564 AQUATIC DR- ROOF ''' CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
_ ''• ATLANTIC BEACH,FL 32233
'2.-,J111.0' INSPECTION INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0165
Description: SHINGLE ROOF
Estimated Value: 6000
Issue Date: 11/7/2017
Expiration Date: 5/6/2018
PROPERTY ADDRESS:
Address: 564 AQUATIC DR
RE Number: 171818 5188
PROPERTY OWNER:
Name: RUSSELL JULIA
Address: 564 AQUATIC DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SUMMIT CONSTRUCTION GROUP LLC
Address: 1652 EMERSON ST BRIAN ENOCH
' JACKSONVILLE, FL 32207
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$7,500.
r. Building Permit Application
r City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
y`°ii_.f Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 564 AQUATIC DR,ATLANTIC BEACH, FL Permit Number: ��g-i– 1^o(5
Legal Description LOT 11-B,AQUATIC GARDENS,BOOK 38, PAGE 71 RE# 171818-5188
Valuation of Work(Replacement Cost)$ 6,000.00 Heated/Cooled SF 1,328 Non-Heated/Cooled 1,356
• 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-ROOF USING SHINGLES
Florida Product Approval# VP I 24 for multiple products use product approval form
Property Owner Information
Name: HADAS MAIMON Address: 564 AQUATIC DR
City ATLANTIC BEACH State FL Zip 32233 Phone
E-Mail MAIMON.HADAS@GMAIL.COM
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: SUMMIT CONSTRUCTION GROUP Qualifying Agent: BRIAN ENOCH
Address 1652 EMERSON ST City JACKSONVILLE State FL Zip 32207
Office Phone 904-725-4050 Job Site/Contact Number 904-725-4050
State Certification/Registration# CCC1329152 E-Mail BRIANENOCH an,COMCAST.NET
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation SOUTHERN OWNERS (1- 3 413 _
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 TICE OF COMMENCEMENT.
(Sig ure of;Owner or Agent including ContractorL (Signature of Contractor)
Signed and sworn to(or affirmed)before me this'27 day of Signed
-and-sworn to(or affirmed)before me this 3fd iay of
0 C21 ,2-o 1 / ,by E S M 4 t v^ el +�, .,'0l'7 ,by &Q/A-r.l Eh ac 11
C---O-rgl __ cl ef", t regkeP
(Signature of Notary). (Signature of Notary)
, CHI blit- C of N E fia �;,��rap TRISHA A.RENFROE
Notary Public-State of New York }o •4.
{ :. 01 Notary Public-State of Florida
NO.Ol OK631 9377 It 4 =. „
[ ]Pe ally Known OR '';I Qualified in Richmond County['4 Pers Knally Known OR 1 ,�' ur Commission#FF 932297
roduced Identifica ' n My Commission Expires Feb 23, 2b��Produced Identification ( ,, �� ;° My Comm.Expires Oct 29,2019
V �""""i'' Bonded through National No Assn.
Type of Identification: l5✓ �% � r�"�%`Type o�l.�entification: , v y
(1/1, i,,-1d .Pitci—f it( yam ,
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 17181$-5188
State of FLORIDA County of DUVAL ' ' - '' ;
To whom it may concern:
The undersigned hereby informs you that Improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: LOT 11-B,AQUATIC GARDENS,PLAT BOOK 38,PAGE 71
Address of property being improved: 564 AQUATIC DR,ATLANTIC BEACH,FL 32233
General description of improvements: RE-ROOF
Owner HADAS MAIMON
Address 564 AQUATIC DR,ATLANTIC BEACH,FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor SUMMIT CONSTRUCTION GROUP
Address 1652 EMERSON ST,JACKSONVILLE, FL 32207 •
Phone No. 904-725-4050 Fax No. 904-800-1255
Surety(if any)
AddressAmount of bond$
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 Lienor's Notice as provided in ,
Section 713:06(2)(b).Florida Statutes.(Fill in at Owner's option).
Name
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 ONLY / OWNER 'l WA t '<.i:i.
Signed: "- DATE J
Doc#2017251160,OR BK 18171 Page 1421, Before me t is Iy day of ii ,► - . ea in the
Cou 1 of vel,State,a FFlorida,has personally appeared
Number Pages:1 a( Yl G{l �(� herein by
Recorded 11/02/2017 03:33 PM, erself and affirms that a statements and declarations herein
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL are true and accurate
COUNTY
RECORDING $10.00
--. • --• Notary Public at Large,State of County of _
• NL�odmmission expires: Z. .7-1--'n1---- I
CHIEDOZIE C Oi'QLIE Pe onallyKnown or v-
Notary Public-State of New York a
Prodticed Identification r01 1 C I t Ice p ti /1 SQ
.a
NO. 010K6319577t.i '
Qualified in Richmond County V
RI
•' n1','Csmmisslnrl F:'niroe rah 92 •-n-1•1 rt FI