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1983 BEACH AVE - ROOF , ' `'' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 ROOF NON SHINGLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ROOF17-0048 Description: metal re-roof Estimated Value: 25255 Issue Date: 12/6/2017 Expiration Date: 6/4/2018 PROPERTY ADDRESS: Address: 1983 BEACH AVE RE Number: 169704 0000 PROPERTY OWNER: Name: DATTILO THOMAS A Address: 1983 BEACH AV ATLANTIC BEACH, FL 32233 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. -91421City of Atlantic Beach APPLICATION NUMBER `` r �_ > Building Department =(To be assigned by the Building Department.) rh;4 .'sr 800 Seminole Roadp� Atlantic Beach, Florida 32233-5445 W0 1 C poq g - Phone(904)247-5826 • Fax(904)247-5845 � I � �;,,,�r E-mail: building-dept@coab.us Date.routed: ` , City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: vcr-6-3 U gfa.N\ ANIL - D ent review required Yes No arBuilding q// Applicant: r"Q-f1C,� (� V-D ll#� (L& ! � (i-X \\��`Pidrmir g &Zoning Tree Administrator Project: ON /Act f'l:(),,) P. Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [proved. nDenied. nNot applicable (Circle one.) Comments: :Ij_DNNG PLANNING &ZONING Reviewed by: r Date: /'-"/ r/ TREE ADMIN. Second Review: Approved as revised. nDenied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. ❑Denied. nNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 L � � E0QV ` Buildin Permit Application IL lt ' 'pp ;� Nov 2 9 2017 FCity of Atlantic Beach �s� ® �I�� ®1 80 Seminole Road,Atlantic Beach, FL 32233 1 Phone: (904)247-5826 Fax: (904)247-5845 Job Address: IO 33 Ptu t (2064 F[.. 2.23' l Permit Number: 00 r (1-—02 Legal Description 15-93 �"2 S 29 o f Hr�r-I L g6" u 3 LM-(p RE# 69 qu - yo Valuation of Work(Replacement Cost)$ 25 255-00 Heated/Cooled SF .1 /3.6 Non-Heated/Cooled 1/ 3`93 • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed str cture(s)(Circle one): Commerci?esidential • 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 workto be p ormed: COV\q ��{-� (Y off' Ski, ;,5 Florida Product Approval# FI 1,27 9.51 for uItiple products use product approval form Property Owner Information \ v/7ier/ rrn° OHM., //T i //$'Y2. Name l s GO-ft 1(-),t,ksseAltit AC t- '10Address: tC\ Eatdi CityP0-10A-\-c c (�Pc�C & State Ft— Zip X .232, Phone E-Mail Owner or Agent(If Agent; Power of Attorney or Agency Letter Required) Contractor Information Name of Company: American Roofing of Jacksonville Qualifying Agent: Daniel P. Kinkel Address 3047 St Johns Bluff Road S,Ste 7 City Jacksonville State FL Zip 32246 Office Phone 904-385-4375 Job Site/Contact Number Chris Dennis,904-626-4636 State Certification/Registration# RC90227546 E-Mail dan@americanroofingjax.com Architect Name&Phone# NA Engineer's Name&Phone# NA Workers Compensation Plymouth Insurance Agency,WC71949,expires 01/01/2018 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 RECORDIN OUR NO,,ICE • ►A ►i � MENT. ' ign- ur A• a or - i'luding Contractor (Signature of Contractor) Sine• and s orn to(or affirmed)before me this ay of Signed and sworn to(or affirmed)before me thislay of „•�,�„a D I $53N,� EN55An�/}(-t-i lc�/`f(nprna-sA l7A �CI® Ay_3,017,by �� .�' ARY PUBLIC � o iii STATENOTOF FL0 0.t4 Q 1,/�� _Cl �QDy() ` •Y ,�;t�?Conan#GG072481 (Signature of Notary) (Signature of Notary) .84VCE 1910 Expires 4/27/2021 �," '�h SARA STREETPersonally Known OR ersonally Known OR _�° p,; `*_State of Florida-Notary Public [ ]Produced Identification] roduced Identification ,�, Commission#GG 110741 , � i` ��. , My Commission Expires Type of Identification: Type of Identification: June 01. 2021. I I I NOTICE OF COMMENCEMENT Permit No. ax Folio No. 169704-0000 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(legaldescription of property and address if available): 15-93 09-2S-29E NOSRTH ATLANTIC BEACH UNIT 3 LOT 6 1983 Beach Ave Atlantic Beach, FL 32233 2. General Description of improvements: Complete Tear-Off and Re-Roof 3. Owner Information: —1 e-,05ce-1`i vk to a--vix:\- a)Name and Address: Thomas Dattilo 1983 Beach Ave Atlantic Beach, FL 32233 b)Interest in 100% c)Name and address of simple titleholder(if other than owner): NA 4. Contractor Information: )11.9 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 OW the facts stated therein are to the bust of y .r .wledge and be 'ef. JPS S � `j a_74/, h © Piet, Signature6f Oe or S. . er /a• •d officer/Director/Partner/Manager Signatory s Printed Name&Title/Office The foregoing instrument was acknowledged before me this,0+ day of Q LTp bier ,20 ��— ,-17ey.v 1)4-11-t10 by as for ?1N it D (Name of Person) (Type of Authority,i.e.Officer/Attorney) (Name of Party Instrument was Executed for) otARY MEADS MARSTON COPLAN r� ft— 1(Y,0n NOTARY PUBLIC air mi rj( STATE OF FLORIDA NO Y PUBLIC,ST11��ATEwOF FLORID 1 1 / V-1011114-30, r jt. # Comm#GG072481 Print ame: MQA.ole r r(OI(�i4mi C(�,(�\q !11 •.POCE 10 Expires 4/27/2021 . Personally Known Doc#2017277928,OR BK 18208 Page 2041, ® Identification'Type: Number Pages:1 Recorded 12/06/2017 10:00 AM, Revised 2/01/16 RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00