352 7TH ST - ROOF tityLy. ;je
CITY OF ATLANTIC BEACH
i�
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: RERF17-0208
Description: shingle re-roof- FL10124.1 & FL15216.R2; 9 s.f. of bitumen
Estimated Value: 16500
Issue Date: 12/8/2017
Expiration Date: 6/6/2018
PROPERTY ADDRESS:
Address: 352 7TH ST
RE Number: 169897 0200
PROPERTY OWNER:
Name: NELSON MELISSA JEAN TRUSTEE
Address: 352 7TH ST
ATLANTIC BEACH, FL 32233-5434
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CARBON COPY CONST, INC. (ROOF)
Address: 12412 SAN JOSE BLVD APT 301 QA LEONARD ABRAHAM
SCHONFELD
JACKSONVILLE, FL 32257
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$7,500.
',,�, Building Permit Application
jr ,. . City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
• 14 9,4- Phone: (904)247-5826 Fax: (904)247-5845
Job Address:_ 3S a 71).1 5 T- Permit Number: `-&tz-F 11-- dos O
Legal Description..5:-6 9 )(,a 5-d el t Ai tt c.B hc_- LvT,)3) t; 'lo r t Lol-c)S RE#
Valuation of Work(Replacement Cost)$ 1 L 15-0O 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 esidenti
• If an existing structure,is a fire sprinkler system installed?(Circle one): es 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: (1,E rpo f A-ltvtt I mGi t1AL- 5µ1N6-1.Z, /5-24 3/I,Z k N P
is e?. c7-v04-et, G€-R.TAml-ra-.6 &' t- FL 101,5V 4..1 },U.-iVD FL ISd 1(o, l2 ,A
Fl aS33 -4/ PL L(-qa-o
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: ME LI 554 NE L..50 t-' Address: 35- 7 51-
City
YCity R--jlAN1-ii -61State fi, Zip 3 -)33 Phone (,07 - 7 t Lt
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information / I -H�
Name of Company: L A(1-, 1n) Caeq Cotir'T, i-rt, Qualifying Agent: Le-0,oi;ao A A . S N (cl z1—
Address ley-i. - 64A) -O Si, f2 LAii,0 3rP( City -754--)t- State FL_ Zip 3' 3
Office Phone 0 00 - --J uca 3 Job Site/Contact Number
State Certification/Registration# C-CC 6S-C.LI 0 E-Mail L$Z-stoiiii:tLb € CA2J3k/JC C-. Go 141
Architect Name&Phone# /\-1/4
Engineer's Name&Phone# -J/ A
Workers Compensation A .(S'L.((.4- 1/4 ,u1 5 • --S MAfa_LC 511-( /( g
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 YOU • NOTICE •F COMMENCEMENT.
A / _! , L. 'A
(Signature . • ner or Agent including Contractor) (Signature of Contractor)
Signed and sworn . •r affirmed)before me this e ay of Signed and sworn to(or affirmed)before me this _. day of
0 Cc%LS%U'lN.C4- ,by 1 c-. i ry s ink BCCA.i c_ ,b L,LIMA
•A-i' (to, F L& d -
...,111 '
/ ( gna ure of Notary) is at elf Notary)
RUDY MIKSON 3:::".;"1
, RUDY MIKSON
::.4"o' _`�;, ` MY COMMISSION#FF097268
1A-Personally Known OR :*. ,: MY COMMISSION*FF 097268 A Personally Known OR EXPIRES:Mar°h?5 201
a.: ',,,,,.,: = EXPIRES:March 25,2018 'S'•::"-. Bonded B NotaryPublicUndemnters
[ ]Produced Identification :' dondedThruNotaryPublicUnderwriters [ ]Produced Identification "• ;q';,
Type of Identification: o" , Type of Identification: -
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t f%% r TABLE IE-1: WOOD DECKS-NEW CONSTRUCTION,REROOF(Tear-Din or RECOVER ; `" yr
t ••ti-ILLS iynr t AO'.' INS11tATLD,PILCIN,NLCALIY Al tACHCD BA1-E SHEC1,BONDED ROOF COVER k - ' .0./
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II, 11 ' I No. ;Sec Note]) f Base Fasteners-- —Attach Ply Cap ) ',..•,.14-.gti7r
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tr.����`�_� l c .7',+J•b+�:ac+d
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+F` f..� _,-,nrt,0.+ cu..,
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►JJ SBS-TA or APP- at �+ '
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lri r,.. - - - — Yos+•,nit,• Plates with or•tG a i-i HD
wff• r� ys 3'
••.r a rVr - f, c
t!:AT+fr►` , !!n icr:� r cola t a.:;FlrslglaS; -- - _ 11 5r x f •9- +T° :.:
lhC 1 nl lr'DO:I:1!
