1761 Ocean Grove Dr shingle re-roof permit 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: RERF17-0182
Description: 3RD STORY ROOF SHINGLE ONLY
Estimated Value: 6495
Issue Date: 11/16/2017
Expiration Date: 5/15/2018
PROPERTY ADDRESS:
Address: 1761 OCEAN GROVE DR
RE Number: 169604 1000
PROPERTY OWNER:
Name: CURY JAMES D
Address: 1761 OCEAN GROVE DR
ATLANTIC BEACH, FL 32233-5844
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AMERICAN ROOFING OF JACKSONVILLE
Address: 1720 Wildwood Creek LN
JACKSONVILLE, FL 32246
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$7,500.
Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone: (904)247-5826 Fax:(904)247-5845
Job Address: e t frmit Nu, ber: �, 17 - ( PS Z
Legal Description - ���,v0�
Valuation of Work(Replacement Cost)$ � . Q�`) Heated/Cooled SFWY7 Non-Heated/Cooled oy
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial sidentia�
• 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 n detall the type of work t/o Abe,p�erforme ,I��4 �� la"� jq(
Florida Product Approval# F L 14,1 Z�A V-L 111-O�IS for multiple products use product approval form
j!roperty Claimer Information
Name: Address:
City State�i�Zip Phone
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: CLualifYing Agent: I
Address L City State�Zip 7_2-LI, (,•s
Office Phone Job Site/Co tact Number112
State Certification/Registration# -Mail
Architect Name&Phone# \1 A
Engineer's Name&Phone# JUN
Workers Compensation i I k I A V1, 0 a v 2 _
Exempt/insurer/Lea Employ s/Explrati n 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.
( nature of Owner or e t including Contractor _ (Signature of Contractor)
Signed an savor to(or affirm before met ii y of Signed and sworn to(or affirmed)before me this 1 S day of
,,by �- vcM LOO ,by a ll , e
r2 of 11(Signature of Notary)
NGWELL
:oi w
rYPubric,Statieof �� ,'�,,, SARA STREET
MY commmission#t FF149 � °4,State of Florida-Notary Public
ex�:res qt�n. -• Commission i GG 110741
[ ]Personally Known OR _ X10,2ptg Personally Known OR i�,� �,A? My Commission Expires
-TyProduced Identificati t / �, [ roduced Identification ,°;,',���` June 01, 2021
pe of Identification: 51r�(-e /r(✓� �t �_._� Type of Identification:
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No. 0
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance
with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
At�44�k.2 , &D CIA . EL 3ZZ 33
2. General Description of improvements:
Complete Tear-Off and Re-Roof
3. Owner Information: --V(A -/"v V
a)Name and Address: /
b)Interest in 100% 3ZX33
c)Name and address of simple titleholder(if other than owner):
NA
4. Contractor Information:
1, a)Name and Address: American Roofing of Jacksonville
3047 St Johns Bluff Rd, Ste 7, Jacksonville, FL 32246
b)Phone Number: 904) 385-4375
5. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR 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 COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
the m are true to the best of my knowledge and belief.
Pit �I'Lvu
Signature o_fqwner or Owner's AutlWized Officer/Director/Partner/Manager Signato 's Printed Name& itle/Office
The foregoing instrument was acknowledged before me this Z� day of 4146 knS_ 20 �>
by I✓ G as for
(Name o erson) (Type of Authority,i.e.Officer/Attorney) (Name of Party Instrument was Executed for)
C
R70o
.LAliJ/ Lt ; T S TE OF FLORIi ` c,Stateof Floridaon#FF149302PraAug. 10,201...,_ ® Personally Known
IdentificationType: !6n&
Doc#2017264661,OR BK 18190 Page 1817,
Number Pages:1
Recorded 11/16/2017 01:54 PM, Revised 2/01/16
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00