1766 Beach Ave re-roof permit rj y�\Ilfv.
CITY OF ATLANTIC BEACH
�} 800 SEMINOLE ROAD
J 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: RERF17-0139
Description: RE ROOF SHINGLES
Estimated Value: 20580
Issue Date: 10/16/2017
Expiration Date: 4/14/2018
PROPERTY ADDRESS:
Address: 1766 BEACH AVE
RE Number: 169603 0500
PROPERTY OWNER:
Name: MAGLEY KIMBERLY E
Address: 1766 BEACH AVE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: BOSCO BUILDING CONTRACTORS
Address: 2158 MAYPORT RD
ATLANTIC BEACH, FL 32233
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$7,500.
s
Building Permit Application
t~,
J yr
City of Atlantic Beach
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 1766 Beach Avenue Permit Number:
20-20 09-2S-29E.114 Ocean Grove Unit No 2 Lot 7(EX W 83.34 ft),
Legal Description PT Govt Lot 4,Recd 0/R 17339-540 RE# 169603-0500
Valuation of Work(Replacement Cost)$?_0l5 o Heated/Cooled SF 2,649 Non-Heated/Cooled 258
• 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: Roof Repair/Replacement
1`<, QcXo
Florida Product Approval#�1FLMSS.t _S formultiple_products use product approval form
- '2533.rt (YL dS1� Pie 1� V rtid�.c�cujl*►crrF
Property Owner Information
Name: Kim Magley Address: 1766 Beach Avenue
City Atlantic Beach State FL Zip 32233 Phone 904-318-8109
E-Mail kmagley@me.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Bosco Building Contractors, Inc. Qualifying Agent:
Address 2158 Mayport Road City ,Jacksonville State FL Zip 32233
Office Phone 904-241-0320 Job Site/Contact Number 904-241-0320
State Certification/Registration# CBC1250212 E-Mail todd@boscocbc.com
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 ATTORNE BEFORE
RECOR,DING YOUR NOTICE OF COMMENCEMENT.
ILk �
(Sig e o wn r)or Agenncluding Contractor) (Signature of Contractor)
Sign d and sworn to(or affir71M
) efore me this b day of Signed and sworn to(or affirmed)before me his V- day of
by mla 02k, 2011 by�T,=,C -A, c7_SXJ
(Signature of Notary) (Signa(ure of Notary)
Denise A.Ennis
Dor""A.Eng NOTARY PUBLIC
NOTARY PUBUC \ STATE OF FLORIDA
j Personally Known OR STATE OF FLORIDA �v] Personally Known OR
[ ] Produced Identification [ ]Produced Identification *Expires
Comms 3/9/6426
Carm11�33966426 3/1/2020
Type of Identification: Type of Identification:
NOTICE OF COMMENCEMENT
State of' Eo�i d O`, Tax Folio No. �(p?j O Soo
County of V,>i CL�
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: 20 — 2.0 0! —2,S—Zq ``L�, cear) Qyrr'o J Q_7
kLr; 1N !l3 ''A1r r) PT GcQ Lo { y
Address of property being improved: 1-1 kpV IR>M 0 J A\1 Q,. A- qr (,�h 1-,'33 q. 4.
General description of improvements: oaC- Pp���! O l pk Ce onen+
Owner: 1� M G`2, Address: a c,"
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: C c
Address:`�- S Q� CF,,��
Telephone No-90 tA-141� 24 Fax No: 0
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 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:
Telephon o: Fax No:
Expiration dat , f otice 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
Sign Date: O 1 ZO 1"1
Denise A.Ennis Before me this C day in the County of Duval,State
NOTARY PUBLIC Of Florida,has personally appeared CYI�t 2
STATE OF FLORIDA Notary Public at Large,State of Florida,County of val.
Comm#FF966426 My commission expires:
t Expires 3/1/2020 Personally Known:�_ ,Yy�Ap or
Doc#2017236858,OR SK 18153 Page 1032, Produced Identification:
Number Pages: 1
Recorded 10/16/2017 02:13 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00