2233 Seminole Rd #19 shingle re-roof permit Atlantic Beach Product,c
REPF7-OT78 POOR8-DO63 POOF18-OM ROOR9-W52
PermitTRAK Permit No:PEPI717-0178
PEPF17-0178
FINALED ApP ad 11A5120T7 F�,ialecl 'nr=077
7, REPOOF SHINCLE Approv-d IVT7/ZOT7 ZO F,:,,
TIAMOV
Isscjed
shingier�-roofFL*06744&FL1521&P2
T, ADDRESS
2233 SEMINOLE RD UNrr 19
7
-,t% Atlantic Beach F1 -4- 32233
OCEAN VILLAGE ONE CONDO
Contacts (2) Owner MEGNA SUSAN C LIPE ESTATE
Valuation Details Job Value:$4,000.00
Financial Information Charged:$79.00 Paid:S79.00 Due:$0.00
Conditions (0)
Inspections (8)
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
rQ51119, INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4113M FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0178
Description: shingle re-roof FL1 0674.4 & FL1 5216-R2
Estimated Value: 4000
Issue Date: 11/17/2017
Expiration Date: 5/16/2018
PROPERTY ADDRESS:
Address: 2233 SEMINOLE RD UNIT 19
RE Number: 1695190142
PROPERTY OWNER:
Name: MEGNA SUSAN C LIFE ESTATE
Address: 55 CAMPBELL AVE
CASTLETON, NY 12033
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: JAMES SHELTON ROOFING
Address: 252 SANTA BARBARA AVE QA JAMES W SHELTON, III
JACKSONVILLE, FL 32254
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.
o4
Building Permit Application
City of A.t1antic Beach
800 5eminole Road, Atlantic Beach, FL 32233
Phone� (904) 247-5826 Fax: (904) 247-5845
job Address 2em, Permit Number: C, I
.fh
Legal Description n"i
Valuation of Work(Repiacer-rient Cost) 6 T_> Heutud/Ccioled 5F Non- Heated/Cooled...........
6 Class of Work(Circle crn(E�� Addition Alteration Repair inclow/Oooir
0 �Is�of exi%ting/proposed stiuctufe(s) (Circle one). Cornmerc<
0 If an existing structure,Is a fire sprinkler system installed?(Circle Q�ne e 'N
* SuOmit aTree Removal Permit AppliczitiQn if any trees are to bt Tree Removal
F[';t-sc,!Ue In detail the type of work to be performed,
L
Ploriou Prociuct Apo,Qv�fl PFL for mul,,ple prod,,jcits use ci,ocuc: ar)prova; o ri
Property,Qp nk�jnj_qrMp on
I �L
D N_)l,
.Z YY J)0`3IIL j2c�'
b4�(' State Z i p Phone (&-S CA
Owner or Agent (!f Agent,Power of Atttorney or Agency Letter �eqi.,iif-_,c�
jZq0t1ac%or information
___�11 I
N,ime oi C�)riparnli. Q,,jhtying Agen!
A,00res� State Z1U
Sile/Cunta�t Number
State Certifici E-Mail
Architect Narrie& Phonell
Engineer's Name&11hone -------
Workers Cornpensatlon'�"' A& P r
1-i — Exempt�inserer Lease Employees/Expiratlun Date
Apolication is hereby made to obtain a permit to do the work and installations as indicated,I certify that no work or installation has
commenceci prior to the issuance of a permit ano that all work will be performed to(neet the standards of all the lawi reguiationg
construction in this jurisdiction. I onderstand that a separate perrilit niust be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS.POC14 FVRNACES, BOILERS,HEATERS, TANKS,ano AIR CONDITIONERS, etc
OWNER'S AFFIDAVIT. I certify that all the foregoing Information is accurate and that air work will be done in compliance with all
,ipoticaole laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RI:SULT IN YOUR PAYING TWICE FOR IMPRO EMnTq YOUR PROPERTY� IF YOU INTEND
V'
TO OBTAIN FINANCING, CONSULT WITH YOUR If DE AN ATTORNEY BEFORE
N')JEAN ATTO RN
RECO DING YOUR NOTICE OF COMMENCEMENT
(si-gn-VtufoofOwfierorAgerit"IncludlngC!ontract.9r) (signature of Contractor)
signed anci sworn to(or affirmed)before me this ',4-0ay of S!gf ea and syvot n to (or jffirr2g�j befure rae tPis day of
b,
by E rl
JO
Notary Public Signatuia-w-N 0t*—(y)T ""01�u"" I it a' r te,'. I Notary)
lorida
46 .W"". Notary Public-State
State of Rorlds
t I my Comm.Expires Oct 31,2018
'i__ 'r4
qg My Commission E)(pires 02/16M20 commission
# FF 138924
Commission No.FFS60933 Bonded Through National Notary Assn.
i Personally Known OR
Pr
oduved Identification J5��f ii uduLed Identification
NOTICE Op COMMENCEMENT
(PREPARE IN DUPLICATE,
Permit No, Tax Folio No. 169519-0136
State of FLORIDA County of DUVAL
To whom It may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
acoor4ance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being Improved:09-28-29E OCEAN VILLAGE ONE,CONDOMINIUM DWELLING UMT 19
Address of property being improved:2233 SEMINOLE RD UNIT 19 ATLANTIC BEACH FLORIDA 32233
General description of improvements, RE ROOF
owner OCEAN VILLAGE ASSOC. INC,
Address 2233 SEMINOLE RD UNIT 19 ATLANTIC BEACH FLORIDA 32233
Owner's Interest in site of the improvement FEE SIMPLE
Fee Simple Titleholder(if other then owner)
Name
Address
Contractor JAMES SHELTON ROOFING
Address 5352 HIGHWAY AVE JACKSONVILLE FLORIDA 32254
Phone No.904-378-9205 Fax No,
Surety(if any)NIA
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements,
Name N/A
Address
Phone No. Fax No
Name of person within the State of Flodria.other then himself designated by owner upon whom notices of other
documents may be served'
Name NIA
Address
Phone No. Fax No.
In addition to himself,owner designates the follosving 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 N/A
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
difforent 4*t&je SpaCifti),
THIS SPACE FOR RECORD ERTU3E-6NL 01 NER
DATE
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Recorded 11/17/2017 02-09 PM, Notary Public
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL State of Florida
M r
COUNTY V rommission Sknires 02/ji%"
RECORDING $10.00 OF-PURIC st Lane.Sto C ty0l`1d44-"1,
M commission expires: No.FF960933,
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