726 Cavalla Rd re-roof permit 'r
s f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0125
Description: RE ROOF
Estimated Value: 0
Issue Date: 10/13/2017
Expiration Date: 4/11/2018
PROPERTY ADDRESS:
Address: 726 CAVALLA RD
RE Number: 171365 0190
PROPERTY OWNER:
Name: NGUYEN NICHOLAS
Address: 2110 EL LAGO WAY
JACKSONVILLE, FL 32224
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$7,500.
Building Permit Application Updated 5/5/17
,) City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904))2247-5826 Fax: (904) 247-5845
Job Address: 6 Q-v k L\os Permit Number: C Rr l 7 —
Legal Description RE#
Valuation of Work(Replacement Cost)$ ZJ�7,} e-ck 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:•�ti, f %)-F,
(/ 1lJIC�i,Gt7no .t De.c] 9-JK,IL J5 ;,5)e1- 7 .�$..�. ,� k4d
Florida Product Approval# dvlF,r�.�Y1 -�� f Z TS ?� Z ti J�,'z,faL Is 1 fiord multiple products use product approval form
Property Owner Inf rmation
Name: i C O a$ 1�) go V en Address: F_ I L-a w
City S ct)< T State F( Zip -5-Z2,7 4 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: % r . p Qualifying Agent:
Address L 91 d' F G:, City Grec.,t, I State FL Zip 9 2 vy)
Office Phone(qo lr ) 3 71 - 1,fj`) Job Site/Contact Number 0'1) 27-b
State Certification/Registration# E-Mail fk%-=I7tsfN�ti<!E''Cd-4-e-0-,4 f
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation e-A-.1M77
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 instal lation 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.
4�
(Signature o =tra
or Agent) !gnature of Contractor)
(in dinctor)
Signed and sworn to(or ed)before me this l kg day of Signed and sworn to(or affir )before me this day of
4)ei,A.S.4 2ol -I by N1�f1GtAJ MG�y.f.J —�' — �, by Q- U � �_
._"% CLARENCE E. HILL �'
My COMM1SS1oN N F 871 (Signature of Notary) P_ ($lgnaiur of Ngtar C __ --i
EVMS Fewuery 23,2020 - T ON1 CiNDLESPERG ER I
OF 1fiY nChAMiSwICN#FF 92.9 1
EXPIRES:October 6
[ ]Personally Known OR [ ]Personally Known OR BondedThruNoayPub!
pCJ Produced Identification L]-Froduced Identification
Type of Identification: 2S o -(•,38 Type of Identification: L Zk S"55 (;`�7'� -1-75—
NOTICE OF COMMENCEMENT
�. (PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 71-a.? Z S /� °9 G 1`9c-/K 1 V-'t 2 A
J z -, I o.f- L./ g ll,
Address of property being improved: At-). /S.L dCl ? -2 JI-)
General description of improvements:
Owner 'k';eh4,4 ✓ �.,
Address ��1U ,7 la:, i.✓��
Owner's interest in site of the improvement O7�C f
Fee Simple Titleholder(if other than owner)
Name
Address
contractor /-)n-4 ;.r, A.111L y, L
Address 2�L d !'�c;,,k / f�_ 4t-& r [o:C- kif--f y
Phone No. Fax No.
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the 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.
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 ONLYY!I��y�9�OWONER
Signed: u-t % DATE 10/1 -// 7
Before me this r d 0 C4-6,9 4,e 2v r 7 in the
Countyof Duval,State of Florida,haspersonall ap eared
Doc#2017235544,OR BK 18151 Page 1618, tj t ej a& S ri C> v '15 herein by
Number Pages: 1 himself/herself and affirms that all stateme
are true and accurate F
CLARENCE E. HILL
Recorded 10!13/2017 11:56 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL MYCONIlvIISSION#FF948715
COUNTY � EXPIRES:February 23,2020
RECORDING $10.00 (.4.�.", ��
Notary Public at Large,State pf F 4 County of OVA L.
My commission expires:
Personally Known or
Produced Identification /-I- L, L s v - 9f -`fr -v