76 W 9TH ST - ROOF AIM,'
.�s AP S's„ CITY OF ATLANTIC BEACH
`" "' ;? 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
.'':4.2
'"4 0,3 t-) INSPECTION INSPECTION PHONE LINE 247-5814
REROOF SHINGLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RERF17-0215
Description: SHINGLE RE ROOF
Estimated Value: 8295
Issue Date: 12/13/2017
Expiration Date: 6/11/2018
PROPERTY ADDRESS:
Address: 76 W 9TH ST
RE Number: 170813 9100
PROPERTY OWNER:
Name: ORIANDI TIMOTHY
Address: 76 W 9TH ST
ATLANTIC BEACH, FL 32233-3465
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: BENTON INTEGRITY ROOFING & WINDOWS
Address: 5570 FLORIDA MINING BLVD S Ste S STE 310
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$7,500.
*. , Building Permit Application
.Y
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
37333 P.\ Q /� 7
Job Address: c'(e Vie-S-1 9 ` S}-t.CA,4, Ail .ALL ad t F1 Permit Number: ! s C• -• (7 r l/ L_
14
Legal Description 1%-14-1
AI.''4 PT Lo-4 a� a t4..PT I..-of: L14 8 RE# 140'613-'110C>
Valuation of Work(Replacement Cost)$ `YJ'elq',$. 60 _Heated/Cooled SF l O'bq Non-Heated/Cooled 1 3%1
• pass of Work(Circle one): New Addition(Iteration)Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial (Residenial
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 0
• 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-e•-coot fxisl-t rut Lu taiti nq aD Iv, 45)t a pi 1-c1,‘
Z n t+a11 Tiynlatat I%AA_ t-41:0Shin t (F(.l of au(), (51* F'ed+ vwal ,n0 i_(K(o PtroctAx.i.a pprova,a<FF.),
cunct o Ltidiy.Jv.,*S (k-t OWD.t)
Florida Product Approval#tOtat'l CT'wrtln.urliyvt 140 Si r-S) for multiple products use product approval form
Property Owner Information o
Name: .rite! T Iii is Zi.dinl b i Address: 7(U (ii) '/th ,J tree-f
City ,4TLANTI4._ Sii.A21+ State rL Zip 321_?,? Phone t,L1,'.,•- 2-6a0 "S -: G
E-Mail_ .I rn,.ff+y or L xkt k t %c2, 1 cr h%;:.,- ‘,rvt
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) 'J
L-L N.6 iL
Contractor Information
Name of Company:flenftsn inter q Rae .e WIest&W Qualifying Agent: Jilin A1bri+ nn
Address 55,10 F)or,da Mini Ivd. S.,-'Stt 41r) city Jo ckSon1/1Ile State FL Zip 32257
Office Phone (9b4)2102-1 fpd3 Job Site/Contact Number
State Certification/Registration#CTC) 2 :14cEc./ 3lLwE-MaiI Adrn.n®-8 IRSgstems, Com
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
RECORDING YOUR NOTICE OF COMMENCEMENT.
-----?7/(;-.. j-' . , Aga
'r---.
"-�(Signature of Owner or Agent including Contractor) -
(Signature of Contractor)
Signed and sworn to(or affirmed)before me this3 4#day of Signed:n• sworn to(or affirmed)before me this 411"day of
November , 201`7 ,by , • ., .I0 0. - r 2017 ,by John /A1bri++6n
• hill :r- I - 4 'AScL
, ' (Signature of Notary)
'4',.., KAYSTAL K SALM _....
Al AotaryPublic-StateofFioridai'
Commission I FF 918403e"
�: ..,.-;:i .''';'",, KPYSiAI K SALM
My Comm.Expires Sep 15,2019 _ ,.'.. .: hairy Public-State of Florida I
I I Personally Known OR (personally Known OR - Commission OFF 918403 I
(,¢•Produced Identification •Z -.n•:.•
Z 0. My Comm.
I I Produced Identification Expires Sep t5,20t9 I
Type of Identification: FL. D L 010+15-$01-B3-3M -0_ Type of identification:
Doc # 2017277003, OR BK 18207 Page 350, Number Pages: 1 ,
Recorded 12/05/2017 03:56 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10. 00
NOTICE OF COMMENCEMENT
State of FloCirici Tax Folio Nn. l30313-9100
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: 18-34 t}-2S-ZSE .bitA Aticuektic,ISA4kejA Si-c 4.
W 1.HFr Lot 2, E tfv•grr Lo-+ 3 B4k. Cdr'i
Address of property being improve 14 Wes+G ^ $ fc.' 1„t R 327133
General description ofimprovements: t -eooF tx..,; 'buitottnot._. RP sOIrS at 511P,ei+c.es 33
Owns:Tot rl► --- _ Address: -(a t c)ts+9+4" $t-e -4- A}as-rtia i ,1n,FL 3 '233
Owner's interest in site of the improvement; 0i.siteMrt..
Fee Simple Titleholder(if other than owner):
Name:
Contractor. 8ehi-Dirt 1nt'Pgttiiy Roafirs and Windiw.c - ._. . �7
Address: 5' 71 •J ' t -4 a• ;I f. it• i , ,• . ,, FL 3225 /
Telephone No.:( Q&0Zld.-71o103 Fax No: (gol)_Z(oo-1355 - -
Surety(if airy)
Address: - Amount of Bond S
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 dem 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(I)year from the date of recording unless a different date is
specified):
T1US SPACE FOR RECORDER'S USE ONLY OWNER �`�J���'r�/, / p
Sienad: ...-^,4:;_-.
i`, ✓ Date: Ir/Z-CJ/7
Before is 2 day of_N)oy Q rnbev in the Courcy of Dual,State
Of t1 ' a,has persoasily appeared Ti,,,61-64 _.15elan d i _
Notary Public at Large,Sue al/arida,County of&mai
My commission expires: q—15-20114
Pcrsoauilh•Knorr: _ __ or
Produced tdcotifecation:
SQY-- ,..-,;,::*;.;.S-,._ K�YSIA:KSAN
Notaryrucic =:•:r�I.H:a
gn{ a 1 K Salm •' l':ri aJmn14SoOn:..91;<0+
.'', n.r_'�C` My Comm EroanSep I,2019