1912 Oak Circle re-roof permit %A
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
9 INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0102
Description: Shingle Reroof
Estimated Value: 4500
Issue Date: 10/2/2017
Expiration Date: 3/31/2018
PROPERTY ADDRESS:
Address: 1912 OAK CIR
RE Number: 1720201254
PROPERTY OWNER:
Name: COOKTHOMASJ
Address: 1912 OAK CIR
ATLANTIC BEACH, FIL 32233-4506
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Paramount Roofing Specialists Inc
Address: 7318 Harbourmaster Court
Tampa, FL 33607
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$7,500.
Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
Phone:(904)247-5826 Fax: (904)247-5845
Job Address: 1912 Oak Circle, Atlantic Beach, FL 32233 Permit Number: F 0
Legal Description 36-64 09-2S-29E SELVA MARINA UN1T 12-A, LOT 11 RE# 172020-1254
Valuation of Work(Replacement Cost)$ 4,500 Heated/Cooled SF 2129 Non-Heated/Cooled
* Class of Work(Circle one): New Addition Iteratio Repair Move Demo Pool Window/Door
0 Use of existing/proposed structure(s)(Circle one P: Commercial
0 If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No
0 Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Rem�,.,,:0
Describe In detail the type of work to be performed:
Residential Re-Roof
Florida Product Approval 4 for multiple products use product approval form
Property Owner Information
Name: Tom Cook Address: 1912 Oak Orde
City Atlantic Beach State R_ Zip 32233 Phone 904-859-9966
E-Mail tom@atlanticimaging.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Paramount Roofing Specialists, INC Qualifying Agent: NicoleCorson
Address 7318 Harbourmaster Court City TamDa State FL Zip 33607
Office Phone 813-438-9691 Job Site/Contact Number 813-438-9691
State Certification/Regi strat ion# (;CC1331026 E-Mail. nfflcoIe(&rod-mfters.com -
Architect Name&Phone#
Engineer's Name&Phone tl
Workers Compensation Lease Employees
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 N0:TI E OF COMMENCEMENT.
'W�r Xgent including Contractor) (Signat e f Contractorl E01
(Sjgnatur��f 4wn V
S�Ilnecl and sworn t6,or affirmed)before me day of Si ned ar�j sw to r affirml/befor,me CA day of
LZ K_ by
V
Notary PU
State of ure of No Si re
My Commission ExMres I I i3o.41gr CLEO
Commission No.FF 66026 tary Pub4c,state of
Comm;,- 'S a
�1014 FF 149302
�1`9- 10.201,
)Personally Known OR Ppf sonally Known OR
I-lProduced Identification [L),�rocluced Identification
Type of Identification: OoL�&5 bc- Type of identification: nu
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No.
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: 36-64 09-2S-29E, SELVA MARINA QNTT 12-A, LOT 11
Address of property being improved: 1912 Oak Circle, Atlantic Beach, FL 32233
General description of improvements: Residential Re-Roof -
Owner: Tom Cook Address: 1912 Oak Circle, Atlantic Beach, FL 32233
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
C o
*actor: Paramount Roofing Specialists, INC
�Cw_- Address: 7318 Harbourmaster Court,Tampa, FL 33607
V Telephone No.: 813-438-9691 Fax No:
Surety(if any)
Address: Aniount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Addr"s:
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 Corrimencement(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 P11
Doc#,��oi-i*,nI443,ORBK18131 Page,332 ;igned:- ' I I-'j. � C., Date:
iefore me this dV4 of �A in the Coulity of Duval,State
,slumber Pages�1 nally appVared'7-'r\j--An ji�r_ C 1-:r2) L
Recorded 09 27 2017 at 04 33 PM- )f Florida,has perso
Ronnie Fussell CLERK CIRCUIT COURT DU'4AL 4otary Public at Large,State of F,orida,County of Duval.
COUNTY Ay conimission expires: �I- �)c, L.:]
RECORDING$10 00 lersonally Known- T.., flt or
b2dve6tk Identificatio wc4rpuM A C—
%te of Rorida
NjV,1:,)ljjr jr,�sion Ex�res 1 1MO17
rxmmissiori Nu.FF 66026
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No.
County of DMI
To Whom It May Concern:
The undersigned hereby informs you that improvements will he made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 36-64 09-2S-29E.SEM MMNA UNIT 12-A.LOT 11
Address of property being improved: 1912 Oak Orde,Atlantic Beach,Fl-32233
General description of improvements: Residential Re-Roof
Owner. Tom Cook. Address: 1912 Oak Circle,Adantic Beach,FL 32233
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Co ctor: Paramount Roofing Specialists, INC
Address: 7318 Harbourmaster Court,Tampa,FL 33607
Telephone No.: 813-438-9691 Fax No:
Surety(if any)
Address: Amount of Bond$
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 folJowing 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 z
Doc#2017221443,OR BK 18131 Page 13:r- ;igned CIJ,- Date
Number Pages I lefore me this 3�,-�L 44 of r-�,t.A-C'A I-? in the Cojhty of huval,State
Recorded 09.:',17 2017 at 0433 PNI- )f Florida,has- pVared-r-K,-,vhn ec!�, , � C
Rorme Fusseil CLERK CIRCUIT COURT DUVAL iotary Public at Large,State of Florida,County of Duval.
COUNTY 4y commission expires: 13Q El
RE(,10RDING$10,00 lersonally Known:. T..-H(At L"ic— or
=3vo64 Identift( Fwwy-ruur,
ftle of Polda
MV(.�[Tlr W�W, EX"1 1=7
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