83 W 10th St shingle re-roof permit I % .
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-SS14
PERMIT INFORMATION:
PERMIT NO: RERF1 7-0153
Description: RE ROOF SHINGLES
Estimated Value: 4500
Issue Date: 10/25/2017
Expiration Date: 4/23/2018
PROPERTY ADDRESS:
Address: 83 W 10TH ST
RE Number: 170811 6000
PROPERTY OWNER:
Name: GLIERRANT JO ANN BONGIOVI
Address: 83 W 10TH ST
ATLANTIC BEACH, FL 32233-3413
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SHORE ROOFING COMPANY
Address: 914 7TH AVENUE S CIA THOMAS LOUIS SHORE
JACKSONVILLE BEACH, FL 32250
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.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
9 INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0153
Description: RE ROOF SHINGLES
Estimated Value: 4500
Issue Date: 10/25/2017
Expiration Date: 4/23/2018
q9
PROPERTY ADDRESS:
Address: L38e3'191 "H ST
RE Number: 0000
PROPERTY OWNER:
Name: JO ANN BONGIOVI GLIERRANT
Address: 383 1 OTH ST
ATLANTIC BEACH, FL 32233-5529
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SHORE ROOFING COMPANY
Address: 914 7TH AVENUE S QA THOMAS LOUIS SHORE
JACKSONVILLE BEACH, FL 32250
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$7,500.
Building Permit Application Updated 5/5/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: /0 4� 5--� Permit Number: R&IRF17-01,53
Legal Description 015 ft+-1*-t'eAtrA S'cci4eTiot�r-r
RE#
Valuation of Work(Replacement Cost)$ 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: Re—Pa,,T- T*-m-,rc 7A,,,Zs 14-f hev)3 JVA 'A,�s /L 13 6
U q olr-rytilrove N+--.
Florida Product Approval# 6S'4_3,-;4�,qk� Q
Property Owner Information Z�nlL�iZ14IAiuf for multiple products use product approval form
Name: M 6?1 h C4 U'li"mn f Address: 83 k) I,-?',, S-1 .
City"A,V�� r-,el State Zip 322JJ Phone 9y(-9510—
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Informatio
Name of Company: XM P-bo Qualifying Agent:
Address qjol 1,;l,,f,4 A sinc ci,
-k-C S S —
city. T�vtl,,C_L State Zip 9')_L)_CJ
Office PhoneIVI —Job Site/Contact Number *-Adz—
State Certific egistration#C16CQSYf I E-Mail
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
RECO, R NOTICE OF COMMENCEMENT.
(Signatu of Owner o Agent) (Signatur f Contractor)
w c u.ing con ctor) igne ap sw rn :his Y of
Signed an e i 3 ay of S* d d orn to Cor affi med efor '�thi�
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.-by C:Aa;�— _,20 7,bv,;(
A
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Notary Public
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My camill.
t IpD f tary) (Signat.re&f Notary)
OF f commis
M�
924951
MY COMMISSION#
r 0
ersonally Known OR Personally Known OR
EXPIRES:October 6,2019
Ponded Thri Notary Putlic underonters
Produced Identification Produced Identification
Type of Identification: Type of Identification:
NOTICE OF COMMENCEMENT
State of County of Tax Folio No.
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 CONIffiNCEMENT.
Legal Description of property being improved: %." I * 1�-- 3"+ S% - Z5 - 2'Te- 09S Z, Aflaiji-Ic-
17f O'C'" 5 C c, - " 3'. ?-�- lors q, k I IR Q-c,-r) 0/f, /570 2 4 . 13LI,( L-5
Address of property being improved: Ik'
General description of improvemenlk'�C-&)
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Owner,,,� rvq-((-aA+-1 :70 ArO�) '310n6OVI Address:-V 92 1()tk St !2 ,
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Owner's interest in site of the improvement:
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Fee Simple Titleholder(if other than owner): r-
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Name: M
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ConV-actor: iiii P r 80
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01 Address: r c
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Telephone No.: q I-�549L Fax No: 0
0
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Surety(if any)
0
Address: Amount of Bond$ c
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:
Telephone 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 ONLY OWNER
Signed:k(; Date:
Before me this of :�:�m thei dountjof Duval,State
Of Florida,�hhni r s A�o�l y
y
Personally wn: or
A
PAMELA JEAN SHORE Produced Identificat* .
Notary Public -State of Florida
s
Notary Public:
My Comm. Expires Dec 4,2017 My commission exp"`1rJ
Commission # FF 074537