,- ANNMARr r•'NA
i z:%y'•. PATRICIA J.JACKSON _,: • Y COMMISSI• FF 161400
�•� .- MY COMMISSION II FF 202473 r%' •: 1 IRE•:Sep-mbar 18,2018
7; .'_ Th, ,. Public UndennNers
.���.a: EXPIRES:June 14,2019 Personal) Known O'
],Personally Known OR � P„:g BondedThru btarypne 14,ndenRibrs [ y �� vim[ )Produced Identification . [ )Produced Identification
Type of Identification: Type of Identification:
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
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: r ♦ __
Ljc,r'-f4. it FFG / 1-4 4 `760i7fi(,'7(Z1 7 Q7
Address of property being Improved: . 6)' P 'T.i-,01J 4_,,L 7J( U ie + it`fk,,,q/ii,
t )Akk CA t`I
Generalllldescription of improvements: 41,7rOV i /. '� 6l4 in;<`It, l^ -- VT,-D r
7'3,7,,LI b- A i2_4-C i- , 4,,A., w� ( lra-t( ,r►.,itJ 4-
Owner at Vt I T /Jr-f l Ai �1
1 (4:4,4 Address 'O6)�J AT / ar,.2�iCigf1)t L 1/�' 1-t
`J-A%)--1 c APraz, F(
\\A
Owner's interest in site of the improvement [J1J tti
Fee Simple Titleholder(if other than owner)
Name
Address
'„�1-.�1
Contractor 7�.hti �d_S rr, Y�/
Address qt) i A r r l�-c-i-c, In U 11, (��.,C �j e4-r.• I 'g•z=<3
Phone No. C?C /-CV 4 g D 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 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.
11 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
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 1.
Signed' •mr PATE. ilk V 7
Bet, Is day of 0....111'..r�'''- • ( 1 In the
Counbif 6 uval Sl le of bride,ha ersonppl .appeared
` t �al.K a herein by
himsetG herself and affirms that all statements and declarations herein
are true and accurate r fy s PATRICIA J.JACKSON
Doc#2017217227,OR BK 18125 Page 1915, • _ MY COMMISSION a FF 202
Number Pages: 1 ''d
}� 1P, .r_;..;;a EXPIRES:June 14,20
Recorded 09.222017 at 02:08 IT \ Cj�'M'�'d"�'Vim' ;r;R�, ` Beaded ThruNotary Pubic Unde
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Notary Public at Large,State of F%. . County of_ )%-4..s4
COUNTY
RECORDING$10.00 My commission expires: or
Personally Known
Produced identification