730 Cavalla Rd re-roof permit sr
`S CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4113M FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0124
Description: SHINGLE
Estimated Value: 0
Issue Date: 10/13/2017
Expiration Date: 4/11/2018
PROPERTY ADDRESS:
Address: 730 CAVALLA RD
RE Number: 171365 0210
PROPERTY OWNER:
Name: WHEATON BOBBI D
Address: 724 CAVALLA RD
ATLANTIC BEACH, FL 32233-3917
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$7,500.
Building Permit Application Updated 5/5/17
s
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233 `7 7-4 _ 1-Z CRP 1'7_ 0(Z 3
Phone: (904) 247-5826 Fax: (904) 247-5845
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Job Address: �00a \ Permit Number:
Legal Description RE#
Valuation of Work(Replacement Cost)$ Z �7�a� Heated/Cooled SF Non-Heated/Cooled
• 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:.1-eti, efVq Yt)tr.f .Odd, r�/�/Gz� wifl), ,I e-W ;,,C_
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Florida Product Approval#v�drlFy ,,�,ri - for multiple products use product approval form
Property Owner Information L I (�
Name: 6O t' w,\ems-T0l\ Address: -7 z 4Via��
City State Zip Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: % ^ Qualifying Agent: f_�ry-c_
Address Z 91,' P ,w,,,./ 1. City 6tenlni, •,, ) State F1_ Zip 9 zvy)
Office Phone('lvGI ) 3 71- Job Site/Contact Number ZT.b-•)-L,?,�
State Certification/Registration# E-Mail F"v-JA,sf'ren <!E' C12--c-Ir.4q,
-
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) ignature of contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this dr.,#day of Signed and sworn to(or affir ) before me this day of
BGog z/t 2ti 7 , by /3y4Qg,/f /,J.�,�A%oma 0 2-017, by Q_ 0 Qj-,,
JCLARENCE E.HILL
MY COM IISSION#FF9487t5 (Signature of Notary) ($jgna_tur_. ..
-
EXPIIRES:Fcbruery 23,2020 r1NI Gih@LESPERGEER
`y' NY r;OMMiSSION n FF 9249^901 01
EXPIRES October E
Bonded Thru Notary Put!',"
I�
[ ]Personally Known OR [ ]Personally Known OR
[)(j Produced Identification LAfProduced Identification_` _
Type of Identification: W 3So C6'1 �d-(, 4,? a Type of Identification: Zk S -a5 �-t 7 - -7�— (�
NOTICE OF COMMENCEMENT U h Ir 7
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:) I ZS Z -e-
Adrof property being improved: I J L!�✓c ��a Ad. i7t) !3r_4 Y , � ZZ 3 -1
t t7 y>�f Q t- L--' --j � {Y e4- 7 AL. C I
General description of improvements: re-
Owner
eOwner
Address %�'`t L....�11< ny A 1._ '0'4
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor I''1:�G f' tf�., C-
Address_��i Z� P u, ,y i P I, Grre, l,).,c (4_„
Phone No. "�d ti 1 Z Z l ' ! i,$,} 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): 2
THIS SPACE FOR RECORDER'S USE ONLY OWNER v J� J
Signed: t-f ` DATE j' Y I• 1
Before ft this 12 fH day of O CTD !7 the
County of Dural tate gf Florida,has 'appeared
t o3 4,�z w�►cA herein by
himseW herself and affirms that all
are true and acarate µr+p
Doc#2017235543,OR BK 18151 Pae 1617, +0W��( CLARENCE E. HILL
9 �7>ti�/ MY COMMISSION it FF948715
Number Pages: 1 i,a0FI'll/ EXPIRES:February 23,2020
Recorded 10/13/2017 11:56 AM, L%2t1�.� )�+�1�
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Public atLarge,Stateof ' County of uV '-
COUNTY My oamission am—: 21 13 2 a
RECORDING $10.00 PerSM*Known or
Produced Identification 1;- L Wy' -,.Yu.E Si. - O