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63 Beach Ave metal roof permit "�J%j CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 5311 INSPECTION PHONE LINE 247-5814 ROOF NON SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ROOF17-0036 Description: METAL ROOF Estimated Value: 31500 Issue Date: 10/3/2017 Expiration Date: 4/1/2018 PROPERTY ADDRESS: Address: 63 BEACH AVE RE Number: 1702190000 PROPERTY OWNER: Name: DARABI FARZIN A Address: 63 BEACH AVE ATLANTIC BEACH, FL 32233-5257 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: AMERICAN ROOFING OF JACKSONVILLE Address: 1720 Wildwood Creek LN JACKSONVILLE, FL 32246 Phone: PERMIT INFORMATION: Please see aftached 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. _' VJ City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Roop I:z-n C)3 Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 - Fax(904)247-5845 L Date routed: E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6EACH RVE nt review required Yes No 7 (' Building,-) Applicant: Pf f'--) p,elarinaing &Zoning [-� 0o Tree Administrator Project: na C—_ C_ Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Fg'A'pproved. [:]Denied. [:]Not applicable (Circle one.) Comments: Egg) PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: [:]Approved as revised. [:]Denie []Not applicable Comments: PUBLIC WORKS PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. E]Denied. F]Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 building Permit Applicatiuili OFFICE COPY City of Atlantic Beach S E P P 7 2017 800 Seminole Road,Atlantic Beach, FL 32233 f Phone: (904)247-5826 Fax: (904) 247-5845 ROOF (-7-- OC'3 Job Address: ta:�, ge( &41 ,L,,6 Permit Number: Legal Description;-(,g li-2;- 792 L1A+;v, IQ Ms1v'rA_L_RE# 120 2 1 0Q00 LO - (015 1- 17-3 b SF a[ at, OT on jk(Rpe%6leriFfls�$ Non-Heated/Cooled 5AI 5 • Class of Work(Circle one): New Ad tion Alteration(Rje�pa�lr)Mo Pool Window/Door • Use of existi ng/pro posed structure(s)(Circle one): Comm erciZR�esildenti • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No • 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: CwT\p I e4e_��&r 0�� + .- r"e ROO Florida Product Approval# for multiple products use product approval form Property Owner Information Nam Addres �A A-VIC City State Zip- �ffiftne L4 E-Mail-.. Otim - Owner or Aient 064eni, Power R-Atrorney or Agency Letter Required) Contractor Information Name of Company: American Roofing of Jacksonville —Qualifying Agent: DanielP. Kinkel Address 3047 St Johns Bluff Road S,Ste 7 Citv Jacksonville State FL ZiD 32246 Office Phone 904-385-4375 Job Site/Contact Number Chris Dennis,904-626-4636 State Certification/Registration# RC90227546 E-Mail dan@americanroofingiax.com Architect Name&Phone# NA Engineer's Name&Phone# NA Workers Compensation Plymouth Insurance Agency,WC71949,expires 01/01 2018 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 NOTICE OF COMMENCEMENT. (Signat o Owner or Agent including ConLct%&:r� (signature of C—ontractor)/ 9 and sworn to(or affirmed)before me thi of Signed and sworn to(or affirmed)before me this 2,--)nay of hW T J)1-1 b I by krtftv K�ry_e_l q4I?A U&A& 2: - ( g�natu Notary) (Signature of Notary) SARA STREET JESSICA A CLARK kState of Florida-Notary Public My COMMISSION GG080246 Commission#GG 110741 rsonally Known MlKe"r`sonally Known My Commission Expires A FXPIRES May 07,2021 0,1111 Produced Identific it!*.. [ ]Produced Identific June 01, 2021 Type of identification; Type of Identificath OFFICE COPY NOTICE OF COMMENCEMENT Permit No- ke-of 17-7o0^74. Tax Folio No. 170219-0000 State of Florida,County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. I. Description of property(legal description of property and address if available): 5-69-25-29E 292 ATLANTIC BEACH LOT 5 PT LANDS LYING EAST OF LOT 5 RECD O/R 6813-1231 BLK 33 63 Beach Ave Atlantic beach, FL 32233 2. General Description of improvements: Complete Tear-Off and Re-Roof 3. Owner Information: a)Name and Address:-Farzin Darabi 63 Beach Ave Atlantic Beach, FL 32233 b)Interest in 100% c)Name and address of simple titleholder(if other than owner): NA 4. Contractor Information: a)Name and Address:—American Roofing of Jacksonville - 3047 St Johns Bluff Rd, Ste 7, Jacksonville, FL 32246 b)Phone Number: (904.) 385-4375 5. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF T14E NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IM[PROVEMENTS 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty o e , I declare that I have read the foregoing notice of commencement and that the fhc state therein are 0 t best of my 3powledge and belief. stated Signr of Own&-oKdWe uthorized Officer/Director/Partner/Manager Signatory's Printed Natne&Title/Office The foregoing instrument was acknowledged before me this day of 20n, by P&P_-2�y—bov abi as q)�A-�� for ('tAK_%AA-Ck Y--� - (Name of Person) (Typ4l6of Authon i.e.Officer/Attomey) (Name of Party Instrument was Executed for) A 'e ')"'c JESSICA C� A CLARK ARY PUB f - TA F FLORIDA My COMMISSION#GG080246 ame: t EXPIRES May 07,2021 P rs L 0 ersonally Known N ldentificatiodType: Doc#2017220769,OR BK 18130 Page 1308, Number Pages:I Recorded 09127/2017 at 12:11 PM. Revised 2/01/16 Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10-00