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764 Cavalla Rd re-roof permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 "!ru >% INSPECTION PHONE LINE 247-5814 REROOF SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RERF17-0129 Description: RE ROOF Estimated Value: 0 Issue Date: 10/13/2017 Expiration Date: 4/11/2018 PROPERTY ADDRESS: Address: 764 CAVALLA RD RE Number: 171365 0390 PROPERTY OWNER: Name: GRANT ALAN R Address: 61 TALLWOOD RD JACKSONVILLE BEACH, FL 32250-2924 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Thigpen Roofing, Inc Address: 2928 Plainwood Place Green Cove Springs, FI 32043 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$7,500. �srt1�►lam'j. Building Permit ApplicationUpdated5/5/17 r 74 y City of Atlantic Beach 7(04 ��7� '2- 800 Seminole Road,Atlantic Beach, FL 32233 7(D �� Phone: (904) 247-5826 Fax: (904) 247-5845 �S 7 -REOP- � Q 54 - t�E ,7_ 0t3Z Job Address: 7iLoa CL�e 01 Permit Number: Legal Description RE#7Z9, 7- O i 3 72� �- F17 - a 135 Valuation of Work(Replacement Cost)$ y mss. ►C�c� Heated/Cooled SF Non-Heat&d/Coole� • Class of Work(Circle one): New Addition Alteration Repair 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 Affidavit of No Tree Removal Describe in detail the type of work to be performed:.etir p ff F yor;,f 'oo-f t ef'/�i� tJ%rl. �+CW t- vndU i;-IL s 1t�r r.NA�,, N4) Florida Product Approval#v vl,y.r, ) - Ukjl^J11'+ S�._,lei il /Dlfbr multiple products use product approval form Propertv Owner Infor ation _I / �} Name: C'L rQnT Address: 1�4� l t0©O A City A0. State P Zip 3 Phone_ E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: / p C- Qualifying Agent: 1 AddressZ 92,r P t,tiw io.l ]. City i*t IQ.. ) State FL Zip 9 2vy) Office Phone 00"j ) 71- lj_r�) Job Site/Contact Number ZT,b•I qj State Certification/Registration# E-Mail fes.. 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 YOUR NOTICE OF COMMENCEMENT. (Signature of Owner or Agent) N19-nature of Contractor) (including contractor) Signed and sworn to(or affirmed)before me this /3;;4 day of Signed And sworn to(or affir )before me this day of bci 0&1i,'C , 20i 7 ,by A I-A-1 644IJ r _, 2-01-1 by 0. U (Q0, RCLARENCE E. HI MY COMM►SS►ON#FF948715 (Signature of Notary) �,,,, (Signa.Wmo1J. k�ta� � • EXPIRES:FebruatY 23,2020 71-7 .i ;,:;;e;; IONI,�WLESPERGER , MY COMMISSION t FF 924951 I'z EXPIRE 5:October fi �^ q [ ] Personally Known OR GondedTnruNoayPuhlcv [ ]Personally Known OR ' pQ Produced Identification L4Produced Identification_ c� Type of Identification: 66-5 3 "016-5h?-Y0/-0 Type of Identification: I. �.�S C c r!"� I NOTICE OF COMMENCEMENT Un L T 6 c i 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. 1 f Legal description of property being improved: Address of property being improved: c- {���. /4) 6: („ .�L. 2 ) General description of improvements: tc Owner Ale., ex'-rt Address 6 ) /G 11 ✓i Z Ad- Lk-- D,-)— P7L z.i i7 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor IllA-- Address Address '- P�u._ ✓�;_.� /' (r r ao., 40 J.3L A Y;) Phone No. Fax No. Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the constriction 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 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 O � DATE� /J Doc#2017235556,OR BK 18151 Page 1630, �:S�. the oma' g e �� r Florida,has personaYy appeared Number Pages: 1 herein by Recorded 10/13/2017 11:56 AM, ' s herein RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL 11e CLARENCE E. HILL �j ®(� (/ COUNTY ] MYCOMIvUSS10N#FF948713 6S3� 6� At RECORDING $10.00 a!0. EXPIRES:Fabniary23,2020 "C!//Jj� notary Pubic at Large,Stfftq of F Lw—, A , County of My conrinsion expires:214,J1 2.b Pwsonaiy Known or Produced IdenlficeOon G �L ,1 i3 ^'�O/—c