■-!,.. / - t I ntl r.,:lr Elise•Itis 7-inch r:_c..11 3-inch tap and 7-Inch P.c. HP-AR,SBS-AA, 555-AA, ma y r+.. .' :..t --.,3'2.-
,e"... "
•{ .111.1,3e .:.e. •-tap 2, ncr-;eons i ttac', i i -
cif•: ,r • �-,hch r`.c. JSIn[� vF,v:o^d I DIY SMS,ISasv;till r,: See Note 2 f ,n three,,olua:ly spaced,slaggered SBS-TA or APP- .SBS-TA(X .'-105.0,1;, z ,,, " ' S,1g- ;
+. - Poly St IS"•Iii ,_colo tarts r.; a, r'I'
TA APT-TA r,- -s
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;rd+:,"�r•„r GIasL•osc•; Flotkil Fdntiast 3 in. Insulation 4 • ��
�. I,n. .6',,. rich 7,,yy.rod a! s u, '
T rlmlla,,tic Bast'Jit; Plates with rlaurasl II)or 6-Inch o.e.at 4-Inch la,r and 5-inch e.e (r"c•nal- BP• + ,,`1d t�•t;ii/r,
P ..'f r `:ax'7.4 r••r'-12;'"L5'+:'''c" AA,CDS•AA, 53c-AA, r y,, Jam. `f
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: mull o C .rang a 1 r1 r:ood y Y P- - J9 SRS-TA ur, 1.127,..5'..; r
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s � .rrc.ti Yescmrlc i+fate,With 7F!G 4I1 iiI IA APP-TA 3 ,a„� ' '"
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ter. TABLE IF: WOOD DECKS-NEW CONSTRUCTION or REROOF(Tear-011) ,•'
,���".t SYSiC11 TYPE F:NUN-INSULAiLU,(BONDED ROOF COVET( a '
0 t• _- - - ..- ____- -- --- -- -- _ - — _-•- - $ �"•-�
-r
r -
System Deck
Roof Cover
r No. Prlmr r -- -_ NDP '3''.****-''',..‘,*3p%.„;9�;
(See Note 1)- - Base _ - Ply Cap �;' c
,•r r VI i :'�•j<'-i'ru plywood.I nue t - ,,.. `'' t .ay �'-
• C ic., -•it par;31'a::^6-Inch d c- II ntPnme SA SOS•SA (Opt anal)SGS-SA SBS SA 12.7.5 -1'' 72 -'4,.-,-'!A
L tr..r)r ?road scrcns ', il
- _ ._ _____--...,_ X44` ,d
¢
a i
Approved B > , „4
-- - --- --- - - - -- ------Building pe mit i,ask — —
City of AtlantiC Bea ent
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 169897-0200
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: 5-6916-2S-29E ATLANTIC BEACH LOT 23, El OFT LOT 25 BLK 8
Address of property being improved: 352 7TH ST Atlantic Beach FL 32233
General description of improvements: Reroof
owner Melissa Nelson '
Address 352 7TH ST Atlantic Beach FL 32233
Owner's interest in site of the improvement Residence
Fee Simple Titleholder(if other than owner) NIA
a Name
Address
J / Contractor Carbon Copy Construction Inc./Leonard Schonfeld II
^�l Address 12412 San Jose Blvd Ste 301 Jacksonville, FL 32223
�' Phone No, 880-2183 Fax No. 880-2185
Surety(if any).N/A
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name NSA
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 N/A
Address
Phone 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 Statutes. (Fill in at Owner's option).
Name NIA
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
different date is.specified):
THIS SPACE FOR RECORDER'S USE ONLYQ NER
Signed: I/11, t. —' , _i _* I DATE h-5—17
Before me this d-y of 0SC.rjSr� in the
County of Duval,Stat- • Florida,has personally appeared
Doc#2017281676,OR BK 18214 Page 1131, Melissa Nelson herein by
Number Pages:1 himself/herself and affirms that all statements and declarations herein
Recorded 12/08/2017 11:18 AM, are true and .ccurate
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL ,
,, =o�:'';"tec, RUDYMIKSON
COUNTY
CTDING $10.00 -Z /v ' i MY COMMISSION#FF097268
Vt ���11..•�: EXPIRES:March 25,2018
ill'i d Bonded Thin Notary Public Underwriters
1t`�P`,
Notary P •Ii.at arge,State of Florida , County of Duval
My c• 1 issi•n expires:
Pers•n- y Known xx . or
Prod -d Identification