1890 BEACH AVE - ROOF js f CITY OF ATLANTIC BEACH
`� 800 SEMINOLE ROAD
15 ATLANTIC BEACH, FL 32233
r)13rc) INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0211
Description: RE ROOF SHINGLE
Estimated Value: 13300
Issue Date: 12/8/2017
Expiration Date: 6/6/2018 •
PROPERTY ADDRESS:
Address: 1890 BEACH AVE
RE Number: 169542 0602
PROPERTY OWNER:
Name: SUMNER WILLIAM DARRELL
Address: 1890 BEACH AVE
ATLANTIC BEACH, FL 32233-5939
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: STONEBRIDGE CONSTRUCTION
Address: 12550 AGATITE RD 6956 PHILLIPS PARKWAY DR N
JACKSONVILLE
JACKSONVILLE, FL 32258
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$7,500.
t.a•° Building Permit Application
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
,, t Phone: (904)247-5826 Fax: (904)247-5845
VAL. eN Q�NDn}iec.�.3 33INE-Rn 7 -- OZ. ( (
Job Address: �� D � ) Permit Number: /�
Legal Description. bs•gk� .Q0�n' CkO_ \ ' \ RE# 1194Ma. 1510049
Valuation of Work(Replacement Cost)$ I 3 Da Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition •1 eratio Repair Move Demo Pool Window/Door
4) 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: /
r_�c- 0, i =;��?i= $; 3 y i (j>/1 r-� l (CZ [ -c
Florida ProduclAApproval# FL (01 a ` 'L i ,f $iC,-A i for multiple products use product approval form
Property Owner Information ca n
Name: AV.O Y� tt(},Y1 �X\t1�Q� Address:k�` b iaolint 11Vo io..
City Q,tIft,nve h. StateTV._ Zip AS 35, Phone
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) arir
Contractor Information ��
Name of Compan t7L�A` K . lc ' itQr\IIIPQualifying Agent: -51ia�iOtt
Address j% %r,\\**)� `i t•)[. City Inlabook State Zip �!'
Office Phone .but. j %�- Job Site/Contact Num er v ' ,t . ' i... . . .. ._'
State Certification/Registration# ter`\32tckA E-Mail( iiftk_ S`D . t t r ' \`A.
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation IR G Z I Z 19 •`3/2-c'/ i
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
RECORDING YOUR NOTICE OF COMMENCEMENT. /
(Signature of Owner or gent including Contractor) (Signature of Contractor)
ned andme� sworn to(or affirm d)\before me this ay of . gned and s ,orn to or affirm` dd)✓before thi� day of
CL. ,D430,by \,S\\ \ MI,(C),1\ �'rnrt `'-:., co l at 4 , by �JlilliXI`CON1 ,
>QrntQ09 Q *PAPA g �
Si nat� ure of Notary) (Signature of Notary)
g
;
DMYAICcJOI lL1PLvIEISSNIiOCNC
kLFE FG9SN3N4I1S5
[ ersonally Known OR ,y r : MY COMMISSION t�FF90341$
^�? JsaEXPIRES February22 20?0 ersonall Known OR -="^ rR�".?u,; ` EXPIRES February
[ I Produced Identificationa ._., ;"T _M [ I Produced Identification wCi>a9s-''';3
rh,-idallo:a•ySetwo.corr
Type of Identification: Type of Identification:
Doc .# 2017276461, OR SK 18206 Page 1310, Number Pages: 1,
Recorded 12/05/2017 08:58 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
,r
. 1a r X409.-4 NOTICE OF COMMENCEMENT
U. .f (PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 169542-0602
State of Florida County of Duval
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being Improved:42-14 09-2S-29E
BEACHSIDE
• LOT 31 BLK1 I •
Address of property being improved:
1890 BEACH AVE Atlantic Beach FL 32233 ' i
General description of improvements:Roof Replacement
owner SUMNER WILLIAM DARRELL&SUMNER DEBORAH F
Address 1890 BEACH AVE Atlantic Beach FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Stonebridge Construction Services LLC.
Address 6956 Phillips Parkway Dr.N.Jacksonville FL,32256 •
Phone No.904-262-6636 Fax No.904-262-2247
Surety(if any)
Address - Amount of bond$
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 Lienors Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name •
Address
Phone No. Fax No. 3 ..•'..'
(:.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a 0
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER b
Signed: ' �� �/ • m
Before met is ;1•••yof 1 . r, %% •• b L Inth of
�ls..,e. :� s ,n co m
art hereto by = o. to
him i arse, -r'.a" a al augmentsand herein H 2 Z n
are true and accurate
* P
8 nNi ,nm
o m
bartuah
�RjM�UM� .. ` Ao Z
Notary Puede at Large, 4k0,, � ►J
Y ,County
�*CA` to fA ,
My eommissron expiry
Peraonalry ttnown e: or
Produced Identification